Rule 120-2-50-.04 - Filing Requirements(1) All communications and filings must be made with the Regulatory Services Division, Georgia Insurance Department. To Complete the application for a license, the following items pertaining to the plan must be submitted: (a) Each applicant for license shall make application on form ME-2, entitled "Application for License for Multiple Employer Self-Insured Health Plan," attached hereto as "Exhibit A" and incorporated herein.(b) A copy of the plan's bylaws, all schedules of benefits, and all management, administration and trust agreements which the plan has made or proposes to make for the conduct of its business and affairs, certified to by a majority of the trustees. Any proposed change or amendment to the foregoing must also be filed with the Commissioner not less than sixty (60) days before the effective date of the change or amendment.(c) An audited financial statement prepared by a certified public accountant (CPA), on form ME-3, entitled "Financial Statement," attached hereto as "Exhibit B" and incorporated herein.(d) Signed and notarized biographical affidavits by all trustees of the plan on form ME-4, entitled "Biographical Questionnaire," attached hereto as "Exhibit C" and incorporated herein.(e) A complete list of names, addresses, and telephone numbers of employers participating in the plan and the number of employees of each employer participating in the plan.(f) A statement of the reasons for applying for a Georgia license, a description of exactly how the plan proposes to develop and Supervise its operations in Georgia, the name, title and qualifications of the person who will be responsible for the plan's operation in Georgia, and the location of and a description of the office facilities that will be provided by the plan in Georgia.(2) After the plan has complied with the above requirements, the application file will be reviewed and the Commissioner will request any additional information as in his discretion he may deem proper for considering the plan's application for a license.(3) While an application is pending, it is the responsibility of the plan to keep all required statements, documents and materials current.(4) An application for a license in Georgia is not complete until the plan has complied, to the Commissioner's satisfaction, with all of the above requirements. The Commissioner is not required to act formally on an incomplete application.Ga. Comp. R. & Regs. R. 120-2-50-.04
O.C.G.A. Secs. 33-2-9, 33-50-3, 33-50-4, 33-50-10.
Original Rule entitled "Filing Requirements" adopted. F. Mar. 19, 1993; eff. Apr. 8, 1993.