(a)As used in this article:
(i)"Adjusted RBC report" means an RBC report which
has been adjusted by the commissioner in accordance with W.S.
26-48-202(c);
(ii)"Corrective order" means an order issued by the
commissioner specifying corrective actions which the
commissioner has determined are required;
(iii)"Domestic health organization" means a health
organization domiciled in this state;
(iv)"Foreign health organization" means a health
organization that is licensed to do business in this state but
is not domiciled in this state;
(v)"Health organization" means a health maintenance
organization, limited health service organization, dental or
vision plan, hospital, medical and dental indemnity or service
corporation or other managed care organization licensed under
chapter 3 or chapter
Free access — add to your briefcase to read the full text and ask questions with AI
(a) As used in this article:
(i) "Adjusted RBC report" means an RBC report which
has been adjusted by the commissioner in accordance with W.S.
26-48-202(c);
(ii) "Corrective order" means an order issued by the
commissioner specifying corrective actions which the
commissioner has determined are required;
(iii) "Domestic health organization" means a health
organization domiciled in this state;
(iv) "Foreign health organization" means a health
organization that is licensed to do business in this state but
is not domiciled in this state;
(v) "Health organization" means a health maintenance
organization, limited health service organization, dental or
vision plan, hospital, medical and dental indemnity or service
corporation or other managed care organization licensed under
chapter 3 or chapter 34 of this title. This definition does not
include an organization that is licensed as either a life and
health insurer or a property and casualty insurer as defined in
W.S. 26-48-101(a)(xiii) and (xiv) and that is otherwise subject
to either the life or property and casualty risk based capital
requirements of W.S. 26-48-101 through 26-48-112;
(vi) "NAIC" means the National Association of
Insurance Commissioners;
(vii) "RBC" means risk-based capital;
(viii) "RBC instructions" means the RBC report
including risk-based capital instructions adopted by the
commissioner, and as may be amended by the commissioner;
(ix) "RBC level" means a health organization's
company action level RBC, regulatory action level RBC,
authorized control level RBC or mandatory control level RBC
where:
(A) "Company action level RBC" means, with
respect to any health organization, the product of two (2) and
its authorized control level RBC;
(B) "Regulatory action level RBC" means the
product of one and one-half (1.5) and its authorized control
level RBC;
(C) "Authorized control level RBC" means the
number determined under the risk-based capital formula in
accordance with the RBC instructions;
(D) "Mandatory control level RBC" means the
product of seven-tenths (.7) and the authorized control level
RBC.
(x) "RBC plan" means a comprehensive financial plan
containing the elements specified in W.S. 26-48-203(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";
(xi) "RBC report" means the report required in W.S.
26-48-202;
(xii) "Total adjusted capital" means the sum of:
(A) A health organization's statutory capital
and surplus as determined in accordance with the statutory
accounting applicable to the annual financial statements
required to be filed under W.S. 26-3-123 or 26-34-110; and
(B) Such other items, if any, as the RBC
instructions may provide.