NAC695F.110. Application: Proposed plan of operation.

The proposed plan of operation required by NAC 695F.100 must include:

     1. A projection of income and expected costs allocated to:

     (a) Services rendered outside of the organization’s specified geographic area of service;

     (b) Per capita payments to providers pursuant to NAC 695F.310;

     (c) Other fees to providers;

     (d) A contract of stop loss insurance pursuant to NAC 695F.210;

     (e) Expenses of administration; and

     (f) Amortization of necessary costs for the establishment of the organization.

     2. Procedures to be used by administrators and other agents of the organization for:

     (a) The handling of underwriting claims; and

     (b) The servicing of clients and claims.

     3. The organization’s plans for the recruitment, training, licensing and supervision of agents.

     4. An evaluation of the demand for the organization’s products and services in this State.

     5. The number of persons expected to be employed by the organization in this State.

     6. Any other information the Commissioner deems necessary.

     (Added to NAC by Comm’r of Insurance, eff. 2-3-97; A by R250-03, 11-12-2004)