44-4223. Selection of pool administrator; procedure.
(1) The board shall select a pool administrator through a competitive bidding process to administer the pool. The pool administrator may be an insurer or a third-party administrator authorized to transact business in this state. The board shall evaluate bids submitted on the basis of criteria established by the board which shall include:
(a) The applicant's proven ability to handle individual sickness and accident insurance;
(b) The efficiency of the applicant's claim-paying procedures;
(c) The applicant's estimate of total charges for administering the pool;
(d) The applicant's ability to administer the pool in a cost-effective manner; and
(e) The applicant's ability to negotiate reduced health care provider reimbursement rates for benefits payable under pool coverage for covered services.
(2) The pool administrator shall serve for a period of three years subject to removal for cause. At least one year prior to the expiration of each three-year period of service by a pool administrator, the board shall invite all insurers and third-party administrators authorized to transact business in this state, including the current pool administrator, to submit bids to serve as the pool administrator for the succeeding three-year period. Selection of the pool administrator for the succeeding period shall be made at least six months prior to the end of the current three-year period.
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