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Arizona Administrative Code (Last Updated: November 17, 2016) |
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Title 20. COMMERCE, FINANCIAL INSTITUTIONS, AND INSURANCE |
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Chapter 5. INDUSTRIAL COMMISSION OF ARIZONA |
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Article 2. SELF-INSURANCE REQUIREMENTS FOR INDIVIDUAL EMPLOYERS AND WORKERS’ COMPENSATION POOLS ORGANIZED UNDER A.R.S. §§ 11-952.01(B) AND 41-621.01 |
Section R20-5-216. Ex-medical Plan: Definition; Formula; Eligibil- ity; Modification
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A. An Ex-Medical Plan means a plan for premium calculation which provides for rate revisions based upon the self-insurer operating a medical facility with a program for providing med- ical, surgical, or hospital services to all of the self-insurer’s employees for their benefit and that has complied with the requirements specified in A.R.S. § 23-1070. Neither losses nor incurred loss reserves are used in such plan.
B. The formula for calculation of the Ex-Medical Plan is as fol- lows: [(Payroll x Applicable Rate) x (1-Ex-Medical Factor)] less Premium Discount.
C. Only those self-insurers whose program for medical, surgical, or hospital services has been authorized by the Commission are eligible to utilize this plan, for premium calculation.
D. To be eligible for this plan the self-insurer’s annual net taxable premium must exceed $100,000.
Historical Note
Former Rule XVI. Section repealed, new Section adopted effective July 6, 1993 (Supp. 93-3). R20-5-216 recodified from R4-13-216 (Supp. 95-1).