Examination Of Books, Records And Accounts

TITLE 41 INSURANCE CHAPTER 40 SELF-FUNDED HEALTH CARE PLANS 41-4013. Examination of books, records and accounts. (1) The books, records, accounts and affairs of a self-funded plan shall be subject to examination by the director, by qualified examiners duly authorized by him in writing, at such times or intervals as the director deems appropriate. The purposes of the examination shall be to determine compliance of the plan with applicable laws, the plan’s financial condition, the adequacy of the plan’s trust fund, the treatment accorded by the plan to its beneficiaries and any other factors deemed materially relevant by the director to the plan’s management and operation. (2)  The trustee shall promptly make the books, records and accounts of the plan and trust fund available to the department’s examiner in Idaho and otherwise facilitate the examination. (3)  The examiner shall conduct the examination expeditiously, prepare the report of the examination in writing, and deliver a copy thereof to the trustee and the director as soon as practicable. The trustee shall have no longer than four (4) weeks after receipt of the report within which to recommend to the director such corrections or changes therein as the trustee may deem appropriate. After making such corrections or changes, if any, as he deems appropriate, the director shall file the report in his office as a document open to public inspection, and deliver to the trustee a copy of the report, including any modifications made to the examiner’s original report as submitted to the director. (4)  At the direction of the director, the costs of the examination shall be borne by the trust fund of the plan, and shall be paid by the trustee in accordance with section 41-228 , Idaho Code.