My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
05/11/2021
CBCC
>
Meetings
>
2020's
>
2021
>
05/11/2021
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
8/16/2021 10:57:56 AM
Creation date
8/16/2021 10:54:54 AM
Metadata
Fields
Template:
Meetings
Meeting Type
BCC Regular Meeting
Document Type
Agenda Packet
Meeting Date
05/11/2021
Meeting Body
Board of County Commissioners
Board of County Commissioners
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
151
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
EXHIBIT C <br />683A.0877(1-7) The following pertains to fiduciary accounts, to the extent applicable: <br />1. All insurance charges and premiums collected by EDH on behalf of Sponsor and <br />return premiums received from Sponsor are held by EDH in a fiduciary capacity. <br />2. Money must be remitted within fifteen (15) days to the person or persons entitled to <br />it or be deposited within fifteen (15) days in one or more fiduciary accounts <br />established and maintained by EDH in a bank, credit union or other financial <br />institution in this state. The fiduciary accounts must be separate from the personal <br />or business accounts of EDH. <br />3. If charges or premiums deposited in an account have been collected for or on behalf <br />of more than one plan sponsor, EDH shall cause the bank, credit union or other <br />financial institution where the fiduciary account is maintained to record clearly the <br />deposits and withdrawals from the account on behalf of each sponsor. <br />4. EDH shall promptly obtain and keep copies of the records of each fiduciary account <br />and shall furnish any sponsor with copies of the records which pertain to him upon <br />demand of the Sponsor. <br />5. EDH shall not pay any claim by withdrawing money from the fiduciary account in <br />which premiums or charges are deposited. <br />6. Withdrawals must be made as provided in the agreement between Sponsor and EDH <br />fo r: <br />a. Remittance to the Sponsor <br />b. Deposit in an account maintained in the name of the Sponsor <br />c. Transfer to and deposit in an account for the payment of claims <br />d. Payment to a group policyholder for remittance to the insurer entitled <br />to the money <br />e. Payment to EDH for commission, fees or charges <br />f. Remittance of return premiums to persons entitled to them <br />7. EDH shall maintain copies of all records relating to deposits or withdrawals and, upon <br />the request of Sponsor, provide Sponsor with copies of those records. <br />683A.0879(1-5) EDH shall approve or deny health .claims within thirty (30) days of receipt and shall pay claims <br />within thirty (30) days of approval. If EDH requires additional information to approve or deny a <br />claim, EDH shall notify the claimant of the request for additional information within twenty (20) <br />days after receipt of the claim. EDH shall notify the provider of all the specific reasons for the <br />delay. EDH shall approve or deny the claim, within thirty (30) days of receiving additional <br />information, and, if the claim is approved, pay the claim within thirty (30) days of receiving <br />additional information. Interest on claims that are not paid shall equal prime rate at the largest <br />bank in Nevada as determined by the Commissioner of Financial Institutions on January 1 or July <br />1, plus six percent .(6%), calculated from thirty (30) days after the date on which the claim is <br />approved until the claim is paid. Claimants shall not be requested to resubmit information already <br />-2- 76 <br />
The URL can be used to link to this page
Your browser does not support the video tag.