4699

DEFINITIONS

4699.1 “Act” – shall mean the Hospital and Medical Services Corporation Regulatory Act of 1996, effective April 9, 1997 (D.C. Law 11-245; 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.

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