Skip to main content

If a pooled plan has received a certificate of registration to issue medical benefits only, and later decides to offer dental or vision coverage, is the plan required to receive a new certificate of registration?

If a pooled plan wanted to add lines of business later, a supplemental application is required.  The Commissioner is charged with determining, on an ongoing basis, that a pooled plan has adequate reserves.  To the extent that the pool adds additional lines of business, its reserves would need to be correspondingly larger.  In order to make a proper evaluation of reserves, the Commissioner would need to know exactly what types of benefits a pooled plan is offering.