ID H0149

Requires all self-funded health care plans operating in Idaho to register with the director, with exemptions for deductible-only plans (maximum $5,000 per beneficiary), workers' compensation plans, government-administered plans, first aid plans, and limited dental/vision plans (maximum $5,000 per beneficiary per year).

Mandates self-funded plans provide written notice to multi-employer participants and postsecondary student participants that the plan is not insurance and does not participate in the Idaho life and health guaranty association.

Requires plans to be funded through irrevocable trust agreements with qualified trustees, maintain actuarially sound trust funds with adequate assets, and file annual actuarial studies and plan changes with the director at least 30 days before implementation.

Establishes minimum surplus requirements of either three months of contributions or 110% of the difference between stop-loss attachment points and expected contributions, with a reduced 30% requirement for public postsecondary educational institutions.

Allows the director to annually waive surplus requirements if a plan carries aggregate and specific stop-loss insurance coverage and meets minimum monthly funding levels equal to 100% of the plan's liability as certified by a qualified actuary.