11 N.C. Admin. Code 18 .0105 - ADMINISTRATIVE, PROVIDER, AND MANAGEMENT CONTRACTS
(a) As used in this Rule, "fees" means any
compensation, including but not limited to, cash or other assets of a MEWA that
is transferred for either contracted or noncontracted services that are
rendered to the sponsoring association or the MEWA.
(b) A MEWA is prohibited from paying any
fees, other than for reimbursement of specific expenses, to its sponsoring
association unless the services rendered to the MEWA are available to the MEWA
from persons other than the sponsoring association.
(c) The fees for such services shall not be
in excess of what would be charged in an arms length transaction. Reasonable
fees may also be determined by comparing those charged to other MEWAs in North
Carolina.
(d) A MEWA shall give the
Commissioner written notification of any proposed change to a management or
administrative contract at least 45 days before the effective date of such
change.
Notes
Eff. July 1, 1992;
Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 16, 2014.
Eff. July 1, 1992.
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