Section 21.54.140. Renewability of coverage for a multiple employer welfare arrangement.  


Latest version.
  • A health benefit plan that is a multiple employer welfare arrangement subject to this title may not deny an employer whose employees are covered under the plan continued access to the same or a different plan according to the terms of the plan, except
            (1) for nonpayment of contributions;
            (2) for fraud or other intentional misrepresentation of material fact by the employer;
            (3) for noncompliance with material plan provisions;
            (4) where the plan is ceasing to offer any coverage in a geographic area;
            (5) for a health benefit plan that offers benefits through a network plan if
                 (A) there is no longer an individual enrolled through the employer who lives, resides, or works in the service area of the network plan; and
                 (B) the multiple employer welfare arrangement applies this paragraph without regard to the claims experience of the employer or a health status factor in relation to an individual or an individual's dependent; and
            (6) for failure to meet the terms of an applicable collective bargaining agreement to renew a collective bargaining or other agreement requiring or authorizing contributions to the plan or to employ employees covered by a collective bargaining agreement.

Notes


History

(Sec. 59 ch 81 SLA 1997)