(1) As
used in this section:
(a) "Organization" means every insurer, as defined in RCW 48.01.050, having a certificate of authority to do business in
this state, every health care service contractor, as defined in
RCW 48.44.010, every health maintenance organization, as defined
in RCW 48.46.020, or self-funded multiple employer welfare
arrangement, as defined in RCW 48.125.010, registered to do
business in this state. "Class one" organizations shall consist
of all insurers as defined in RCW 48.01.050. "Class two"
organizations shall consist of all organizations registered under
provisions of chapters 48.44 and 48.46 RCW. "Class three"
organizations shall consist of self-funded multiple employer
welfare arrangements as defined in RCW 48.125.010.
(b)(i) "Receipts" means (A) net direct premiums consisting
of direct gross premiums, as defined in RCW 48.18.170, paid for
insurance written or renewed upon risks or property resident,
situated, or to be performed in this state, less return premiums
and premiums on policies not taken, dividends paid or credited to
policyholders on direct business, and premiums received from
policies or contracts issued in connection with qualified plans
as defined in RCW 48.14.021, and (B) prepayments to health care
service contractors, as defined in RCW 48.44.010, health
maintenance organizations, as defined in RCW 48.46.020, or
participant contributions to self-funded multiple employer
welfare arrangements, as defined in RCW 48.125.010, less
experience rating credits, dividends, prepayments returned to
subscribers, and payments for contracts not taken.
(ii) Participant contributions, under chapter 48.125 RCW,
used to determine the receipts in this state under this section
shall be determined in the same manner as premiums taxable in
this state are determined under RCW 48.14.090.
(c) "Regulatory surcharge" means the fees imposed by this
section.
(2) The annual cost of operating the office of insurance
commissioner shall be determined by legislative appropriation. A
pro rata share of the cost shall be charged to all organizations
as a regulatory surcharge. Each class of organization shall
contribute a sufficient amount to the insurance commissioner's
regulatory account to pay the reasonable costs, including
overhead, of regulating that class of organization.
(3) The regulatory surcharge shall be calculated separately
for each class of organization. The regulatory surcharge
collected from each organization shall be that portion of the
cost of operating the insurance commissioner's office, for that
class of organization, for the ensuing fiscal year that is
represented by the organization's portion of the receipts
collected or received by all organizations within that class on
business in this state during the previous calendar year.
However, the regulatory surcharge must not exceed one-eighth of
one percent of receipts and the minimum regulatory surcharge
shall be one thousand dollars.
(4) The commissioner shall annually, on or before June 1st,
calculate and bill each organization for the amount of the
regulatory surcharge. The regulatory surcharge shall be due and
payable no later than June 15th of each year. However, if the
necessary financial records are not available or if the amount of
the legislative appropriation is not determined in time to carry
out such calculations and bill such regulatory surcharge within
the time specified, the commissioner may use the regulatory
surcharge factors for the prior year as the basis for the
regulatory surcharge and, if necessary, the commissioner may
impose supplemental fees to fully and properly charge the
organizations. Any organization failing to pay the regulatory
surcharges by June 30th shall pay the same penalties as the
penalties for failure to pay taxes when due under RCW 48.14.060.
The regulatory surcharge required by this section is in addition
to all other taxes and fees now imposed or that may be
subsequently imposed.
(5) All moneys collected shall be deposited in the insurance
commissioner's regulatory account in the state treasury which is
hereby created.
(6) Unexpended funds in the insurance commissioner's
regulatory account at the close of a fiscal year shall be carried
forward in the insurance commissioner's regulatory account to the
succeeding fiscal year and shall be used to reduce future
regulatory surcharges. During the 2007-2009 fiscal biennium, the
legislature may transfer from the insurance commissioner's
regulatory account to the Washington state heritage center
account such amounts as reflect excess fund balance in the
account.
(7)(a) Each insurer may annually collect regulatory
surcharges remitted in preceding years by means of a policyholder
surcharge on premiums charged for all kinds of insurance. The
recoupment shall be at a uniform rate reasonably calculated to
collect the regulatory surcharge remitted by the insurer.
(b) If an insurer fails to collect the entire amount of the
recoupment in the first year under this section, it may repeat
the recoupment procedure provided for in this subsection (7) in
succeeding years until the regulatory surcharge is fully
collected or a de minimis amount remains uncollected. Any such
de minimis amount may be collected as provided in (d) of this
subsection.
(c) The amount and nature of any recoupment shall be
separately stated on either a billing or policy declaration sent
to an insured. The amount of the recoupment must not be
considered a premium for any purpose, including the premium tax
or agents' commissions.
(d) An insurer may elect not to collect the regulatory
surcharge from its insured. In such a case, the insurer may
recoup the regulatory surcharge through its rates, if the
following requirements are met:
(i) The insurer remits the amount of surcharge not collected
by election under this subsection; and
(ii) The surcharge is not considered a premium for any
purpose, including the premium tax or agents' commission.
[2008 c 328 § 6003. Prior: 2007 c 468 § 1; 2007 c 153 § 3; 2004 c 260 § 22; 2003 1st sp.s. c 25 § 923; 2002 c 371 § 913; 1987 c 505 § 54; 1986 c 296 § 7.]
NOTES:
Part headings not law -- Severability -- Effective date -- 2008 c 328: See notes following RCW 43.155.050.
Severability -- Effective date -- 2004 c 260: See RCW 48.125.900 and 48.125.901.
Severability -- Effective date -- 2003 1st sp.s. c 25: See notes following RCW 19.28.351.
Severability -- Effective date -- 2002 c 371: See notes following RCW 9.46.100.
Severability -- Effective date -- 1986 c 296: See notes following RCW 48.14.020.