Title 41 — INSURANCE
62 chapters · 1,376 sections in this title.
Idaho Code § 41-4101 Declaration of purpose
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41-4101. Declaration of purpose. It is the purpose of this chapter to recognize and provide reasonable public supervision of self-funded plans established by public agencies pursuant to a joint powers agreement in accordance with chapter 23, title 67, Idaho Code, for provision of…
Idaho Code § 41-4102 Definitions
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41-4102. Definitions. As used in this chapter: (1) "Administrator" means a person, other than a board member, employed by the board to administer a joint public agency self-funded plan. (2) "Beneficiary" means any individual entitled, under the joint public agency self-funded pla…
Idaho Code § 41-4103 Registration required — Exemptions — Not subject to insurance code
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41-4103. Registration required — Exemptions — Not subject to insurance code. (1) No joint public agency self-funded plan shall operate in this state except while registered with the director as hereinafter provided. Joint public agency self-funded plans already in operation as of…
Idaho Code § 41-4104 Qualifications for registration
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41-4104. Qualifications for registration. No joint public agency self-funded plan shall register, and the director shall not register a joint public agency self-funded plan, which is not qualified as provided in this section. (1) The joint powers agreement must require all contri…
Idaho Code § 41-4105 Application for registration
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41-4105. Application for registration. (1) Application for registration of a joint public agency self-funded plan for public agencies shall be made to the director, on forms furnished and designed by him. The application shall be signed and verified by at least two (2) of the boa…
Idaho Code § 41-4106 Grant or denial of application
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41-4106. Grant or denial of application. The director shall act upon an application for registration of a joint public agency self-funded plan with all reasonable promptness. He may make a reasonable investigation of the proposal from the public agency. If the director finds that…
Idaho Code § 41-4107 Trust fund — Powers
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41-4107. Trust fund — Powers. In addition to the inherent applicable powers of its public agency members and those of a joint powers entity, the trust fund of a joint public agency self-funded plan shall have power: (1) To have and use an appropriate descriptive name; (2) To sue …
Idaho Code § 41-4108 Trust fund liability
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41-4108. Trust fund liability. (1) The trust fund of a joint public agency self-funded plan shall be legally liable for payment of all applicable benefits stated in the statement or schedule of benefits in effect at the time a claim thereunder arises and subject to the terms of t…
Idaho Code § 41-4109 Investment of trust fund
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41-4109. Investment of trust fund. (1) The board may invest reserves and other funds available for the purpose in the trust fund of a joint public agency self-funded plan in the following kinds of investments only: (a) General obligations of the United States government, or of an…
Idaho Code § 41-4110 Reserves
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41-4110. Reserves. (1) A joint public agency self-funded plan shall establish and maintain in its trust fund the following reserves: (a) A reserve in an amount as certified by a member of the American academy of actuaries as being necessary for payment of claims against the trust…
Idaho Code § 41-4111 Records and accounts — Annual statement
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41-4111. Records and accounts — Annual statement. (1) The board of a joint public agency self-funded plan shall cause full and accurate records and accounts to be entered and maintained covering all financial transactions and affairs of the trust fund. (2) Within ninety (90) days…
Idaho Code § 41-4112 Taxes — Exemption
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41-4112. Taxes — Exemption. Any plan established under this chapter is not subject to any state tax, including a premium or maintenance tax.
Idaho Code § 41-4113 Examination of books, records and accounts
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41-4113. Examination of books, records and accounts. (1) The books, records, accounts and affairs of a joint public agency self-funded plan shall be subject to examination by the director, by competent examiners duly authorized by him in writing, at such times or intervals as the…
Idaho Code § 41-4114 Board of trustees — Administrators
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41-4114. Board of trustees — Administrators. (1) The trust shall be governed and managed by a board of trustees. This board shall consist of members elected by the governing boards of the member public agencies. The composition and membership of the board shall be established in …
Idaho Code § 41-4115 Prohibited pecuniary interests in plan management
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41-4115. Prohibited pecuniary interests in plan management. No board member, administrator or other person having responsibility for the management of a joint public agency self-funded plan or the investment or other handling of plan funds shall: (1) Receive directly or indirectl…
Idaho Code § 41-4116 Political contributions prohibited
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41-4116. Political contributions prohibited. No board shall make or knowingly permit the making, directly or indirectly, of any political contribution by or from any joint public agency self-funded plan trust fund.
Idaho Code § 41-4117 Recovery of depleted funds
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41-4117. Recovery of depleted funds. If after notice and hearing the director finds that any joint public agency self-funded plan trust fund has been depleted by reason of any wrongful or grossly negligent act or omission of a board member or any other person, he shall transmit a…
Idaho Code § 41-4118 Termination of registration
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41-4118. Termination of registration. (1) The director may terminate the registration of a joint public agency self-funded plan upon written request of the board, or if he finds, after an examination, that the trust fund is insolvent. (2) The director may terminate the registrati…
Idaho Code § 41-4119 Liquidation of trust fund
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41-4119. Liquidation of trust fund. (1) Upon termination of registration the trust fund of a joint public agency self-funded plan shall be liquidated. (2) Liquidation of a solvent joint public agency self-funded plan shall be conducted by its trustee under a plan of liquidation i…
Idaho Code § 41-4120 Rules
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41-4120. Rules. (1) The director may make reasonable rules necessary for or as an aid to effectuation of any provision of this chapter. No such rule shall extend, modify, or conflict with any provision of this chapter and the reasonable implications thereof nor any of the adminis…
Idaho Code § 41-4121 Other provisions applicable
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41-4121. Other provisions applicable. Chapter 2, title 41, Idaho Code (the director of the department of insurance), chapter 13, title 41, Idaho Code (trade practices and frauds), and sections 41-2141(1) and 41-2216(1), Idaho Code (coordination of benefits, except to the extent t…
Idaho Code § 41-4122 Penalties
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41-4122. Penalties. (1) Any person who violates or causes or induces violation of any provision of this chapter or any lawful rule of the director issued hereunder, shall be subject to an administrative penalty for each violation of not more than one thousand dollars ($1,000) for…
Idaho Code § 41-4123 Coverage from moment of birth — Complications of pregnancy
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41-4123. Coverage from moment of birth — Complications of pregnancy. (1) Every joint public agency self-funded plan issued in this state or providing coverage to any covered family residing within this state, shall contain a provision granting immediate accident and sickness cove…
Idaho Code § 41-4124 Services provided by governmental entities
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41-4124. Services provided by governmental entities. (1) From and after July 1, 2006, no joint public agency self-funded plan shall be issued in Idaho which excludes from coverage services rendered the subscriber while a resident in an Idaho state institution, provided the servic…
Idaho Code § 41-4125 Mammography coverage
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41-4125. Mammography coverage. (1) From and after July 1, 2006, all joint public agency self-funded plans which provide coverage for the surgical procedure known as a mastectomy which are delivered, issued for delivery, continued or renewed in this state shall provide minimum mam…