11 NCAC 21 .0103             DETERMINATION OF FINANCIAL RESPONSIBILITY

In determining the financial responsibility of an applicant for a TPA license, the Department shall require that an applicant be solvent.  In addition, the Department shall consider:

(1)           Liquidity;

(2)           Any internal controls the applicant may have in place to afford protection for benefit plans, which may include the manner in which benefit plan fund accounts are established; and

(3)           Segregation of duties.

 

History Note:        Authority G.S. 58-2-40; 58-56-51;

Eff. June 1, 1996;

Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 16, 2014.