§ 519a-4

519A.4 Plan of operation. 1. a. The association shall submit a plan of operation to the commissioner, together with any amendments necessary or suitable to assure the fair, reasonable, and equitableadministration of the association consistent with sections 519A.2, 519A.3, this section, andsections 519A.5 through 519A.13. The plan of operation and any amendments thereto shallbecome effective only after promulgation of the plan or amendment by the commissioner asa rule pursuant to section 17A.4, provided that the initial plan may in the discretion of thecommissioner become effective immediately upon filing with the secretary of state pursuantto section 17A.5, subsection 2, paragraph 'b', subparagraph (1), subparagraph division (a). b. If the association fails to submit a suitable plan of operation within twenty-five days following July 1, 1975, or if at any time thereafter the association fails to submit suitableamendments to the plan, the commissioner shall adopt rules necessary to effectuate sections519A.2, 519A.3, this section, and sections 519A.5 through 519A.13. Such rules shall continuein force until modified by the commissioner or superseded by a plan submitted by

sary to effectuate sections519A.2, 519A.3, this section, and sections 519A.5 through 519A.13. Such rules shall continuein force until modified by the commissioner or superseded by a plan submitted by theassociation and approved by the commissioner. 2. The plan of operation shall provide for economic, fair and nondiscriminatory administration, and for the prompt and efficient provision of medical malpractice insurance.The plan shall contain other provisions, including but not limited to preliminary assessmentof all members for initial expenses necessary to commence operations, establishment ofnecessary facilities, management of the association, assessment of members to defray lossesand expenses, commission arrangements, reasonable and objective underwriting standards,acceptance and cession of reinsurance, appointment of servicing carriers or other servicingarrangements, and procedures for determining amounts of insurance to be provided by theassociation. 3. All member insurers shall comply with the plan of operation.[C77, 79, 81, §519A.4]2012 Acts, ch 1023, §157; 2015 Acts, ch 30, §225; 2016 Acts, ch 1073, §153; 2017 Acts, ch 29, §153; 2018 Acts, ch 1041, §105 Referred to in

all comply with the plan of operation.[C77, 79, 81, §519A.4]2012 Acts, ch 1023, §157; 2015 Acts, ch 30, §225; 2016 Acts, ch 1073, §153; 2017 Acts, ch 29, §153; 2018 Acts, ch 1041, §105 Referred to in §519A.1, 519A.2, 519A.3, 519A.5, 519A.10, 519A.13 Sat Dec 23 00:51:48 2023 Iowa Code 2024, Section 519A.4 (22, 0)