Delaware Administrative Code
Title 18 - Insurance
1400 - Health Insurance Specific Provisions
1406 - Third Party Administrators
Section 1406-9.0 - Compensation to the Administrator
Universal Citation: 18 DE Admin Code 1406-9.0
Current through Register Vol. 28, No. 3, September 1, 2024
9.1 An administrator shall not enter into an agreement or understanding with an insurer in which the effect is to make the amount of the administrator's commissions, fees, or charges contingent upon savings effected in the adjustment, settlement and payment of losses covered by the insurer's obligations. This provision shall not prohibit an administrator from receiving performance-based compensation for providing hospital or other auditing services.
9.2 This section shall not prevent the compensation of an administrator from being based on premiums or charges collected or the number of claims paid or processed.
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