Wyoming Administrative Code
Agency 044 - Insurance Dept
Sub-Agency 0002 - General Agency, Board or Commission Rules
Chapter 49 - REGULATION TO IMPLEMENT THE SMALL EMPLOYER HEALTH INSURANCE AVAILABILITY ACT
Section 49-4 - Establishment of Classes of Business

Universal Citation: WY Code of Rules 49-4

Current through December 21, 2024

(a) A small employer carrier that establishes more than one class of business as defined in W.S. § 26-19-302(a)(vii) shall maintain on file for inspection by the Commissioner the following information:

(i) A description of each criterion employed by the carrier (or any of its agents) for determining membership in the class of business;

(ii) A statement describing the justification for establishing a separate class of business, and documentation substantiating differences in expected claims experience or administrative costs; and

(iii) A statement disclosing which, if any, health benefit plans are available in the class and any significant limitations related to the purchase of such plans.

(b) A carrier may not use group size as a criterion for establishing eligibility for a health benefit plan or for a class of business.

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