['Employee Benefits']
['Health Plans']
12/05/2023
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A State must meet all of the following requirements to be eligible for a grant:
(a) The State has a qualified high risk pool as defined in §148.308.
(b) The pool restricts premiums charged under the pool to no more than 150 percent of the premium for applicable standard risk rates for the State.
(c) The pool offers a choice of two or more coverage options through the pool.
(d) The pool has in effect a mechanism reasonably designed to ensure continued funding of losses incurred by the State after the end of fiscal year 2004 in connection with the operation of the pool.
(e) The pool has incurred a loss in a period described in §148.314
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