(1) Each year, at least 90 days prior to the
anniversary of the certified Group Purchasing Cooperative's certification date,
every certified Group Purchasing Cooperative must file with the Commissioner a
renewal application verified by at least two principal officers of the
certified Group Purchasing Cooperative, covering the preceding calendar
year.
(2) Failure, after notice, on
the part of a certified Group Purchasing Cooperative to timely file its annual
renewal application shall result in the expiration of such Group Purchasing
Cooperative's certification.
(3)
The renewal application must contain the following information, and any other
information requested by the Commissioner. The Commissioner may at any time
specify an application format:
(a) The number
of Health Benefit Plans offered through the certified Group Purchasing
Cooperative during the preceding calendar year;
(b) The number of Qualified Associations
through which the certified Group Purchasing Cooperative offers coverage, as of
the close of the preceding calendar year;
(c) The total number of Eligible Association
Members, Eligible Small Businesses, Eligible Employees, and Eligible Dependents
in each Qualified Association as of the close of the preceding calendar
year;
(d) The number of Eligible
Association Members, Eligible Employees and Eligible Dependents in each
Qualified Association that are covered by a Health Benefit Plan through the
certified Group Purchasing Cooperative, as of the close of the preceding
calendar year;
(e) The number of
total lives covered by a Health Benefit Plan through the certified Group
Purchasing Cooperative, as of the close of the preceding calendar
year;
(f) The number, of Eligible
Association Members, Eligible Employees and Eligible Dependents that
participated in a Wellness Program offered through the certified Group
Purchasing Cooperative, reported on a per-monthly basis over the preceding
calendar year;
(g) Aggregated
statistical information collected by the certified Group Purchasing Cooperative
regarding the effectiveness of each measured element of the Wellness
Program(s);
(h) A marketing plan
describing the Service Area population;
(i) Copies of all printed, published, or
electronic materials that were distributed during the preceding calendar year
by the Group Purchasing Cooperative or Qualified Associations, and which
contain statements regarding the Group Purchasing Cooperative or the Health
Benefit Plans it offers;
(j) Copies
of contractual agreements that adequately protect the interests of Group
Purchasing Cooperative Insureds, including agreements with Carriers to offer
Health Benefit Plans to Group Purchasing Cooperative Insureds that ensure that
all such Health Benefit Plans include coverage for state Mandated Benefits;
and
(k) A compilation by Service
Area of all oral and written complaints and grievances received by the
certified Group Purchasing Cooperative during the preceding calendar
year.
