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054.00.119-12. Notice to Paricipants in Self-Funded MEWAs

AR ADC 054.00.119-12Arkansas Administrative CodeEffective: December 5, 2019

West's Arkansas Administrative Code
Title 054. Insurance Department
Division 00.
Rule119. Multiple-Employer Welfare Benefits Plan
Effective: December 5, 2019
Ark. Admin. Code 054.00.119-12
054.00.119-12. Notice to Paricipants in Self-Funded MEWAs
Currentness
(a) Unless such notice is otherwise provided to a participating employee or former employee pursuant to another provision of this Rule, a multiple-employer welfare arrangement, in connection with an employee welfare benefit plan, which is self-funded, shall provide to each participating employee or former employee covered by the plan the written notice containing, at a minimum, the items described in paragraphs (1)-(5) of this subsection, at the time the coverage of such participating employee or former employee becomes effective:
(1) that individuals covered by the plan are only partially insured;
(2) that in the event the plan or the multiple-employer welfare arrangement does not ultimately pay medical expenses that are eligible for payment under the plan for any reason, the participating employer or its participating employee covered by the plan may be liable for those expenses;
(3) that the plan does not participate in the guaranty fund;
(4) the toll-free telephone number for the complaints section of the Arkansas Insurance Department; and
(5) that a copy of the summary plan description may be obtained from the plan administrator, employer, or trustee, as applicable.
(b) The notice shall also briefly explain the types of information in the summary plan description.

Credits

Adopted Dec. 5, 2019.
Current with amendments received through February 15, 2024. Some sections may be more current, see credit for details.
Ark. Admin. Code 054.00.119-12, AR ADC 054.00.119-12
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