11(2) 12The independent benefits consultant may not:18(a) 19Be owned or controlled by a health maintenance organization or insurer.
30(b) 31Have an ownership interest in a health maintenance organization or insurer.
42(c) 43Have a direct or indirect financial interest in a health maintenance organization or insurer.
99(4) 100The independent benefits consultant shall:105(a) 106Provide an ongoing assessment of trends in benefits and employer-sponsored insurance that affect the state group insurance program.
124(b) 125Conduct a comprehensive analysis of the state group insurance program, including available benefits, coverage options, and claims experience.
143(c) 144Identify and establish appropriate adjustment procedures necessary to respond to any risk segmentation that may occur when increased choices are offered to employees.
167(d) 168Assist the department with the submission of any necessary plan revisions for federal review.
182(e) 183Assist the department in ensuring compliance with applicable federal and state regulations.
195(f) 196Assist the department in monitoring the adequacy of funding and reserves for the state self-insured plan.
212(g) 213Assist the department in preparing recommendations for any modifications to the state group insurance program which shall be submitted to the Governor, the President of the Senate, and the Speaker of the House of Representatives by January 1 of each year.
