The lead carrier must be reimbursed from the association plan premiums received for its direct and indirect expenses. The lead carrier shall:
Perform all administrative and claims payment functions required under this chapter; Determine eligibility of individuals requesting coverage through the association; Provide all eligible individuals involved in the association an individual certificate setting forth a statement as to the insurance protection to which the individual is entitled, the method and place of filing claims, and to whom benefits are payable; Pay all claims under this chapter and indicate that the association paid the claims. Each claim payment must include information specifying the procedure involved in the event a dispute over the amount of payment arises; Establish a premium billing procedure for collection of premium from individuals covered by the association; Obtain approval from the board for all benefit plan premiums and benefit plans issued; Submit regular reports to the board regarding the operation of the association; Submit to the participating companies and board, on a semiannual basis, a report of the operation of the association; Verify premium volumes of all health insurers in the state; Determine and collect assessments; and Perform such functions relating to the association as may be assigned to it.