2025-126D - Laserfiche WebLink

Home Browse Search

Docusign Envelope ID: 921 F7A24-D5CE-4BCC-9F3C-5E7844661266 or other written communications delivered by Insurer to Administrator for delivery to Eligible Persons shall be delivered by Administrator promptly, after receipt of instructions from Insurer to deliver them. Louisi- ana Rev. Stat. § 22:1650. 9. Underwriting. The Parties agree that Administrator does not provide any underwriting services to Insurer. Insurer understands and agrees that all underwriting decisions pertaining to the plan are solely the responsibility of Insurer. Louisiana Rev. Stat. § 22:1642(8). 10. Insurer Obligations. Insurer shall fulfill any lawful obligations with respect to policies affected by the Agreement, regardless of any dispute between Insurer and Administrator. Louisiana Rev. Stat. § 22:1642(C). 11. Premium Collection and Payment of Claims. 11.1 The Parties agree that Administrator will not collect insurance charges or premiums or plan contributions on behalf of or for Insurer, and the return of premiums received from Insurer, if any, shall be held by Administrator in a fiduciary capacity. Such funds shall be immediately remitted to the person or persons entitled to them or shall be deposited promptly in a fiduciary account established and maintained by Administrator in a federally or state Eligible Person financial institution. Funds held in a fiduciary ac- count or a Claims paying account shall not be used for payment of any business operating expenses of Administrator. Administrator shall periodically render an accounting to Insurer detailing all transactions performed by Administrator pertaining to the business underwritten by Insurer. Louisiana Rev. Stat. § 22:1647(A). 11.2 If charges deposited in a fiduciary account have been collected on behalf of or for one or more insurers, Administrator shall keep records clearly recording the deposits in and withdrawals from the account on behalf of each insurer. Administrator shall keep copies of all the records and, upon request of Insurer, shall furnish Insurer with copies of the records pertaining to such deposits and withdrawals. Lou- isiana Rev. Stat. § 22:1647(B). 11.3 Administrator shall not pay any Claim by withdrawals from a fiduciary account in which charges are deposited. Any withdrawal from such account shall be made as provided in the Agreement. The Agreement shall address but not be limited to the following: (1) Remittance to Insurer entitled to remittance. (2) Deposit in an account maintained in the name of Insurer. (3) Transfer to and deposit in a Claims -paying account, with Claims to be paid in full compliance with this section. (4) Payment to a group policyholder for remittance to Insurer entitled to such remittance. (5) Payment to Administrator of its commissions, fees, or charges. (6) Remittance of return premium to the person or persons entitled to such return premium. Lou- isiana Rev. Stat. § 22:1647(C). 123 This document is CONFIDENTIAL AND PROPRIETARY to RIGHTWAY Healthcare, Inc. and may not be reproduced, transmitted, published, or disclosed to others without the prior written authorization of RIGHTWAY Healthcare, Inc.