§ 23-63-1501. Definitions

AR Code § 23-63-1501 (2018) (N/A)
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(1) "Adjusted RBC report" means an RBC report that has been adjusted by the Insurance Commissioner in accordance with § 23-63-1502(d);

(2) "Corrective order" means an order issued by the commissioner specifying corrective actions that the commissioner has determined are required;

(3) "Domestic health organization" means:

(A) A health maintenance organization domiciled in this state, as established under § 23-76-107; or

(B) A hospital and medical service corporation as defined in § 23-75-101;

(4) "Foreign health organization" means a health organization licensed to do business in this state but is not domiciled in this state;

(5)

(A) "Health organization" means a health maintenance organization, hospital and medical service corporation, limited health service organization, dental or vision plan, hospital, or a medical and dental indemnity or service corporation.

(B) "Health organization" does not include:

(i) An organization that is licensed as either a life and health insurer; or

(ii) A property and casualty insurer that is subject to the life or property and casualty RBC requirements;

(6) "NAIC" means the National Association of Insurance Commissioners;

(7) "RBC instructions" means the RBC report, including risk-based capital instructions adopted by the NAIC, as these RBC instructions may be amended by the NAIC according to the procedures adopted by the NAIC;

(8) "RBC level" means a health organization's company action level RBC, regulatory action level RBC, authorized control level RBC, or mandatory control level RBC when:

(A) "Authorized control level RBC" means the number determined under the risk-based capital formula according to the RBC instructions;

(B) "Company action level RBC" means, with respect to a health organization, the product of two (2) and its authorized control level RBC;

(C) "Mandatory control level RBC" means the product of seven-tenths (0.7) and the authorized control level RBC; and

(D) "Regulatory action level RBC" means the product of one and five-tenths (1.5) and its authorized control level RBC;

(9) "RBC plan" means a comprehensive financial plan containing the elements specified in § 23-63-1503(b). If the commissioner rejects the RBC plan and it is revised by the health organization with or without the commissioner's recommendation, the plan shall be called the "revised RBC plan";

(10) "RBC report" means the report required in § 23-63-1502; and

(11) "Total adjusted capital" means the sum of:

(A) A health organization's statutory capital and surplus, such as net worth, as determined according to the statutory accounting applicable to the annual financial statements required to be filed; and

(B) Other items that the RBC instructions may provide.