OH SB139

Removes the five-year good faith organization requirement for groups establishing multiple employer welfare arrangements, requiring only one substantial business purpose other than obtaining insurance.

Maintains minimum enrollment requirements of 300 employees, 300 self-employed individuals, or a combination thereof for MEWAs operating group self-insurance programs.

Requires MEWAs to purchase individual stop-loss insurance with deductible retention of no more than 5% of annual aggregate premium up to $1 million, and no more than 2.5% above that amount, with retention levels approved by the superintendent.

Prohibits excess or stop-loss insurance policies from denying coverage or assigning different attachment points or deductibles to individuals based on actual or expected claims or diagnosis.

Requires MEWAs to establish and maintain a minimum surplus of $500,000 and comply with all applicable self-funded program laws and life or health insurer regulations.