2009 Iowa Code
Title 13 - Commerce
Subtitle 1 - Insurance and Related Regulation
CHAPTER 521F - RISK=BASED CAPITAL REQUIREMENTS FOR HEALTH ORGANIZATIONS
521F.2 - DEFINITIONS.

        521F.2  DEFINITIONS.
         As used in this chapter, unless the context otherwise requires:
         1.  "Adjusted risk-based capital report" means a risk-based
      capital report adjusted by the commissioner pursuant to section
      521F.3, subsection 4.
         2.  "Commissioner" means the commissioner of insurance.
         3.  "Corrective order" means an order issued by the
      commissioner specifying corrective actions which the commissioner has
      determined are required.
         4.  "Domestic health organization" means a health organization
      domiciled in this state.
         5.  "Filing date" means March 1 of each year.
         6.  "Foreign health organization" means a health organization
      that is not domiciled in this state.
         7.  "Health organization" means a health maintenance
      organization, limited service organization, dental or vision plan,
      hospital, medical and dental indemnity or service corporation or
      other managed care organization licensed under chapter 514, 514B, or
      1993 Iowa Acts, ch. 158, or any other entity engaged in the business
      of insurance, risk transfer, or risk retention, that is subject to
      the jurisdiction of the commissioner of insurance or the director of
      public health.  "Health organization" does not include an
      insurance company licensed to transact the business of insurance
      under chapter 508, 515, or 520, and which is otherwise subject to
      chapter 521E.
         8.  "Revised risk-based capital plan" means a risk-based
      capital plan that has been rejected by the commissioner and has been
      revised by the health organization, with or without the
      commissioner's recommendation.
         9.  "Risk-based capital instructions" means the instructions
      included in the risk-based capital report as adopted by the national
      association of insurance commissioners, as such risk-based capital
      instructions may be amended by the national association of insurance
      commissioners from time to time in accordance with the procedures
      adopted by the national association of insurance commissioners.
         10.  "Risk-based capital level" means a health organization's
      company-action-level risk-based capital, regulatory-action-level
      risk-based capital, authorized-control-level risk-based capital, or
      mandatory-control-level risk-based capital as follows:
         a.  "Company-action-level risk-based capital" means the
      product of two and the health organization's authorized-control-level
      risk-based capital.
         b.  "Regulatory-action-level risk-based capital" means the
      product of one and one-half and the health organization's
      authorized-control-level risk-based capital.
         c.  "Authorized-control-level risk-based capital" means the
      number determined under the risk-based capital formula in accordance
      with the risk-based capital instructions.
         d.  "Mandatory-control-level risk-based capital" means the
      product of seven-tenths and the health organization's
      authorized-control-level risk-based capital.
         11.  "Risk-based capital plan" means a comprehensive financial
      plan containing the elements identified in section 521F.4, subsection
      2.
         12.  "Risk-based capital report" means the report required in
      section 521F.3.
         13.  "Total adjusted capital" means the sum of the following:
         a.  A health organization's statutory capital and surplus.
         b.  Such other items, if any, as identified in the risk-based
      capital instructions.  

         2000 Acts, ch 1050, §2