A health benefit plan that is a multiple employer welfare arrangement subject to this title may not deny an employer whose employees are covered under the plan continued access to the same or a different plan according to the terms of the plan, except
(1) for nonpayment of contributions;
(2) for fraud or other intentional misrepresentation of material fact by the employer;
(3) for noncompliance with material plan provisions;
(4) where the plan is ceasing to offer any coverage in a geographic area;
(5) for a health benefit plan that offers benefits through a network plan if
(A) there is no longer an individual enrolled through the employer who lives, resides, or works in the service area of the network plan; and
(B) the multiple employer welfare arrangement applies this paragraph without regard to the claims experience of the employer or a health status factor in relation to an individual or an individual's dependent; and
(6) for failure to meet the terms of an applicable collective bargaining agreement to renew a collective bargaining or other agreement requiring or authorizing contributions to the plan or to employ employees covered by a collective bargaining agreement.
Section: Previous 21.54.100 21.54.105 21.54.110 21.54.120 21.54.130 21.54.140 21.54.150 21.54.151 21.54.160 21.54.170 21.54.180 NextLast modified: November 15, 2016