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Indiana Department of Insurance

IDOI > Financial Services > Renewal Registration Requirements > Multiple Employer Welfare Arrangement (MEWA) Multiple Employer Welfare Arrangement (MEWA)

IC 27-1-34-1

760 IAC 1-68

Quarterly Filing Requirements

Per 760 IAC 1-68-9(1), MEWAs are also required to make quarterly filings.  The IDOI has developed a Quarterly Checklist of the required documents, please number each item in the upper right-hand corner or tab to correspond with its number in the Schedule of Requirements.

 

Annual Renewal Requirements

IDOI provides renewal requirements for Multiple Employer Welfare Arrangement.  The required items must be submitted within ninety (90) days of the end of the MEWA’s fiscal year in order to obtain a renewal registration. 

The IDOI has developed an Annual Report/Renewal Checklist of the required documents, please number each item in the upper right-hand corner or place under a tab to correspond with its number in the Schedule of Requirements.

Forms:

                                                                                                                                               

                                                                                                             

         

 

                                                                                                                                                                     

Plan Review Requirements

No participation agreement or contract form, application form, certificate, rider, endorsement, summary plan description, or other evidence of coverage may be issued unless the form, and any subsequent changes to the form, has been filed with the commissioner. The form may not be used for thirty (30) days after the filing unless the commissioner gives written approval of the form before the expiration of thirty (30) days.

A fee of $35 shall accompany the filing of each form or plan filed as required. Each new plan should be accompanied by a completed MEWA Coverage Requirements form.

MEWA Coverage Requirements - Form M300

 

 

Please send all information or fees to the following:

Admissions Coordinator
Indiana Department of Insurance
311 West Washington Street, Suite 300
Indianapolis IN 46204-2787