Nebraska § 44-7612 Coverage notification; summary plan description; claim or appeal denial notice; statement required

Nebraska Statutes

§ 44-7612 — Coverage notification; summary plan description; claim or appeal denial notice; statement required

Nebraska § 44-7612

Ch. 44Insurance

This text of Nebraska § 44-7612 (Coverage notification; summary plan description; claim or appeal denial notice; statement required) is published on Counsel Stack Legal Research, covering Nebraska primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Neb. Rev. Stat. § 44-7612 (2026).

Text

(1)A multiple employer welfare arrangement shall notify in writing each participating employer and each covered individual applying for coverage by the multiple employer welfare arrangement that a health benefit plan provided by the multiple employer welfare arrangement is not:

(a)Insurance;

(b)Subject to state laws and requirements that apply to health insurance offered by a licensed insurer; and

(c)Covered by the Nebraska Life and Health Insurance Guaranty Association.

(2)The notice required by subsection (1) of this section shall, in ten-point or greater type, disclose that the multiple employer welfare arrangement is authorized under state law to assess participating employers for claims under the health benefit plan in addition to other remedies the multiple employer welfare arra

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(1) A multiple employer welfare arrangement shall notify in writing each participating employer and each covered individual applying for coverage by the multiple employer welfare arrangement that a health benefit plan provided by the multiple employer welfare arrangement is not:
(a) Insurance;
(b) Subject to state laws and requirements that apply to health insurance offered by a licensed insurer; and
(c) Covered by the Nebraska Life and Health Insurance Guaranty Association.
(2) The notice required by subsection (1) of this section shall, in ten-point or greater type, disclose that the multiple employer welfare arrangement is authorized under state law to assess participating employers for claims under the health benefit plan in addition to other remedies the multiple employer welfare arrangement may take if the multiple employer welfare arrangement is unable to pay claims.
(3) If the multiple employer welfare arrangement provides coverage to covered individuals who are self-employed individuals, the multiple employer welfare arrangement shall include a statement in the summary plan description and any claim or appeal denial notice that self-employed covered individuals may contact the Director of Insurance. Such statement shall include the mailing address and telephone number for the Department of Insurance.

Legislative History

Source: Laws 2002, LB 1139, § 12; Laws 2020, LB1014, § 6. Cross References: Nebraska Life and Health Insurance Guaranty Association, see section 44-2705.