Minn. R. agency 144, ch. 4652, pt. 4652.0110

Current through Register Vol. 49, No. 17, October 21, 2024

Part 4652.0110 - GROUP PURCHASER REPORTING

Subpart 1.Group purchasers must report; exceptions.

All group purchasers, except as noted in items A to D, shall file with the commissioner a financial and statistical report on forms or computer format provided or approved by the commissioner.

A. An insurance company, as defined in part 4652.0100, subpart 15, that collected less than $3,000,000 in total health premiums for Minnesota residents in the year prior to the year that the data is covering, may file a short report in lieu of filing a report that meets the requirements of part 4652.0120. The short report must be in writing, must state the amount that the group purchaser collected in total health premiums for Minnesota residents in the year prior to the year that the data is covering, and must provide the total number of members and subscribers covered at the end of the reporting period. For purposes of this item, "health premiums" means premiums for health and medical related coverages, excluding accidental death and dismemberment coverages, short-term disability coverages, long-term disability coverages, long-term care coverages, workers' compensation coverages, the medical component of automobile insurance coverages, and personal accident coverages.

B. A state agency that reports under Minnesota Statutes, section 62J.40, is not subject to the reporting requirements of chapter 4652.

C. An employee health plan offered by a self-insured employer or an employee organization is not subject to the reporting requirements of chapter 4652. However, those employee health plans are encouraged to comply with these reporting requirements.

D. A group purchaser is not subject to the reporting requirements of this chapter if the coverages the group purchaser writes are limited to one or more of the following: accidental death and dismemberment coverages, short-term disability coverages, long-term disability coverages, long-term care coverages, workers' compensation coverages, automobile insurance coverages, and personal accident coverages.

Subp. 2.Date for filing; reporting period.

The group purchaser shall file its report on or before April 1 of each year. The report must contain data for the preceding calendar year.

Subp. 3.Organizations operating more than one group purchaser.

Group purchasers that are affiliated may elect to file a combined report, if they have elected to meet a combined growth limit under Minnesota Statutes, section 62J.041. Affiliated group purchasers that file a combined report must include in the report the name of each affiliated group purchaser.

Subp. 4.Extensions.

The commissioner shall grant a group purchaser an extension to file the report when the commissioner determines that the group purchaser has shown reasonable cause. To apply for an extension, the group purchaser must provide the commissioner with a written request for an extension to file, specifying the reason or reasons for the requested extension, and the proposed date for filing the report. "Reasonable cause" means that the group purchaser can demonstrate that compliance with the reporting requirements imposes an unreasonable cost to the group purchaser, or that technical or unforeseen difficulties prevent compliance.

Minn. R. agency 144, ch. 4652, pt. 4652.0110

19 SR 1515; L 1995 c 234 art 3 s 9; 20 SR 2185

Statutory Authority: MS s 62J.321; 62J.35