28 CA ADC § 1011


      28 CCR s 1011

      Cal. Admin. Code tit. 28, s 1011


      CALIFORNIA CODE OF REGULATIONS
      TITLE 28. MANAGED HEALTH CARE
      DIVISION 1. THE DEPARTMENT OF MANAGED HEALTH CARE
      CHAPTER 1. DEPARTMENT ADMINISTRATION
      ARTICLE 2. ADMINISTRATION
      This database is current through 06/09/06, Register 2006, No. 23.

      s 1011. Assessment for University of California Analysis of Proposed 
      Mandate Legislation.

      (a) For the fiscal years 2004-05 and 2005-06, the Department shall assess 
      each full service plan its share of the amount necessary to fund the 
      Health Care Benefits Fund for that fiscal year. The amount necessary for 
      each fiscal year will be determined by the Department and the Department 
      of Insurance in consultation with the University of California 
      (University) and will be based on the amount necessary to fund the actual 
      and necessary expenses of the University, not to exceed $2 million, in the 
      analysis of legislative health care benefit mandates for the fiscal year.

      (b) The total amount owed by all full-service health plans will be 87.6% 
      of the total amount necessary to fund the Health Care Benefits Fund. That 
      percentage is based on the ratio between persons enrolled in full-service 
      health care service plans and those persons enrolled in health 
      reimbursement plans regulated by the Department of Insurance as reported 
      in the publication "Accident & Health Covered Lives 2002" (Revised 
      December 11, 2003) published by the Department of Insurance in May, 2002.

      (c) The Department shall annually calculate each full-service health 
      plan's portion of the amount specified in subsection (b) as follows:

      (1) The Department shall calculate the per-enrollee cost by dividing the 
      amount of revenues required to be paid by all full-service health care 
      service plans, by the total number of enrollees in this state that are 
      enrolled in all full-service plans as of the March 31 immediately 
      preceding the date of the assessment.

      (2) The Department shall calculate each plan's annual fee by multiplying 
      the per-enrollee cost determined pursuant to paragraph (1) of this 
      subsection (c) by the number of enrollees in the plan as of the March 31 
      immediately preceding the date of the assessment.

      (d) The Department shall notify affected plans of the amount of the 
      assessment on or before June 15 of each fiscal year and all amounts due 
      under the assessments will be due and payable from the affected plans on 
      or before the first day of August immediately following the date of the 
      notice.

      (e) Any amount that remains due from a plan for assessments issued for the 
      2002-2003 and 2003-2004 fiscal years (pursuant to Section 127662 of the 
      California Health and Safety Code) that have not been paid to the 
      Department by May 31, 2004, will be added to the amount of the assessment 
      due under the notice to be issued on or before June 15 of each fiscal 
year.


      Note: Authority cited: Sections 1344, 1346 and 127662, Health and Safety 
      Code. Reference: Sections 1356, 127660, 127661, 127662, 127663, 127664 and 
      127665, Health and Safety Code. 


       HISTORY 
         
      1. New section filed 6-2-2004; operative 7-2-2004 (Register 2004, No. 23).
      28 CA ADC s 1011

      END OF DOCUMENT

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