Utah Code 31A-17-606. Mandatory control level event
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(1) “Mandatory control level event” means any of the following events:
Terms Used In Utah Code 31A-17-606
- Filing: when used as a noun, means an item required to be filed with the department including:(70)(a) a policy;(70)(b) a rate;(70)(c) a form;(70)(d) a document;(70)(e) a plan;(70)(f) a manual;(70)(g) an application;(70)(h) a report;(70)(i) a certificate;(70)(j) an endorsement;(70)(k) an actuarial certification;(70)(l) a licensee annual statement;(70)(m) a licensee renewal application;(70)(n) an advertisement;(70)(o) a binder; or(70)(p) an outline of coverage. See Utah Code 31A-1-301
- Health organization: means :
(3)(a) an entity that is authorized under Chapter 7, Nonprofit Health Service Insurance Corporations, or Chapter 8, Health Maintenance Organizations and Limited Health Plans; and(3)(b) that is:(3)(b)(i) a health maintenance organization;(3)(b)(ii) a limited health service organization;(3)(b)(iii) a dental or vision plan;(3)(b)(iv) a hospital, medical, and dental indemnity or service corporation; or(3)(b)(v) other managed care organization. See Utah Code 31A-17-601- RBC: means risk-based capital. See Utah Code 31A-17-601
- RBC report: means the report required in Section 31A-17-602. See Utah Code 31A-17-601
- Total adjusted capital: means the sum of an insurer's or health organization's statutory capital and surplus as determined in accordance with:
(189)(a) the statutory accounting applicable to the annual financial statements required to be filed under Section31A-4-113 ; and(189)(b) another item provided by the RBC instructions, as RBC instructions is defined in Section31A-17-601 . See Utah Code 31A-1-301(1)(a) the filing of an RBC report that indicates that the insurer’s or health organization‘s total adjusted capital is less than its mandatory control level RBC;(1)(b) notification by the commissioner to the insurer or health organization of an adjusted RBC report that indicates the event in Subsection (1)(a), provided the insurer or health organization does not challenge the adjusted RBC report under Section 31A-17-607; or(1)(c) if, pursuant to Section 31A-17-607, the insurer or health organization challenges an adjusted RBC report that indicates the event in Subsection (1)(a), notification by the commissioner to the insurer or health organization that after a hearing the commissioner rejects the insurer’s or health organization’s challenge.(2)(2)(a) In the event of a mandatory control level event with respect to an insurer or health organization, the commissioner shall take any actions necessary to place the insurer under regulatory control under Chapter 27, Part 5, Administrative Actions.(2)(b) The mandatory control level event is sufficient grounds for the commissioner to take action under Chapter 27, Part 5, Administrative Actions, and the commissioner shall have the rights, powers, and duties with respect to the insurer or health organization as are set forth in Chapter 27, Part 5, Administrative Actions.(2)(c) If the commissioner takes an action pursuant to an adjusted RBC report, the insurer or health organization is entitled to the protections of Section 31A-27-504 pertaining to summary proceedings.(2)(d) Notwithstanding the other provisions of Subsection (2), the commissioner may forego action for up to 90 days after the mandatory control level event if the commissioner finds there is a reasonable expectation that the mandatory control level event may be eliminated within the 90-day period. - Health organization: means :