Deposit.

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  • (1) Except as provided in Subsection (2), each health maintenance organization authorized in this state shall maintain a deposit with the commissioner under Section 31A-2-206 in an amount equal to the sum of:
    • (a) $100,000; and
    • (b) 50% of the greater of:
      • (i) $900,000;
      • (ii) 2% of the annual premium revenues as reported on the most recent annual financial statement filed with the commissioner; or
      • (iii) an amount equal to the sum of three months uncovered health care expenditures as reported on the most recent financial statement filed with the commissioner.
  • (2)
    • (a) The commissioner may exempt a health maintenance organization from the deposit requirement of Subsection (1) if:
      • (i) the commissioner determines that the enrollees' interests are adequately protected;
      • (ii) the health maintenance organization has been continuously authorized to do business in this state for at least five years; and
      • (iii) the health maintenance organization has $5,000,000 surplus in excess of the health maintenance organization's company action level RBC as defined in Subsection 31A-17-601(8)(b).
    • (b) The commissioner may rescind an exemption given under Subsection (2)(a).
  • (3)
    • (a) Each limited health plan authorized in this state shall maintain a deposit with the commissioner under Section 31A-2-206 in an amount equal to the minimum capital or permanent surplus plus 50% of the greater of:
      • (i) .5 times minimum required capital or minimum permanent surplus; or
      • (ii)
        • (A) during the first year of operation, 10% of the limited health plan's projected uncovered expenditures for the first year of operation;
        • (B) during the second year of operation, 12% of the limited health plan's projected uncovered expenditures for the second year of operation;
        • (C) during the third year of operation, 14% of the limited health plan's projected uncovered expenditures for the third year of operation;
        • (D) during the fourth year of operation, 18% of the limited health plan's projected uncovered expenditures during the fourth year of operation; or
        • (E) during the fifth year of operation, and during all subsequent years, 20% of the limited health plan's projected uncovered expenditures for the previous 12 months.
    • (b) Projections of future uncovered expenditures shall be established in a manner that is approved by the commissioner.
  • (4) A deposit required by this section may be counted toward the minimum capital or minimum permanent surplus required under Section 31A-8-209.




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