Sec. 101.7. Filing of evidence of provider stop loss insurance

If a health care provider elects to purchase a provider stop loss insurance policy to satisfy, in part, the requirements of this Part, the stop-loss insurer shall provide the insurer and superintendent with evidence that appropriate coverage is in effect, in the form of a certificate of insurance which shall specify:

(a) the name of the stop loss insurer which issued the policy;

(b) the policy form number;

(c) the name of the insured;

(d) the effective dates of the policy;

(e) the applicable policy limits;

(f) the applicable retention amounts and participation limits, if any; and

(g) that the terms and conditions of the insurance policy conform with all of the requirements of this Part.