Sec. 1501.320. ASSESSMENTS TO RECOVER NET LOSSES. (a) The board shall recover any net loss of the system by assessing each reinsured health benefit plan issuer an amount determined annually by the board based on information in annual statements and other reports required by and filed with the board.
(b) The board shall establish, as part of the plan of operation, a formula by which to make assessments against reinsured health benefit plan issuers. With the approval of the commissioner, the board may periodically change the assessment formula as appropriate. The board shall base the assessment formula on each reinsured issuer's share of:
(1) the total premiums earned in the preceding calendar year from small employer health benefit plans delivered or issued for delivery by reinsured health benefit plan issuers to small employer groups in this state; and
(2) the premiums earned in the preceding calendar year from newly issued small employer health benefit plans delivered or issued for delivery during the calendar year by reinsured health benefit plan issuers to small employer groups in this state.
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.
Structure Texas Statutes
Title 8 - Health Insurance and Other Health Coverages
Subtitle G - Health Coverage Availability
Chapter 1501 - Health Insurance Portability and Availability Act
Subchapter G. Reinsurance for Small Employer Health Benefit Plans
Section 1501.302. Texas Health Reinsurance System
Section 1501.3021. Authorization of Operation
Section 1501.3022. Suspension of Operation
Section 1501.303. System Board of Directors
Section 1501.304. Open Meetings; Public Information
Section 1501.305. Board Member Immunity
Section 1501.306. System Plan of Operation
Section 1501.307. System Powers
Section 1501.308. System Notes as Legal Investment for Small Employer Health Benefit Plan Issuer
Section 1501.309. System Audit
Section 1501.310. Election of Status
Section 1501.311. Change in Status
Section 1501.312. Application to Operate as Risk-Assuming Health Benefit Plan Issuer
Section 1501.313. Rescission of Approval to Operate as Risk-Assuming Health Benefit Plan Issuer
Section 1501.315. Limits on Reinsurance
Section 1501.316. Termination of Reinsurance
Section 1501.317. Application of Managed Care Procedures
Section 1501.318. Premium Rates for Reinsurance
Section 1501.319. Determination of Net Loss
Section 1501.320. Assessments to Recover Net Losses
Section 1501.321. Limits on Assessments
Section 1501.322. Adjustment to Assessments on Federally Qualified Health Maintenance Organizations
Section 1501.323. Advance Interim Assessments
Section 1501.324. Limit on Total Assessments
Section 1501.325. Estimate of Assessments; Evaluation and Protection of System