Idaho Code
Chapter 34 - HOSPITAL AND PROFESSIONAL SERVICE CORPORATIONS
Section 41-3421 - RESERVES.

41-3421. RESERVES. (1) In addition to the surplus fund provided for in section 41-3422, every service corporation shall establish and maintain unimpaired reserves as follows:
(a) Due obligations. A reserve in an amount not less than all legal obligations of the corporation, other than claims originating under subscriber’s contracts, due but unpaid;
(b) Incurred losses. A reserve equal to not less than the amount necessary by reasonable estimate to pay all claims incurred under subscriber’s contracts but currently unpaid, and including a reasonable additional amount to cover claims incurred but not reported to the corporation at the time of determination of the corporation’s financial condition; but subject, as to amounts payable to participant physicians, participant hospitals, or participant pharmacists, to the right of the service corporation to prorate such amounts in accordance with the provisions of the service agreement;
(c) Unearned indemnity charges. A reserve equal to fifty percent of all sums charged and received by the corporation during the calendar period covered by the financial statement, on account of indemnity benefits provided in subscriber’s contracts for terms for which premium was last paid and unexpired at the date of the financial statement; and
(d) Deferred service benefits. A reserve in an amount reasonably adequate to offset the additional cost thereafter to be incurred on account of deferred maternity benefits and similar deferred service benefits, such reserve to be set aside out of charges currently received on account of subscriber’s contracts providing for such deferred benefits.
(2) The reserves required under subsection (1) above, shall constitute a liability of the corporation in any determination of its financial condition.

History:
[41-3421, added 1961, ch. 330, sec. 779, p. 645; am. 1967, ch. 399, sec. 12, p. 1194.]

Structure Idaho Code

Idaho Code

Title 41 - INSURANCE

Chapter 34 - HOSPITAL AND PROFESSIONAL SERVICE CORPORATIONS

Section 41-3401 - SCOPE OF CHAPTER.

Section 41-3402 - PURPOSE AND INTERPRETATION.

Section 41-3403 - DEFINITIONS.

Section 41-3404 - PROVISIONS EXCLUSIVE.

Section 41-3405 - INCORPORATION — CERTIFICATE OF AUTHORITY REQUIRED.

Section 41-3406 - INCORPORATION — LAWS APPLICABLE — APPROVAL OF ARTICLES OF INCORPORATION — AMENDMENT.

Section 41-3407 - NAME OF CORPORATION.

Section 41-3408 - QUALIFICATIONS FOR CERTIFICATE OF AUTHORITY.

Section 41-3409 - APPLICATION FOR CERTIFICATE OF AUTHORITY.

Section 41-3410 - ISSUANCE OR REFUSAL OF CERTIFICATE OF AUTHORITY.

Section 41-3411 - CONTINUANCE OR EXPIRATION OF CERTIFICATE OF AUTHORITY.

Section 41-3412 - SUSPENSION OR REVOCATION OF CERTIFICATE OF AUTHORITY.

Section 41-3413 - SERVICES AND BENEFITS WHICH MAY BE PROVIDED PROFESSIONAL SERVICE CORPORATIONS.

Section 41-3414 - SERVICES AND BENEFITS WHICH MAY BE PROVIDED — HOSPITAL SERVICE CORPORATIONS.

Section 41-3415 - PROFESSIONAL SERVICE AGREEMENTS.

Section 41-3415A - PHARMACISTS’ SERVICE AGREEMENTS.

Section 41-3416 - HOSPITAL SERVICE AGREEMENTS.

Section 41-3417 - SUBSCRIBER’S CONTRACTS.

Section 41-3418 - SERVICE AGREEMENTS AND SUBSCRIBER’S CONTRACTS MUST PROVIDE SUBSTANTIAL SERVICE BENEFITS.

Section 41-3419 - FILING AND APPROVAL OF AGREEMENTS AND CONTRACTS.

Section 41-3420 - CHARGES AND RATES.

Section 41-3421 - RESERVES.

Section 41-3422 - SURPLUS FUND.

Section 41-3423 - INVESTMENTS.

Section 41-3424 - RECORDS AND ACCOUNTS.

Section 41-3425 - ANNUAL STATEMENT.

Section 41-3426 - EXAMINATION.

Section 41-3427 - TAXATION AND ANNUAL REPORT.

Section 41-3428 - JOINT OPERATIONS.

Section 41-3429 - COMBINED CORPORATION.

Section 41-3430 - CONTRACTS COVERING WORKMEN’S COMPENSATION RISKS.

Section 41-3431 - ANNUAL ADJUSTMENT OF SERVICE PAYMENTS — DISPOSITION OF EXCESS FUNDS.

Section 41-3432 - FIDELITY BOND.

Section 41-3433 - SERVICE CORPORATION FEES.

Section 41-3434 - OTHER PROVISIONS APPLICABLE.

Section 41-3435 - PRODUCER LICENSING.

Section 41-3436 - DEPENDENT’S COVERAGE — DEPENDENT’S TERMINATION OF COVERAGE, DISABILITY AND DEPENDENCY PROOF AND APPLICATION.

Section 41-3437 - REQUIRED PROVISIONS — INFANTS.

Section 41-3438 - COMPLICATIONS OF PREGNANCY.

Section 41-3439 - LIMITATION OF BENEFITS FOR ELECTIVE ABORTIONS.

Section 41-3440 - SERVICES PROVIDED BY GOVERNMENTAL ENTITIES.

Section 41-3441 - MAMMOGRAPHY COVERAGE.

Section 41-3443 - BEST PRICE — MOST FAVORED NATIONS CLAUSE PROHIBITED.

Section 41-3444 - CONTRACTS WITH PROVIDERS OF DENTAL SERVICES.