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This document is an application to the Ohio Department of Insurance for a license to transact the business of Multiple Employer Welfare Arrangement, providing benefits through group insurance or self-insurance

How to fill out application for certificate of

How to fill out Application for Certificate of Authority Multiple Employer Welfare Arrangement

1. Obtain the Application for Certificate of Authority Multiple Employer Welfare Arrangement form from the appropriate regulatory agency's website or office.
2. Carefully read the instructions provided with the form to ensure compliance with all requirements.
3. Fill out the applicant's information, including the name of the organization, address, and contact details.
4. Provide details of the proposed Multiple Employer Welfare Arrangement (MEWA), including the purpose, structure, and types of benefits offered.
5. Include information about all participating employers in the MEWA, including their names, addresses, and Federal Employer Identification Numbers (FEIN).
6. Attach necessary documentation, such as financial statements, benefit plans, and resumes of key personnel involved in the MEWA.
7. Review the filled application for completeness and accuracy before submission.
8. Submit the application to the designated state regulatory authority along with any required fees.

Who needs Application for Certificate of Authority Multiple Employer Welfare Arrangement?

1. Employers seeking to pool resources to provide health benefits to their employees.
2. Organizations that want to establish a Multiple Employer Welfare Arrangement (MEWA) for member companies.
3. Business associations or coalitions of small employers aiming to offer health insurance options.

People Also Ask about

What are the benefits of mewa?

Purpose of the Multiple Employer Welfare Arrangement The benefits include providing security for employees in the event of sickness, accidents, disability, death, or unemployment.

Which statement best defines a multiple employer welfare arrangement?

A MEWA must file a M-1 (MEWA registration) within 30 days of: (1) The MEWA begins knowingly operating in any additional State; (2) The MEWA begins operating following a merger with another MEWA; (3) The number of employees receiving coverage for medical care under the MEWA is at least 50 percent greater than the number

What are the filing requirements for MEWA?

On May 23, 2023, Gov. Abbott signed HB 290 into law. This bill allows multiple employer welfare arrangements (MEWAs) based on the employers' geographical association, allows for "working owners" to get MEWA coverage, waives the two-year business existence requirement, and requires demonstration of federal compliance.

What is a multiple employer welfare arrangement?

A MEWA stands for a Multiple Employer Welfare Arrangement. MEWAs are the basis for group health coverage offered through association health plans. As a MEWA, multiple employers can come together within an association to offer a health benefits plan (though, in theory, other benefits could be offered).

What is the mewa?

What Is a Multiple Employer Welfare Arrangement (MEWA)? A multiple employer welfare arrangement (MEWA) is a system for marketing health and welfare benefits to employers, for their employees.

Are MEWAs allowed in California?

CDI regulates both licensed MEWAs and their coverage. Most, but not all, consumer protections that apply to enrollees in fully insured products also apply to MEWA enrollees. Unauthorized MEWAs are arrangements that self- insure but operate without a state license, a violation of California law.

For pdfFiller’s FAQs

What is Application for Certificate of Authority Multiple Employer Welfare Arrangement?

The Application for Certificate of Authority Multiple Employer Welfare Arrangement is a formal request submitted to regulatory authorities by organizations that wish to establish a multiple employer welfare arrangement (MEWA). MEWAs allow multiple employers to pool resources to provide employee benefits, particularly health insurance, to their workforce.

Who is required to file Application for Certificate of Authority Multiple Employer Welfare Arrangement?

Employers seeking to create a MEWA that provides welfare benefits, such as health insurance, to their employees are required to file this application. This typically includes trade associations, professional organizations, and other groups of employers.

How to fill out Application for Certificate of Authority Multiple Employer Welfare Arrangement?

To fill out the Application for Certificate of Authority Multiple Employer Welfare Arrangement, an applicant must provide detailed information regarding the structure, operation, and financial arrangements of the MEWA, including the names of participating employers, types of benefits offered, funding mechanisms, and compliance with relevant laws.

What is the purpose of Application for Certificate of Authority Multiple Employer Welfare Arrangement?

The purpose of the Application for Certificate of Authority is to ensure that MEWAs operate in compliance with state and federal regulations, to verify the financial stability and the organizational structure of the arrangement, and to protect the interests of employees covered under these welfare plans.

What information must be reported on Application for Certificate of Authority Multiple Employer Welfare Arrangement?

The application must report various information including, but not limited to, the names and addresses of participating employers, a description of the benefits offered, the funding source, compliance measures, administrative details, and any financial statements or actuarial evaluations needed to demonstrate the arrangement’s viability.