LCO No. 4750 1 of 6 General Assembly Raised Bill No. 1217 January Session, 2023 LCO No. 4750 Referred to Committee on APPROPRIATIONS Introduced by: (APP) AN ACT CONCERNING PAYMENTS BY INSURANCE COMPANIES FOR DEPOSIT INTO THE INSURANCE FUND. Be it enacted by the Senate and House of Representatives in General Assembly convened: Section 1. Section 38a-47 of the general statutes is repealed and the 1 following is substituted in lieu thereof (Effective July 1, 2023): 2 (a) All domestic insurance companies and other domestic entities 3 subject to taxation under chapter 207, except as provided in subdivisions 4 (2) and (3) of this subsection, shall, in accordance with section 38a-48, as 5 amended by this act, annually pay to the Insurance Commissioner, for 6 deposit in the Insurance Fund established under section 38a-52a, an 7 amount equal to: 8 (1) The actual expenditures made by the Insurance Department 9 during each fiscal year; [, and the actual expenditures made by the 10 Office of the Healthcare Advocate, including the cost of fringe benefits 11 for department and office personnel as estimated by the Comptroller;] 12 (2) For only domestic insurance companies, including domestic 13 health care centers, that have written policies of health insurance, as 14 Raised Bill No. 1217 LCO No. 4750 2 of 6 defined in section 38a-469, in this state during the preceding calendar 15 year, the actual expenditures made by the Office of the Healthcare 16 Advocate, including the cost of fringe benefits for department and office 17 personnel as estimated by the Comptroller; 18 [(2) The] (3) For only domestic insurance companies, including 19 domestic health care centers, that have written policies of health 20 insurance, as defined in section 38a-469, in this state during the 21 preceding calendar year, the amount appropriated to the Office of 22 Health Strategy from the Insurance Fund for the fiscal year, including 23 the cost of fringe benefits for office personnel as estimated by the 24 Comptroller, which shall be reduced by the amount of federal 25 reimbursement received for allowable Medicaid administrative 26 expenses; 27 [(3)] (4) The expenditures made on behalf of the department and said 28 offices from the Capital Equipment Purchase Fund pursuant to section 29 4a-9 for such year, but excluding such estimated expenditures made on 30 behalf of the Health Systems Planning Unit of the Office of Health 31 Strategy; and 32 [(4)] (5) The amount appropriated to the Department of Aging and 33 Disability Services for the fall prevention program established in section 34 17a-859 from the Insurance Fund for the fiscal year. 35 (b) The expenditures and amounts specified in subdivisions (1) to 36 [(4)] (5), inclusive, of subsection (a) of this section shall exclude 37 expenditures paid for by fraternal benefit societies, foreign and alien 38 insurance companies and other foreign and alien entities under sections 39 38a-49 and 38a-50. 40 (c) Payments shall be made by assessment of all such domestic 41 insurance companies and other domestic entities calculated and 42 collected in accordance with the provisions of section 38a-48, as 43 amended by this act. Any such domestic insurance company or other 44 domestic entity aggrieved because of any assessment levied under this 45 section may appeal therefrom in accordance with the provisions of 46 Raised Bill No. 1217 LCO No. 4750 3 of 6 section 38a-52. 47 Sec. 2. Subsections (a) to (c), inclusive, of section 38a-48 of the general 48 statutes are repealed and the following is substituted in lieu thereof 49 (Effective July 1, 2023): 50 (a) (1) On or before June thirtieth, annually, the Commissioner of 51 Revenue Services shall render to the Insurance Commissioner a 52 statement certifying the amount of taxes or charges imposed on each 53 domestic insurance company or other domestic entity under chapter 207 54 on business done in this state during the preceding calendar year. The 55 statement for local domestic insurance companies shall set forth the 56 amount of taxes and charges before any tax credits allowed as provided 57 in subsection (a) of section 12-202. 58 (2) Upon receipt of the statement described in subdivision (1) of this 59 subsection, the Insurance Commissioner shall prepare a statement of the 60 amount of taxes or charges imposed on each domestic insurance 61 company or other domestic entity under chapter 207 that wrote policies 62 of health insurance, as defined in section 38a-469, in this state. Such 63 amount shall be that as certified by the Commissioner of Revenue 64 Services in accordance with subdivision (1) of this subsection. 65 (b) On or before July thirty-first, annually, the Insurance 66 Commissioner and the Office of the Healthcare Advocate shall render 67 to each domestic insurance company or other domestic entity liable for 68 payment under section 38a-47, as amended by this act: 69 (1) A statement that includes, as separate line items, for the fiscal year 70 beginning July first of the year such statement is rendered: (A) [the] The 71 amount appropriated to the Insurance Department [,] from the 72 Insurance Fund established under section 38a-52a, (B) the amount 73 appropriated to the Office of the Healthcare Advocate [and] from the 74 Insurance Fund; (C) the amount appropriated to the Office of Health 75 Strategy from the Insurance Fund, [established under section 38a-52a 76 for the fiscal year beginning July first of the same year, (B)] (D) the cost 77 of fringe benefits for department and office personnel, [for such year,] 78 Raised Bill No. 1217 LCO No. 4750 4 of 6 as estimated by the Comptroller, [(C)] (E) the estimated expenditures on 79 behalf of the department and the offices from the Capital Equipment 80 Purchase Fund pursuant to section 4a-9, [for such year,] not including 81 such estimated expenditures made on behalf of the Health Systems 82 Planning Unit of the Office of Health Strategy, and [(D)] (F) the amount 83 appropriated to the Department of Aging and Disability Services for the 84 fall prevention program established in section 17a-859 from the 85 Insurance Fund; [for the fiscal year;] 86 (2) [a] A statement of (A) (i) the total taxes imposed on all domestic 87 insurance companies and domestic insurance entities under chapter 207 88 on business done in this state during the preceding calendar year, and 89 (ii) each such company's or entity's proportionate share of such total, 90 and (B) (i) the total taxes imposed under chapter 207 on only those 91 domestic insurance companies and entities that provided health 92 insurance, as defined in section 38a-469, in this state during the 93 preceding calendar year, and (ii) each such company's or entity's 94 proportionate share of such total; and 95 (3) [the] The proposed assessment against that company or entity, 96 calculated in accordance with the provisions of subsection (c) of this 97 section, provided for the purposes of this calculation the amount 98 appropriated to the Insurance Department, the Office of the Healthcare 99 Advocate and the Office of Health Strategy from the Insurance Fund 100 plus the cost of fringe benefits for department and office personnel and 101 the estimated expenditures on behalf of the department and the office 102 from the Capital Equipment Purchase Fund pursuant to section 4a-9, 103 not including such expenditures made on behalf of the Health Systems 104 Planning Unit of the Office of Health Strategy shall be deemed to be the 105 actual expenditures of the department and the office, and the amount 106 appropriated to the Department of Aging and Disability Services from 107 the Insurance Fund for the fiscal year for the fall prevention program 108 established in section 17a-859 shall be deemed to be the actual 109 expenditures for the program. 110 (c) (1) The proposed assessments for each domestic insurance 111 Raised Bill No. 1217 LCO No. 4750 5 of 6 company or other domestic entity shall be calculated by (A) allocating 112 twenty per cent of the amount to be paid under section 38a-47, as 113 amended by this act, among the domestic entities organized under 114 sections 38a-199 to 38a-209, inclusive, and 38a-214 to 38a-225, inclusive, 115 in proportion to their respective shares of the total taxes and charges 116 imposed under chapter 207 on such entities on business done in this 117 state during the preceding calendar year, and (B) allocating eighty per 118 cent of (i) the amount to be paid under subdivisions (1), (4) and (5) of 119 subsection (a) of section 38a-47, as amended by this act, among all 120 domestic insurance companies and domestic entities, and (ii) the 121 amount to be paid under subdivisions (2) and (3) of subsection (a) of 122 section 38a-47, as amended by this act, among only those domestic 123 insurance companies and entities that provided health insurance in this 124 state during the preceding calendar year, in each case other than those 125 organized under sections 38a-199 to 38a-209, inclusive, and 38a-214 to 126 38a-225, inclusive, in proportion to their respective shares of the total 127 taxes and charges imposed under chapter 207 on such domestic 128 insurance companies and domestic entities on business done in this state 129 during the preceding calendar year, provided if there are no domestic 130 entities organized under sections 38a-199 to 38a-209, inclusive, and 38a-131 214 to 38a-225, inclusive, at the time of assessment, one hundred per cent 132 of the amount to be paid under section 38a-47, as amended by this act, 133 shall be allocated among such domestic insurance companies and 134 domestic entities. 135 (2) When the amount any such company or entity is assessed 136 pursuant to this section exceeds twenty-five per cent of the actual 137 expenditures of the Insurance Department, the Office of the Healthcare 138 Advocate and the Office of Health Strategy from the Insurance Fund, 139 such excess amount shall not be paid by such company or entity but 140 rather shall be assessed against and paid by all other such companies 141 and entities in proportion to their respective shares of the total taxes and 142 charges imposed under chapter 207 on business done in this state during 143 the preceding calendar year, except that for purposes of any assessment 144 made to fund payments to the Department of Public Health to purchase 145 Raised Bill No. 1217 LCO No. 4750 6 of 6 vaccines, such company or entity shall be responsible for its share of the 146 costs, notwithstanding whether its assessment exceeds twenty-five per 147 cent of the actual expenditures of the Insurance Department, the Office 148 of the Healthcare Advocate and the Office of Health Strategy from the 149 Insurance Fund. The provisions of this subdivision shall not be 150 applicable to any corporation which has converted to a domestic mutual 151 insurance company pursuant to section 38a-155 upon the effective date 152 of any public act which amends said section to modify or remove any 153 restriction on the business such a company may engage in, for purposes 154 of any assessment due from such company on and after such effective 155 date. 156 This act shall take effect as follows and shall amend the following sections: Section 1 July 1, 2023 38a-47 Sec. 2 July 1, 2023 38a-48(a) to (c) Statement of Purpose: To realign the structure of payments by insurance companies into the Insurance Fund. [Proposed deletions are enclosed in brackets. Proposed additions are indicated by underline, except that when the entire text of a bill or resolution or a section of a bill or resolution is new, it is not underlined.]