Text: SSB01117 Text: SSB01119 Text: SSB01100 - SSB01199 Text: SSB Index Bills and Amendments: General Index Bill History: General Index
PAG LIN 1 1 Section 1. Section 513C.3, subsection 5, Code 2001, is 1 2 amended to read as follows: 1 3 5. "Carrier" means any entity that provides individual 1 4 health benefit plans in this state. For purposes of this 1 5 chapter, carrier includes an insurance company, a group 1 6 hospital or medical service corporation, a fraternal benefit 1 7 society, a health maintenance organization, and any other 1 8 entity providing an individual plan of health insurance or 1 9 health benefits subject to state insurance regulation, except 1 10 any entity establishing a plan under chapter 509A. "Carrier" 1 11 does not include an organized delivery system. 1 12 Sec. 2. Section 513C.5, subsection 2, Code 2001, is 1 13 amended to read as follows: 1 14 2. Notwithstanding subsection 1, the commissioner, with 1 15 the concurrence of the board of the Iowa individual health 1 16 benefit reinsurance association establishedin section 513C.101 17 under chapter 514E, may by order reduce or eliminate the 1 18 allowed rating bands provided under subsection 1, paragraphs 1 19 "a", "b", "c", and "e", or otherwise limit or eliminate the 1 20 use of experience rating.The commissioner shall also develop1 21a recommendation for the elimination of age as a rating1 22characteristic, and shall submit such recommendation by1 23January 8, 1996.1 24 Sec. 3. Section 513C.10, subsection 1, Code 2001, is 1 25 amended to read as follows: 1 26 1.A nonprofit corporation is established to be known as1 27theThe Iowa individual health benefit reinsurance association 1 28 is established as a nonprofit corporation. 1 29 a. All persons that provide health benefit plans in this 1 30 state including insurers providing accident and sickness 1 31 insurance under chapter 509, 514, or 514A; fraternal benefit 1 32 societies providing hospital, medical, or nursing benefits 1 33 under chapter 512B; and health maintenance organizations, 1 34 organized delivery systems, and all other entities providing 1 35 health insurance or health benefits subject to state insurance 2 1 regulation, except any entity establishing a plan under 2 2 chapter 509A, shall be members of this association. 2 3 b. The association shall be incorporated under chapter 2 4 504A, shall operate under a plan of operation established and 2 5 approved pursuant to chapter 504A, and shall exercise its 2 6 powers throughathe board of directors established underthis2 7sectionchapter 514E. 2 8 Sec. 4. Section 513C.10, subsections 2 through 5, Code 2 9 2001, are amended by striking the subsections. 2 10 Sec. 5. Section 514E.2, subsections 1, 2, and 13, Code 2 11 2001, are amended to read as follows: 2 12 1.There is established a nonprofit corporation known as2 13theThe Iowa comprehensive health insurance associationwhich2 14 is established as a nonprofit corporation. The association 2 15 shall assure that health insurance, as limited by sections 2 16 514E.4 and 514E.5, is made available to each eligible Iowa 2 17 resident and each federally eligible individual applying to 2 18 the association for coverage. The association shall also be 2 19 responsible for administering the Iowa individual health 2 20 benefit reinsurance association pursuant to all of the terms 2 21 and conditions contained in chapter 513C. 2 22 a. All carriers as defined in section 514E.1, subsection 2 23 3, and all organized delivery systems licensed by the director 2 24 of public health providing health insurance or health care 2 25 services in Iowa shall be members of the association. 2 26 b. The association shall operate under a plan of operation 2 27 established and approved under subsection 3 and shall exercise 2 28 its powers through a board of directors established under this 2 29 section. 2 30 2. The board of directors of the association shall consist 2 31of fourof all of the following: 2 32 a. Four members who shall be representatives of the four 2 33 largest domestic carriers of individual health insurance in 2 34 the state as of the calendar year ending December 31, 2000, 2 35 based on earned premium standards. 3 1 b. Three members who shall be representatives of the three 3 2 largest carriers of health insurance in the state, based on 3 3 earned premium standards, excluding Medicare supplement 3 4 coverage premiums, that are not otherwise represented. 3 5 c. Four members selected by the members of the 3 6 association, two of whom shall be representatives from 3 7 corporations operating pursuant to chapter 514 on July 1, 3 8 1989, or any successors in interest, and two of whom shall be 3 9 representatives of organized delivery systems or insurers 3 10 providing coverage pursuant to chapter 509 or 514A; four. 3 11 d. Four public members selected by the governor; the. 3 12 e. The commissioner or the commissioner's designee from 3 13 the division of insurance; and two. 3 14 f. Two members of the general assembly, one of whom shall 3 15 be appointed by the speaker of the house and one of whom shall 3 16 be appointed by the president of the senate, after 3 17 consultation with the majority leader and the minority leader 3 18 of the senate, who shall be ex officio,andnonvoting members. 3 19 PARAGRAPH DIVIDED. The composition of the board of 3 20 directors shall be in compliance with sections 69.16 and 3 21 69.16A. The governor's appointees shall be chosen from a 3 22 broad cross-section of the residents of this state. 3 23 Members of the board may be reimbursed from the moneys of 3 24 the association for expenses incurred by them as members, but 3 25 shall not be otherwise compensated by the association for 3 26 their services. 3 27 13. A member who, after July 1,19862001, has paid one or 3 28 more assessments levied under this chapter or chapter 513C may 3 29 take a credit against the premium taxes, or similar taxes, 3 30 upon revenues or income of the member that are imposed by the 3 31 state on health insurance premiums pursuant to chapter 432 or 3 32 payments subject to taxation under section 514B.31, up to the 3 33 amount of twenty percent of those taxes due, for each of the 3 34 five calendar years following the year for which an assessment 3 35 was paid, or until the aggregate of those assessments has been 4 1 offset by credits against those taxes if this occurs first. 4 2 If a member ceases doing business, all uncredited assessments 4 3 may be credited against its premium tax liability for the year 4 4 it ceases doing business. 4 5 EXPLANATION 4 6 This bill amends sections of Code chapters 513C and 514E, 4 7 dealing with the Iowa individual health benefit reinsurance 4 8 association and the Iowa comprehensive health insurance 4 9 association, respectively. 4 10 The bill amends Code section 513C.10 to exclude from 4 11 membership in the Iowa individual health benefit reinsurance 4 12 association entities that establish plans under Code chapter 4 13 509A, the chapter that addresses group insurance for public 4 14 employees. The bill also amends the definition of "carrier" 4 15 in Code section 513C.3 to exclude the same entities from the 4 16 definition. 4 17 The bill also amends Code section 513C.10 to provide that 4 18 the board of directors governing the Iowa individual health 4 19 benefit reinsurance association is established under Code 4 20 chapter 514E, rather than under Code section 513C.10, and also 4 21 divides existing language into paragraphs. A similar change 4 22 is made to Code section 513C.5 regarding the reference to Code 4 23 chapter 514E. Code section 513C.5 also deletes a reference to 4 24 a study that the commissioner has completed. 4 25 The bill deletes subsections of Code section 513C.10 that 4 26 address the board of directors for the Iowa individual health 4 27 benefit reinsurance association. 4 28 The bill amends Code section 514E.2 to provide that the 4 29 Iowa comprehensive health insurance association shall be 4 30 responsible for administering the Iowa individual health 4 31 benefit reinsurance association pursuant to all of the terms 4 32 and conditions contained in Code chapter 513C. The bill also 4 33 divides existing language into paragraphs. 4 34 The bill also amends Code section 514E.2 regarding the 4 35 composition of the board of directors of the Iowa individual 5 1 health benefit reinsurance association, resulting in a merger 5 2 of the boards of the Iowa comprehensive health insurance 5 3 association and the Iowa individual health benefit reinsurance 5 4 association. The bill adds as member representatives the four 5 5 largest domestic carriers of the individual health insurance 5 6 in the state as of the calendar year ending December 31, 2000, 5 7 measured by an earned premium standard, and representatives of 5 8 the three largest carriers of health insurance in the state, 5 9 measured by an earned premium standard, excluding Medicare 5 10 supplement coverage premiums, that are not otherwise 5 11 represented. These are the same groups deleted under Code 5 12 section 513C.10 as the board of directors for the Iowa 5 13 individual health benefit reinsurance association. The bill 5 14 also divides existing language into paragraphs. 5 15 The bill also amends Code section 514E.2 to provide that a 5 16 credit against the premium taxes, or similar taxes, is 5 17 available to members who have paid one or more assessments 5 18 levied under Code chapter 514E or Code chapter 513C after July 5 19 1, 2001, rather than just under Code chapter 514E. 5 20 LSB 1772SC 79 5 21 jj/gg/8
Text: SSB01117 Text: SSB01119 Text: SSB01100 - SSB01199 Text: SSB Index Bills and Amendments: General Index Bill History: General Index
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