SB 1464 - Current law defines a multiple employer self-insured health plan as one that is either offered by a staff or employee leasing company or established or maintained for the purpose of offering or providing health, dental, or short-term disability benefits to employees of two or more employers. This act modifies such definition by providing that a multiple employer self-insured health plan also includes one that is established or maintained for the purpose of offering or providing health, dental, or short-term disability benefits to two or more self-employed individuals and their dependents. (Section 376.1000) Current law also requires a multiple employer self-insured health plan to establish a surplus account with one of three minimum balances, as described in the act. This act provides that such minimum shall either be $600,000, as provided in current law, or an amount equal to two times the authorized control level risk-based capital. (Section 376.1017) This act is similar to a provision in the truly agreed to and finally passed SS/SCS/HCS/HB 2372 (2026), a provision in the truly agreed to and finally passed CCS/SS/HCS/HB 2596 (2026), and a provision in HCS/SB 1019 (2026). TAYLOR MIDDLETON

• Missouri
• Senate
• Introduced Dec 23, 2025
• Session 2026