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TITLE 28 - INSURANCE
PART 1 - TEXAS DEPARTMENT OF INSURANCE
CHAPTER 13 - MISCELLANEOUS INSURERS AND OTHER REGULATED ENTITIES
SUBCHAPTER F - PROFESSIONAL EMPLOYER ORGANIZATIONS SPONSORING SELF-FUNDED EMPLOYEE HEALTH BENEFIT PLANS
SECTION/RULE §13.533 - Actuarial Opinion Requirements
Chapter Review Date 06/08/2021

The independent actuarial opinion submitted with the application must:(1) describe the extent to which projected plan contributions:(A) are not excessive;(B) are not unfairly discriminatory;(C) are adequate to pay all of the plan's:(i) benefit payments;(ii) administrative expenses;(iii) other operational expenses; and(D) are sufficient to maintain the required reserves and surplus to be held in trust for the plan's participants; and(2) include a statement allocating the projected plan contributions to be charged to clients for plan coverage for:(A) the plan's administrative expenses;(B) plan reserves; and(C) all other expenses associated with operation of the applicant's plan.

Source Note: The provisions of this §13.533 adopted to be effective May 17, 2016, 41 TexReg 3479.

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