(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 consist of all
insurers as defined in RCW 48.01.050. "Class two" organizations
consist of all organizations registered under provisions of
chapters 48.44 and 48.46 RCW. "Class three" organizations
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
are 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 is determined by legislative appropriation. A pro
rata share of the cost is charged to all organizations as a
regulatory surcharge. Each class of organization must 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 is calculated separately for
each class of organization. The regulatory surcharge collected
from each organization is 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 is one thousand dollars.
(4) The commissioner must annually, on or before July 1st,
calculate and bill each organization for the amount of the
regulatory surcharge. The regulatory surcharge is due and
payable no later than July 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 July 31st must 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 must 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 are carried
forward in the insurance commissioner's regulatory account to the
succeeding fiscal year and are used to reduce future regulatory
surcharges.
(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 is 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 must 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.
[2011 c 47 § 3; 2009 c 161 § 1; 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.