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General Definitions
220 Property and Casualty (Florida)
5
Other
Professional
07/20/2009

Additional Other Flashcards

 


 

Cards

Term
What does "ERISA" deal with?
Definition
_ _ _ _ _ deals with matters relating to employer-sponsored health insurance plans as well as retirement plans.
Term
Association Plans
Definition
are not exempt from state regulation as 1) there is no employer-employee relationship (usually the relationship is a member and the association); and 2) the "association plan" must be fully insured so the insurer is subject to state regulation.
Term
Union Plan
Definition
may receive an express finding (in writing) from the U.S. Department of Labor that the collective bargaining agreements between that union and the employers are bona fide and be exempt from state regulation.
Term
Describe a MEWA (Multiple-Employer Welfare Arrangement)
Definition
MEWAs (Multiple-Employer Welfare Arrangements) are regulated as risk-bearing entities by the Florida Insurance Code. MEWAs require a Certificate of Authority from the Department of Financial Services. MEWAs are defined as an arrangement that is established or maintained to provide one or more various insurance benefits (health insurance) to the employees of two or more employers.
Term
What are the rules that allow for state regulation of MEWAs?
Definition
Special rules allow for state regulation of MEWAs that are employee welfare benefit plans and meet the ERISA definition: 1) If fully insured, the MEWA remains subject to state regulation; 2) If not fully insured, the MEWA is subject to all state insurance laws not inconsistent with ERISA; or 3) A MEWA that is not an employee benefit plan is subject to state insurance regulation.
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