609.98 Special deposit.

427 words·~2 min read·/wi/chapter-609/609-98-8

A research copy — for the controlling text, always check the official state or federal source. Not legal advice.

(1)Definition. In this section, “premiums” has the meaning given under s. 646.51

(c).

(2)Duty; amount.

(a)Before April 1, 1990, and before April 1 of each following year, a health maintenance organization insurer shall deposit under s. 601.13 an amount that is at least equal to the lesser of the following:

1. An amount necessary to establish or maintain a deposit equaling 1 percent of premiums written in this state by the health maintenance organization insurer in the preceding calendar year.

2. With respect to the amount due before April 1, 1990, 0.5 percent of premiums written in this state by the health maintenance organization insurer in the preceding calendar year, unless otherwise provided by rule or order under par.

(b).

3. With respect to the amount due in the years after 1990, one-third of 1 percent of the premiums written in this state by the health maintenance organization insurer in the preceding calendar year, unless otherwise provided by rule or order under par.

(b).

(b)The commissioner may, by rule or order, require that the deposit under par.

(a)be in an amount greater than that provided under par.

(a)2. or 3. , but the commissioner may not require an amount exceeding the amount provided under par.

(a)1.

(3)Status of deposit. A deposit under this section is in addition to any deposit otherwise required or permitted by law or the commissioner. An amount deposited under this section is not available for the purpose of determining permanent capital or surplus, compulsory surplus or the financial condition, including insolvency, of the health maintenance organization insurer.

(4)Release of deposit. A deposit under this section may be released only with the approval of the commissioner under s. 601.13

(10)and only in any of the following circumstances:

(a)To pay an assessment under s. 646.51

(am).

(b)To the extent that the amount on deposit exceeds 1 percent of premiums written in this state by the health maintenance organization insurer in the preceding calendar year and the deposit is not necessary to pay an assessment under s. 646.51

(am).

(c)To pay claimants and creditors as provided by s. 601.13

(2).

(5)Family care program; deposit required.

(a)In this subsection, “family care program” means the program under ss. 46.2805 to 46.2895 that provides the family care benefit, as defined in s. 46.2805

(4).

(b)A health maintenance organization participating in the family care program is subject to s. 648.75 .