Authority: IC 34-18-5-4

Affected: IC 27-1-6; IC 27-1-17; IC 27-7-10-14; IC 34-18-5-2; IC 34-18-5-3

Sec. 8. The annual surcharge for an ancillary provider or independent ancillary provider shall be as follows:

1. (1) An ancillary provider who is not an independent ancillary provider that purchases insurance as proof of financial responsibility shall pay one hundred percent (100%) of the premium charged by the insurer.
2. (2) An ancillary provider who is not an independent ancillary provider that establishes financial responsibility by means other than insurance under section 3 of this rule shall pay an amount equal to one hundred percent (100%) of the premium that would be charged to the ancillary provider by IRMIA. The payment must be made each year under IC 34-18-5-3 within thirty (30) days after qualification.

3. (3) An independent ancillary provider's surcharge shall be calculated at the following percentage of the published surcharge for a specialty class 1 physician:

   1. (A) Twenty percent (20%) for each dentist.
   2. (B) One hundred thirty percent (130%) for each dentist - oral surgery.
   3. (C) Twelve and one-half percent (12.5%) for each psychologist.
   4. (D) Ninety-two and one-half percent (92.5%) for each podiatrist - no surgery.
   5. (E) One hundred forty-five percent (145%) for each podiatrist - surgery.
   6. (F) Twelve and one-half percent (12.5%) for each optometrist.
   7. (G) Thirty-five percent (35%) for each nurse practitioner.
   8. (H) One hundred fifty percent (150%) for each nurse midwife.
   9. (I) Forty-five percent (45%) for each certified registered nurse anesthetist.
   10. (J) Thirty-five percent (35%) for each physician assistant.
   11. (K) Thirty-five percent (35%) for each clinical nurse specialist.
   12. (L) Forty-five percent (45%) for each anesthesiologist assistant.

4. (4) An independent ancillary provider who provides health care on a part-time basis shall pay a reduced surcharge as follows:

   1. (A) An independent ancillary provider who provides health care twelve (12) hours per week or less on an annual basis shall receive a credit equal to seventy-five percent (75%) of the surcharge amount.
   2. (B) An independent ancillary provider who provides health care more than twelve (12) hours but fewer than twenty-five (25) hours per week on an annual basis shall receive a credit equal to fifty percent (50%) of the surcharge amount.
   3. (C) An independent ancillary provider who provides health care at least twenty-five (25) hours but fewer than thirty-one (31) hours per week on an annual basis shall receive a credit equal to twenty-five percent (25%) of the surcharge amount.

(Department of Insurance; Reg 22, Sec VIII; filed Jan 27, 1977, 2:35 p.m.: Rules and Regs. 1978, p. 516; filed Mar 18, 1986, 10:41 a.m.: 9 IR 2057, eff Apr 18, 1986; filed May 28, 1987, 4:00 p.m.: 10 IR 2298; filed Aug 13, 1991, 4:00 p.m.: 15 IR 7; filed Apr 29, 1999, 2:22 p.m.: 22 IR 2875; readopted filed Sep 14, 2001, 12:22 p.m.: 25 IR 531; filed Mar 18, 2005, 10:45 a.m.: 28 IR 2376; filed Feb 2, 2007, 3:08 p.m.: 20070228-IR-760060032FRA; filed Apr 18, 2011, 11:34 a.m.: 20110518-IR-760100245FRA; readopted filed Nov 26, 2013, 3:43 p.m.: 20131225-IR-760130479RFA; filed May 18, 2018, 2:25 p.m.: 20180613-IR-760180069FRA; readopted filed Nov 19, 2019, 9:18 a.m.: 20191218-IR-760190497RFA; readopted filed Oct 22, 2025, 3:17 p.m.: 20251119-IR-760240637RFA)