HAR §16-7-23
HAR §16-7-23. Servicing carrier allowances
Cite as Haw. Code R. § 16-7-23
(a) Servicing carrier shall be
reimbursed for plan business on the following basis:
(1)
Ten percent of written premium for operating costs, which shall
include loss prevention and inspection services, but exclude claim
expense, agents’ commissions, and taxes;
(2)
Actual dollars of commission paid to the authorized agent;
(3)
Actual amount of premium taxes paid;
(4)
Allocated loss adjustment expenses shall be charged against the
plan as part of the incurred loss; and
(5)
Unallocated loss adjustment expenses shall be charged at an
amount equal to ten per cent of the sum of the reported losses
incurred plus the allocated loss adjustment expense.
(b)
The board of directors shall reimburse a servicing carrier in whole
or in part for all reasonable and necessary expenses directly or under contractual
arrangements with others, incurred in qualifying for, or ceasing to be a servicing
carrier.
The expense must be explained and supported in detail as may be
required by the board of directors.
(c)
The board shall direct the reimbursement of servicing carrier for
normal operating expenses incurred in connection with plan business.
The
operating expenses shall include any losses or expenses paid or incurred directly
or under contractual arrangements with others, not otherwise reimbursed under
subsection (a), or which are in excess of the allowances provided thereunder, but
shall not include any loss or expense incurred as a result of fraud or dishonesty
on the part of a servicing carrier’s personnel (including, but not limited to,
independent adjusters and agents).
(d)
Losses or expenses reimbursable under subsections (b) and (c) for
which sufficient funds are not otherwise available, shall be obtained by the board
of directors through an assessment against the members of the plan or through an
assessment of the policyholders.
(e)
Joint underwriting plan business written by servicing carrier shall
not be included in determining a servicing carrier’s share of market for
membership assessment or other purposes.
(f)
Losses and expenses shall be payable solely out of the funds
provided by the joint underwriting plan.
(g)
The amounts allowed under subsection (a) shall be subject to
periodic review by the board of directors. [Eff 6/22/81] (Auth: HRS §435C-2)
(Imp: HRS §435C-3)
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DEPARTMENT OF REGULATORY AGENCIES
Chapter 7, Hawaii Medical Malpractice Underwriting Plan Rules of
Practice and Procedure, on the Summary Page dated May 28, 1981 was adopted
on May 28, 1981 following a public hearing held on May 28, 1981, after public
notice was given in the Honolulu Star-Bulletin on May 8, 1981.
These rules shall take effect ten days after filing with the Office of the
Lieutenant Governor.
/s/ Mary G.F. Bitterman
MARY G.F. BITTERMAN
Director of Regulatory Agencies
APPROVED AS TO FORM:
/s/ Ruth I. Tsujimura
Deputy Attorney General
/s/ George R. Ariyoshi
GEORGE R. ARIYOSHI
Governor
State of Hawaii
Date: June 10, 1981
June 12, 1981
Filed