Section 26-A4699. DEFINITIONS

 

4699.1“Act” – shall mean the Hospital and Medical Services Corporation Regulatory Act of 1996, effective April 9, 1997 (D.C. Law11-245; D.C. Official Code § 31-3501 et seq. (2001)).

 

4699.2       “Attributable to the District”- shall mean the process used by the Commissioner to allocate the portion of the surplus of a hospital and medical services corporation that is derived from the company’s operations in the District of Columbia based on the following factors:

 

(a) The number of policies by geographic area;

 

(b) The number of health care providers under contract with the company by geographic area; and

 

(c) Any other factor that the Commissioner deems to be relevant based on the record of a public hearing held pursuant to section 4602.

 

4699.3      “Department” – District of Columbia Department of Insurance, Securities and Banking.

 

4699.4 “Unreasonably large surplus” – shall mean a surplus of a corporation that is greater than the sum of the following:

 

(a)The appropriate NAIC risk-based capital level requirements determined by the Commissioner and the Blue Cross/Blue Shield Association capital requirements based on the company’s surplus from the immediately preceding year; and

 

(b)The amount of surplus needed by the corporation to meet its expected and unanticipated contingencies.

 

 

authority

Section 4 of the Department of Insurance, Securities Regulation Establishment Act of 1996, effective May 21, 1997 (D.C. Law 11-268; D.C. Official Code § 31-103(a)(1) (2001), and section 21 of the Hospital and Medical Services Corporation Regulatory Act of 1996, effective April 9, 1997 (D.C. Law11-245; D.C. Official Code § 31-3520 (2001), and section 2(j) of the Medical Insurance Empowerment Amendment Act of 2008 (MIEAA), effective March 25, 2009 (D.C. Law 17-0369, 56 DCR 1346; D.C. Official Code § 31-3524).

source

Notice of Final Rulemaking published at 56 DCR 8841 (November 13, 2009).