4 | 3 | | |
---|
5 | 4 | | HOUSE BILL 329 |
---|
6 | 5 | | By Martin B |
---|
7 | 6 | | |
---|
8 | 7 | | |
---|
9 | 8 | | HB0329 |
---|
10 | 9 | | 002028 |
---|
11 | 10 | | - 1 - |
---|
12 | 11 | | |
---|
13 | 12 | | AN ACT to amend Tennessee Code Annotated, Title 56, |
---|
14 | 13 | | Chapter 26, relative to multiple employer welfare |
---|
15 | 14 | | arrangements. |
---|
16 | 15 | | |
---|
17 | 16 | | BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF TENNESSEE: |
---|
18 | 17 | | SECTION 1. Tennessee Code Annotated, Section 56-26-204(a), is amended by adding |
---|
19 | 18 | | the following as a new subdivision: |
---|
20 | 19 | | (5) |
---|
21 | 20 | | (A) As used in this subdivision (a)(5): |
---|
22 | 21 | | (i) "Bank": |
---|
23 | 22 | | (a) Means an entity chartered pursuant to the laws of this |
---|
24 | 23 | | state, the laws of a contiguous state, or the laws of the United |
---|
25 | 24 | | States, or in the process of organizing to seek a charter, and |
---|
26 | 25 | | authorized, or to be authorized, to conduct business as a savings |
---|
27 | 26 | | and loan, savings bank, trust company, commercial bank, or other |
---|
28 | 27 | | institution, and which is a member or affiliate member of a trade or |
---|
29 | 28 | | professional organization organized to provide advocacy, |
---|
30 | 29 | | leadership, and support for these entities; provided, that the |
---|
31 | 30 | | entity's participation is authorized under Internal Revenue Code § |
---|
32 | 31 | | 501(c)(9) (26 U.S.C. § 501(c)(9)); and |
---|
33 | 32 | | (b) Includes the entity's parent, affiliate, or subsidiary, |
---|
34 | 33 | | which is under common control within the meaning of Internal |
---|
35 | 34 | | Revenue Code § 414 (26 U.S.C. § 414); |
---|
36 | 35 | | |
---|
37 | 36 | | |
---|
38 | 37 | | - 2 - 002028 |
---|
39 | 38 | | |
---|
40 | 39 | | (ii) "Commissioner" means the commissioner of commerce and |
---|
41 | 40 | | insurance; |
---|
42 | 41 | | (iii) "Multiple employer welfare arrangement" has the same |
---|
43 | 42 | | meaning as defined in 29 U.S.C. § 1002(40); and |
---|
44 | 43 | | (iv) "Plan-sponsoring organization" means an association that: |
---|
45 | 44 | | (a) Sponsors a multiple employer welfare arrangement |
---|
46 | 45 | | comprised only of banks; |
---|
47 | 46 | | (b) Has been actively in existence for at least five (5) |
---|
48 | 47 | | years; |
---|
49 | 48 | | (c) Has at least one (1) substantial business purpose |
---|
50 | 49 | | unrelated to offering and providing health insurance coverage or |
---|
51 | 50 | | other employee benefits to its employer members and their |
---|
52 | 51 | | employees; provided, that offering and providing such coverage or |
---|
53 | 52 | | benefits may serve as the association's primary purpose; |
---|
54 | 53 | | (d) Does not condition membership in the association on |
---|
55 | 54 | | any health status-related factor relating to an individual, including |
---|
56 | 55 | | an employee of an employer or a dependent of an employee; |
---|
57 | 56 | | (e) Makes health insurance coverage offered through the |
---|
58 | 57 | | association available to all members regardless of any health |
---|
59 | 58 | | status-related factor relating to the members or individuals eligible |
---|
60 | 59 | | for coverage through a member; and |
---|
61 | 60 | | (f) Does not make health insurance coverage offered |
---|
62 | 61 | | through the association available other than in connection with a |
---|
63 | 62 | | member of the association. |
---|
64 | 63 | | |
---|
65 | 64 | | |
---|
66 | 65 | | - 3 - 002028 |
---|
67 | 66 | | |
---|
68 | 67 | | (B) A foreign multiple employer welfare arrangement is deemed a |
---|
69 | 68 | | domestic multiple employer welfare arrangement if the foreign multiple employer |
---|
70 | 69 | | welfare arrangement: |
---|
71 | 70 | | (i) Is comprised only of banks together with their plan-sponsoring |
---|
72 | 71 | | organization, and their respective employees; |
---|
73 | 72 | | (ii) Is duly licensed as a multiple employer welfare arrangement |
---|
74 | 73 | | by the regulatory agency having jurisdiction over the regulation of |
---|
75 | 74 | | insurance in a state physically contiguous to this state; |
---|
76 | 75 | | (iii) Has no more than two thousand five hundred (2,500) |
---|
77 | 76 | | residents of this state who are employees of its member banks enrolled in |
---|
78 | 77 | | or receiving health, sickness, and accident benefits as insureds, |
---|
79 | 78 | | members, enrollees, or subscribers of the multiple employer welfare |
---|
80 | 79 | | arrangement; |
---|
81 | 80 | | (iv) Is subject to adequate regulatory oversight by the contiguous |
---|
82 | 81 | | domiciliary state, including, but not limited to, solvency examination |
---|
83 | 82 | | authority and actuarially sound reserve-adequacy requirements, as |
---|
84 | 83 | | determined in the commissioner's sole discretion; and |
---|
85 | 84 | | (v) Applies for and receives a certificate of authority from the |
---|
86 | 85 | | commissioner to operate as a foreign multiple employer welfare |
---|
87 | 86 | | arrangement. |
---|
88 | 87 | | (C) The commissioner may, in the commissioner's sole discretion, waive |
---|
89 | 88 | | any portion of this chapter, and any portion of chapter 7 of this title, for a |
---|
90 | 89 | | qualifying multiple employer welfare arrangement upon a determination that the |
---|
91 | 90 | | multiple employer welfare arrangement is subject to reasonable and adequate |
---|
92 | 91 | | |
---|
93 | 92 | | |
---|
94 | 93 | | - 4 - 002028 |
---|
95 | 94 | | |
---|
96 | 95 | | oversight by the regulatory agency having jurisdiction over the regulation of |
---|
97 | 96 | | insurance in the multiple employer welfare arrangement's domicile. |
---|
98 | 97 | | SECTION 2. Tennessee Code Annotated, Section 56-26-204, is amended by deleting |
---|
99 | 98 | | subsections (b) and (c) and substituting: |
---|
100 | 99 | | (b) The commissioner may promulgate rules in accordance with the Uniform |
---|
101 | 100 | | Administrative Procedures Act, compiled in title 4, chapter 5, as deemed necessary to |
---|
102 | 101 | | provide for the solvency, administration, examination, and enforcement of the pooling |
---|
103 | 102 | | agreements. However, the rules must not prohibit or deter any association lawfully |
---|
104 | 103 | | formed under the laws of this state or another state from offering health insurance |
---|
105 | 104 | | coverage to its members within this state, including through a multiple employer welfare |
---|
106 | 105 | | arrangement, if the health insurance coverage complies with federal law. To the extent |
---|
107 | 106 | | deemed necessary by the commissioner, each employer member of the approved group |
---|
108 | 107 | | must be classified as a self-insurer as otherwise provided in this chapter. |
---|
109 | 108 | | (c) A pool created or deemed domestic under this section is subject to taxation |
---|
110 | 109 | | under chapter 4 of this title, filing and approval under this chapter, and laws for |
---|
111 | 110 | | protection of policyholders under chapter 7 of this title. |
---|
112 | 111 | | SECTION 3. This act takes effect upon becoming a law, the public welfare requiring it. |
---|