Sec. 1501.321. LIMITS ON ASSESSMENTS. (a) The formula established under Section 1501.320(b) may not result in an assessment for a reinsured health benefit plan issuer that is less than 50 percent or more than 150 percent of an amount based on the proportion of the total premiums earned in the preceding calendar year from small employer health benefit plans delivered or issued for delivery to small employer groups in this state by that issuer to the total premiums earned in the preceding calendar year from small employer health benefit plans delivered or issued for delivery to small employer groups in this state by all reinsured health benefit plan issuers.
(b) In determining assessments, the board may not consider premiums earned by a reinsured health benefit plan issuer that are less than an amount determined by the board to justify the cost of collecting an assessment based on those premiums.
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