R.C.S.A. § 38a-193-4
Regulatory action level event
Cite as Conn. Agencies Regs. § 38a-193-4
(a) As used in Sections 38a-193-1 to 38a-193-13, inclusive, of the Regulations of Connecticut
State Agencies, "Regulatory Action Level Event" means, with respect to a health care
center, any of the following events:
(1) The filing of a RBC report by the health care center that indicates that the health
care center's total adjusted capital is greater than or equal to its Authorized Control
Level RBC but less than its Regulatory Action Level RBC;
(2) notification by the commissioner to a health care center of an adjusted RBC report
that indicates the event in subdivision (1) of this subsection, provided the health
care center does not challenge the adjusted RBC report under section 38a-193-7 of
the Regulations of Connecticut State Agencies;
(3) if, pursuant to section 38a-193-7 of the Regulations of Connecticut State Agencies,
the health care center challenges an adjusted RBC report that indicates the event
in subdivision (1) of this subsection, the notification by the commissioner to the
health care center that the commissioner has, after a hearing, rejected the health
care center's challenge;
(4) the failure of the health care center to file a RBC report by the filing date, unless
the health care center has provided an explanation for the failure that is satisfactory
to the commissioner and has cured the failure not later than ten (10) days after the
filing date;
(5) the failure of the health care center to submit a RBC plan to the commissioner within
the time period set forth in section 38a-193-3(c) of the Regulations of Connecticut
State Agencies;
(6) notification by the commissioner to the health care center that the RBC plan or revised
RBC plan submitted by the health care center is, in the judgment of the commissioner,
unsatisfactory; Notification constitutes a Regulatory Action Level Event with respect
to the health care center, provided the health care center has not challenged the
determination under section 38a-193-7 of the Regulations of Connecticut State Agencies;
(7) if, pursuant to section 38a-193-7 of the Regulations of Connecticut State Agencies,
the health care center challenges a determination by the commissioner under subdivision
(6) of this subsection, the notification by the commissioner to the health care center
that the commissioner has, after a hearing, rejected the challenge;
(8) notification by the commissioner to the health care center that the health care center
has failed to adhere to its RBC plan or revised RBC plan, but only if the failure
has a substantial adverse effect on the ability of the health care center to eliminate
the Company Action Level Event in accordance with its RBC plan or revised RBC plan
and the commissioner has so stated in the notification, provided the health care center
has not challenged the determination under section 38a-193-7 of the Regulations of
Connecticut State Agencies; or
(9) if, pursuant to section 38a-193-7 of the Regulations of Connecticut State Agencies,
the health care center challenges a determination by the commissioner under subdivision
(8) of this subsection, the notification by the commissioner to the health care center
that the commissioner has, after a hearing, rejected the challenge.
(b) In the event of a Regulatory Action Level Event the commissioner shall:
(1) Require the health care center to prepare and submit a RBC plan or, if applicable,
a revised RBC plan;
(2) perform such examination or analysis as the commissioner deems necessary of the assets,
liabilities and operations of the health care center including a review of its RBC
plan or revised RBC plan; and
(3) subsequent to the examination or analysis, issue an order specifying such corrective
actions as the commissioner shall determine are required (a "corrective order").
(c) In determining corrective actions, the commissioner may take into account factors
the commissioner deems relevant with respect to the health care center based upon
the commissioner's examination or analysis of the assets, liabilities and operations
of the health care center, including, but not limited to, the results of any sensitivity
tests undertaken pursuant to the RBC instructions. The RBC plan or revised RBC plan
shall be submitted:
(1) Not later than forty-five (45) days after the occurrence of the Regulatory Action
Level Event;
(2) if the health care center challenges an adjusted RBC report pursuant to section 38a-193-7
of the Regulations of Connecticut State Agencies and the challenge is not frivolous
in the judgment of the commissioner, not later than forty-five (45) days after the
notification to the health care center that the commissioner has, after a hearing,
rejected the health care center's challenge; or
(3) if the health care center challenges a revised RBC plan pursuant to section 38a-193-7
of the Regulations of Connecticut State Agencies and the challenge is not frivolous
in the judgment of the commissioner, not later than forty-five (45) days after the
notification to the health care center that the commissioner has, after a hearing,
rejected the health care center's challenge.
(d) The commissioner may retain actuaries and investment experts and other consultants
as may be necessary in the judgment of the commissioner to review the health care
center's RBC plan or revised RBC plan, examine or analyze the assets, liabilities
and operations (including contractual relationships) of the health care center and
formulate the corrective order with respect to the health care center. The fees, costs
and expenses relating to consultants shall be borne by the affected health care center
or such other party as directed by the commissioner.