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Assessment Survey - Required for all Licensed Accident and Health Disability Insurers

Pool Assessment Base and Annual Filing Requirements for the Idaho Small Employer Health Reinsurance Program and Idaho Individual High Risk Reinsurance Pool.

 

This is the Idaho Small Employer Health Reinsurance Program and Idaho Individual High Risk Reinsurance Pool on-line assessment form, which will be used to determine the level of each carrier's assessment pursuant to the provisions of Idaho Code § 41-4711(12) and § 41-5508. The assessment is used to offset any net losses accrued on the Small Employer Reinsurance Program or Individual High Risk Reinsurance Pool.
 

In order to complete all filing requirements you must submit the electronic form even though you may not have incurred any new or renewal disability premium in 2013.  The information required is as follows:

  1. Idaho Small Employer Health Reinsurance Program - Idaho total health benefit premium as reported in the annual statement for all disability coverages including specific disease and hospital confinement indemnity;
  2. Idaho Individual High Risk Reinsurance Pool - Idaho total health benefit premium as reported in the annual statement for all disability coverages including specific disease and hospital confinement indemnity AND including reinsurance by way of excess loss and stop loss coverage;
  3. Pursuant to Idaho Code Sections 41-4711(16) and 41-5505(5) and the director's inquiry power under Section 41-247, each carrier is required to file with the director in a form and manner as prescribed by the director the total number of resident persons covered (enrollment counts) under the carrier's disability coverages including excess loss or stop loss coverage.
Failure to timely provide this information may result in administrative sanctions.

Please note that the statute creating this program does not provide for an offset of this contribution against your premium tax liability to the State of Idaho. Questions should be referred to the Idaho Department of Insurance (208-334-4277).

Due March 1, 2014

ELECTRONIC RETURN FILING MANDATORY
NO HARD COPIES ACCEPTED - NO IDAHO PAGE ATTACHMENT
PLEASE READ BEFORE CONTINUING - Important information about this electronic form:
  • Do not use dollar signs, commas, decimal points, any negative numbers or spaces in the numeric fields.
  • Round money amounts to the next whole dollar. No cents please.
  • To move through the form use the "Tab" key or your mouse.
  • Please do not use the "Enter" key to move through the form.  The "Enter" key will submit the form.
  • You must submit the electronic form, even though you may not have incurred any new or renewal disability premium in 2013.
  • Only one submission is allowed. If you have a problem or questions email Scott Frost or telephone (208)334-4277.
View the form or to print a blank copy Click Here
 

The Assessment Survey is now a part of our centralized survey page. You may access it here.