760 IAC 1-21-8 - Payment into patient's compensation fund; annual surcharge for ancillary provider

Authority: IC 34-18-5-4

Affected: IC 27-1-6; IC 27-1-17; IC 27-7-10-14; IC 34-18-5-2; IC 34-18-5-3

Sec. 8.

The annual surcharge for an ancillary provider or independent ancillary provider shall be as follows:

(1) An ancillary provider who is not an independent ancillary provider that purchases insurance as proof of financial responsibility shall pay one hundred percent (100%) of the premium charged by the insurer.

(2) An ancillary provider who is not an independent ancillary provider that establishes financial responsibility by means other than insurance under section 3 of this rule shall pay an amount equal to one hundred percent (100%) of the premium that would be charged to the ancillary provider by IRMIA. The payment must be made each year under IC 34-18-5-3 within thirty (30) days after qualification.

(3) An independent ancillary provider's surcharge shall be calculated at the following percentage of the published surcharge for a specialty class 1 physician:

(A) Twenty percent (20%) for each dentist.

(B) One hundred thirty percent (130%) for each dentist - oral surgery.

(C) Twelve and one-half percent (12.5%) for each psychologist.

(D) Ninety-two and one-half percent (92.5%) for each podiatrist - no surgery.

(E) One hundred forty-five percent (145%) for each podiatrist - surgery.

(F) Twelve and one-half percent (12.5%) for each optometrist.

(G) Thirty-five percent (35%) for each nurse practitioner.

(H) One hundred fifty percent (150%) for each nurse midwife.

(I) Forty-five percent (45%) for each certified registered nurse anesthetist.

(J) Thirty-five percent (35%) for each physician assistant.

(K) Thirty-five percent (35%) for each clinical nurse specialist.

(L) Forty-five percent (45%) for each anesthesiologist assistant.

(4) An independent ancillary provider who provides health care on a part-time basis shall pay a reduced surcharge as follows:

(A) An independent ancillary provider who provides health care twelve (12) hours per week or less on an annual basis shall receive a credit equal to seventy-five percent (75%) of the surcharge amount.

(B) An independent ancillary provider who provides health care more than twelve (12) hours but fewer than twenty-five (25) hours per week on an annual basis shall receive a credit equal to fifty percent (50%) of the surcharge amount.

(C) An independent ancillary provider who provides health care at least twenty-five (25) hours but fewer than thirty-one (31) hours per week on an annual basis shall receive a credit equal to twenty-five percent (25%) of the surcharge amount.

Notes

760 IAC 1-21-8

Department of Insurance; Reg 22, Sec VIII; filed Jan 27, 1977, 2:35 p.m.: Rules and Regs. 1978, p. 516; filed Mar 18, 1986, 10:41 a.m.: 9 IR 2057, eff Apr 18, 1986; filed May 28, 1987, 4:00 p.m.: 10 IR 2298; filed Aug 13, 1991, 4:00 p.m.: 15 IR 7; filed Apr 29, 1999, 2:22 p.m.: 22 IR 2875; readopted filed Sep 14, 2001, 12:22 p.m.: 25 IR 531; filed Mar 18, 2005, 10:45 a.m.: 28 IR 2376; filed Feb 2, 2007, 3:08 p.m.: 20070228-IR-760060032FRA; filed Apr 18, 2011, 11:34 a.m.: 20110518-IR-760100245FRA; readopted filed November 26, 2013, 3:43 p.m.: 20131225-IR-760130479RFA Filed 5/18/2018, 2:25 p.m.: 20180613-IR-760180069FRA Readopted filed 11/19/2019, 9:18 a.m.: 20191218-IR-760190497RFA