Minnesota Legislature
Office of the Revisor of Statutes
Minnesota Administrative Rules
2765.0100 DEFINITIONS.
Subpart 1.
Scope.
For the purposes of this chapter, the terms defined in this part have the meanings given them.
Subp. 3.
Bylaws.
"Bylaws" means the statements adopted by a plan that prescribe its purpose, government, and administration.
Subp. 5.
Coverage.
"Coverage" means the right of a covered person to benefits provided directly or indirectly by a plan, by virtue of the coverage document.
Subp. 6.
Coverage document.
"Coverage document" means the document specifying the characteristics and duration of coverage provided through a plan.
Subp. 7.
Covered employee.
"Covered employee" means a plan member's employee who is covered through the plan, and a plan member's former employee receiving continued coverage under Minnesota Statutes, section 62A.17, subdivisions 1 to 5. "Covered employee" does not include dependents or other persons included under the coverage extended to a plan member's current or former employee.
Subp. 9.
Financial administrator.
"Financial administrator" means an entity employing persons trained and experienced in money management and investments, and possessing no less than five years experience as an organization with demonstrated competence in money management and investments.
Subp. 11.
Incurred basis stop-loss insurance.
"Incurred basis stop-loss insurance" means the aggregate excess stop-loss insurance required by part 2765.1300, if on an incurred basis. The insurance is on an incurred basis if payments are charged against a fund year's deductible according to when liability for the payment was incurred.
Subp. 12.
Insurer.
"Insurer" means an insurance company licensed under Minnesota Statutes, section 60A.07, subdivision 4, and authorized by Minnesota Statutes, section 60A.06 to write sickness and disability insurance, or a service plan corporation licensed under Minnesota Statutes, section 62C.08.
Subp. 13.
Member.
"Member" means an employer that belongs to or participates in a plan. Reference to actions of a member includes actions on behalf of the member's covered employees and other covered persons.
Subp. 14.
Paid basis stop-loss insurance.
"Paid basis stop-loss insurance" means the aggregate excess stop-loss insurance required by part 2765.1300, if on a paid basis. The insurance is on a paid basis if payments are charged against a fund year's deductible according to when the payment was made.
Subp. 15.
Plan.
"Plan" means a joint self-insurance employee benefit plan approved under parts 2765.0100 to 2765.0250. Reference to actions of a plan includes actions by the plan's designated agents.
Subp. 16.
Premium.
"Premium" means the amount paid or to be paid for coverage by members. Premium does not include assessments or penalties.
Subp. 17.
Runoff plan.
"Runoff plan" means a plan that no longer has authority to self-insure, but that continues to exist for the purpose of paying claims, preparing reports, and administering transactions associated with the period when the plan provided coverage.
Subp. 18.
Self-insure.
"Self-insure" means to assume primary liability or responsibility for certain risks or benefits, rather than transferring liability or responsibility to some other entity.
Subp. 19.
Separate employer.
"Separate employer," for the purposes of meeting the minimum three-employer requirement, means an employer that is not the parent, subsidiary, or affiliate with a common parent of any other employer in the plan.
Subp. 20.
Service company.
"Service company" means an entity licensed under Minnesota Statutes, section 60A.23, subdivision 8 and rules adopted thereunder as a self-insurance plan administrator, or an entity named in Minnesota Statutes, section 60A.23, subdivision 8, paragraph (1), clause (a) or (b).
Subp. 21.
Short-term disability benefit.
"Short-term disability benefit" means income replacement payments of not more than one year's duration.
Statutory Authority:
MS s 62H.06
History:
9 SR 989
Published Electronically:
October 19, 2004
Official Publication of the State of Minnesota
Revisor of Statutes