Tex. Ins. Code Section 846.056
Final Certificate of Authority


(a)

A multiple employer welfare arrangement that holds an initial certificate of authority must apply for a final certificate of authority not later than the first anniversary of the date of issuance of the initial certificate.

(b)

The multiple employer welfare arrangement must file an application for a final certificate of authority on a form prescribed by the commissioner and furnish the information required by the commissioner. The application for a final certificate of authority must include only:

(1)

the names and addresses of:

(A)

the association or group of employers sponsoring the arrangement;

(B)

the board members of the arrangement; and

(C)

if the employers in the arrangement are not an association, at least five employers;

(2)

proof of compliance with the bonding requirements;

(3)

a copy of each plan document and each agreement with service providers; and

(4)

a funding report containing:

(A)

a statement certified by the board and an actuarial opinion that all applicable requirements of Section 846.153 (Required Filings) have been met;

(B)

an actuarial opinion describing the extent to which contributions or premium rates:
(i)
are not excessive;
(ii)
are not unfairly discriminatory; and
(iii)
are adequate to provide for the payment of all obligations and the maintenance of required cash reserves and surplus by the arrangement;

(C)

a statement of the current value of the assets and liabilities accumulated by the arrangement and a projection of the assets, liabilities, income, and expenses of the arrangement for the next 12-month period; and

(D)

a statement of the costs to be charged for coverage, including an itemization of amounts for:
(i)
administrative expenses;
(ii)
reserves; and
(iii)
other expenses associated with operation of the arrangement.

(c)

The reserves described in Section 846.154 (Cash Reserve Requirements)(a) must have been established or be established before the final certificate of authority is issued.

(d)

If, after examination and investigation, the commissioner is satisfied that the multiple employer welfare arrangement meets the requirements of this chapter, the commissioner shall issue a final certificate of authority to the arrangement.

(e)

The commissioner shall maintain the information required under Subsection (b)(1)(C) and Subsection (b)(3) as confidential information.
Added by Acts 2001, 77th Leg., ch. 1419, Sec. 1, eff. June 1, 2003.

Source: Section 846.056 — Final Certificate of Authority, https://statutes.­capitol.­texas.­gov/Docs/IN/htm/IN.­846.­htm#846.­056 (accessed Apr. 29, 2024).

846.001
Definitions
846.002
Applicability of Chapter
846.003
Limited Exemption from Insurance Laws
846.004
Late-participating Employee or Dependent
846.005
Rules
846.006
Appeal of Orders
846.007
Premium Rates
846.0035
Applicability of Certain Laws to Association Providing Health Benefits
846.051
Certificate of Authority Required
846.052
Application for Initial Certificate of Authority
846.053
Eligibility Requirements for Initial Certificate of Authority
846.054
Issuance of Initial Certificate of Authority
846.055
Extension of Term of Initial Certificate of Authority
846.056
Final Certificate of Authority
846.057
Denial of Final Certificate of Authority
846.058
Disqualification
846.059
Fees
846.060
Suspension, Revocation, or Limitation of Certificate of Authority
846.061
Action by Attorney General
846.101
Board Members
846.102
Duties of Board Members
846.103
Limitation on Action Against Board Member
846.104
Compensation of Board Members
846.105
Officers
846.106
Compensation of Officers, Agents, and Employees
846.107
Receipt of Thing of Value
846.151
General Powers
846.152
Filing of Organizational Documents
846.153
Required Filings
846.154
Cash Reserve Requirements
846.155
Adjustment of Contributions
846.156
Waiver or Reduction of Required Stop-loss Insurance or Cash Reserves
846.157
Renewal of Certificate
846.158
Examination of Multiple Employer Welfare Arrangements
846.159
Name of Multiple Employer Welfare Arrangement
846.160
Evidence of Existence
846.201
Benefits Allowed
846.202
Preexisting Condition Provision
846.203
Treatment of Certain Conditions as Preexisting Prohibited
846.204
Waiting Period Permitted
846.205
Certain Limitations or Exclusions of Coverage Prohibited
846.206
Renewability of Coverage
846.207
Refusal to Renew
846.208
Notice to Covered Persons
846.209
Written Statement of Denial, Cancellation, or Refusal to Renew
846.251
Participation Criteria
846.252
Coverage Requirements
846.253
Prohibition on Exclusion of Eligible Employee or Dependent
846.254
Written Notice to Employees Covered
846.255
Declining Coverage
846.256
Minimum Contribution or Participation Requirements
846.257
Enrollment
846.258
Coverage for Newborn Children
846.259
Coverage for Adopted Children
846.260
Limiting Age Applicable to Unmarried Child
846.301
Marketing Requirements
846.302
Additional Reporting Requirements
846.303
Applicability to Third-party Administrator

Accessed:
Apr. 29, 2024

§ 846.056’s source at texas​.gov