| | |
F.__Any__portion of a policy or contract issued to a plan or | | program of an employer, association or other person to provide | | life, health or annuity benefits to its employees, members or | | others, to the extent that the plan or program is self-funded | | or uninsured, including but not limited to benefits payable by | | an employer, association or other person under: |
|
| | | (1)__A multiple employer welfare arrangement as defined | | in 29 United States Code, Section 1144; |
|
| | | (2)__A minimum premium group insurance plan; |
|
| | | (3)__A stop loss group insurance plan; or |
|
| | | (4)__An administrative-services-only contract; |
|
| | | G.__Any portion of a policy or contract to the extent that | | it provides for: |
|
| | | (1)__Dividends or experience rating credits; |
|
| | | (3)__Payment of any fees or allowances to any person, | | including the policy or contract owner, in connection | | with the service to or administration of the policy or | | contract; |
|
| | | H.__Any policy or contract issued in this State by a member | | insurer at a time when it was not licensed or did not have a | | certificate of authority to issue the policy or contract in | | this State; |
|
| | | I.__Any portion of a policy or contract to the extent that | | the assessments required by section 4609 with respect to the | | policy or contract are preempted by federal or state law; |
|
| | | J.__Any obligation that does not arise under the express | | written terms of the policy or contract issued by the | | insurer to the contract owner or policy owner, including | | without limitation: |
|
| | | (1)__Claims based on marketing materials; |
|
| | | (2)__Claims based on side letters, riders or other | | documents that were issued by the insurer without | | meeting applicable policy form filing or approval | | requirements; |
|
|