reglab/housing_qa huggingface dataset:
ID Code § 41-3421 (2021)
2021 Idaho Code|Title 41 - INSURANCE|Chapter 34 - HOSPITAL AND PROFESSIONAL SERVICE CORPORATIONS|Section 41-3421 - RESERVES.

41-3421. RESERVES. (1) In addition to the surplus fund provided for in section 41-3422, every service corporation shall establish and maintain unimpaired reserves as follows: (a) Due obligations. A reserve in an amount not less than all legal obligations of the corporation, other than claims originating under subscriber’s contracts, due but unpaid; (b) Incurred losses. A reserve equal to not less than the amount necessary by reasonable estimate to pay all claims incurred under subscriber’s contracts but currently unpaid, and including a reasonable additional amount to cover claims incurred but not reported to the corporation at the time of determination of the corporation’s financial condition; but subject, as to amounts payable to participant physicians, participant hospitals, or participant pharmacists, to the right of the service corporation to prorate such amounts in accordance with the provisions of the service agreement; (c) Unearned indemnity charges. A reserve equal to fifty percent of all sums charged and received by the corporation during the calendar period covered by the financial statement, on account of indemnity benefits provided in subscriber’s contracts for terms for which premium was last paid and unexpired at the date of the financial statement; and (d) Deferred service benefits. A reserve in an amount reasonably adequate to offset the additional cost thereafter to be incurred on account of deferred maternity benefits and similar deferred service benefits, such reserve to be set aside out of charges currently received on account of subscriber’s contracts providing for such deferred benefits. (2) The reserves required under subsection (1) above, shall constitute a liability of the corporation in any determination of its financial condition.  History: [41-3421, added 1961, ch. 330, sec. 779, p. 645; am. 1967, ch. 399, sec. 12, p. 1194.]
ID Code § 41-3422 (2021)
2021 Idaho Code|Title 41 - INSURANCE|Chapter 34 - HOSPITAL AND PROFESSIONAL SERVICE CORPORATIONS|Section 41-3422 - SURPLUS FUND.

41-3422. SURPLUS FUND. (1) Every service corporation shall set aside into a "surplus fund" an amount of money equal to not less than two per cent (2%) of all sums hereafter received by it on account of subscriber’s contracts, until such surplus fund amounts to not less than fifty thousand dollars ($50,000) if a professional service corporation or hospital service corporation or one hundred thousand dollars ($100,000) if a combination professional-hospital service corporation. (2) After such minimum surplus fund is established the service corporation may in like manner increase it to an amount not to exceed the total gross collections from subscribers during the seven (7) months next preceding. (3) That portion of the surplus fund referred to in subsection (1) above, may be used by the service corporation, by express appropriation therefrom by action of its board of directors, solely if necessary to pay the additional health care costs and expenses under its contracts, resulting from disease, epidemic or catastrophic occurrences in which numerous persons were injured in the same such occurrence. (4) If at any time depleted below the minimum amount required under subsection (1) above, the service corporation shall replenish the fund by a resumption or continuance of allocations thereto from subscribers’ payments, as provided for original accumulation of the fund under subsection (1), or by such other reasonable means as may be approved by the director.  History: [41-3422, added 1961, ch. 330, sec. 780, p. 645; am. 1967, ch. 399, sec. 13, p. 1194; am. 1971, ch. 252, sec. 13, p. 1008.]
ID Code § 41-3423 (2021)
2021 Idaho Code|Title 41 - INSURANCE|Chapter 34 - HOSPITAL AND PROFESSIONAL SERVICE CORPORATIONS|Section 41-3423 - INVESTMENTS.

41-3423. INVESTMENTS. The investable funds of a service corporation may be invested in securities and other investments permitted by and pursuant to the provisions of chapter 7, title 41, Idaho Code, and for the purposes of chapter 7, title 41, Idaho Code, a service corporation shall be deemed to be an "insurer."  History: [41-3423, added 1961, ch. 330, sec. 781, p. 645; am. 1980, ch. 215, sec. 1, p. 487; am. 1984, ch. 98, sec. 1, p. 226; am. 1997, ch. 369, sec. 1, p. 1175; am. 2021, ch. 42, sec. 5, p. 126.]
ID Code § 41-3424 (2021)
2021 Idaho Code|Title 41 - INSURANCE|Chapter 34 - HOSPITAL AND PROFESSIONAL SERVICE CORPORATIONS|Section 41-3424 - RECORDS AND ACCOUNTS.

41-3424. RECORDS AND ACCOUNTS. (1) Every service corporation shall establish and maintain complete and accurate records and accounts covering its transactions and affairs, in accordance with common and accepted principles and practices of insurance accounting and recordkeeping as applied to the business of the corporation. (2) Among other records, the corporation shall establish a separate record of each claim received for benefits under a subscriber’s contract, whether such claim is for service or for indemnity. Such claim record shall contain such information as is reasonably necessary for determination of: (a) The identity of the claimant; (b) The nature of the claim; (c) The probable amount to be paid by the corporation on account of the claim; (d) Amounts actually paid by the corporation on account of the claim.  History: [41-3424, added 1961, ch. 330, sec. 782, p. 645.]
ID Code § 41-3425 (2021)
2021 Idaho Code|Title 41 - INSURANCE|Chapter 34 - HOSPITAL AND PROFESSIONAL SERVICE CORPORATIONS|Section 41-3425 - ANNUAL STATEMENT.

41-3425. ANNUAL STATEMENT. (1) Each service corporation shall annually on or before the first day of March file with the director a statement of its financial condition as at the December 31 next preceding. The statement shall be in form, and provide for such information relative to the corporation’s affairs, as the director shall prescribe consistent with this chapter. The statement shall be verified under oath by at least two (2) of the corporation’s principal administrative officers. (2) At time of filing the statement, the corporation shall pay the fee therefor as specified in section 41-3433 (fee schedule).  History: [41-3425, added 1961, ch. 330, sec. 783, p. 645.]
ID Code § 41-3426 (2021)
2021 Idaho Code|Title 41 - INSURANCE|Chapter 34 - HOSPITAL AND PROFESSIONAL SERVICE CORPORATIONS|Section 41-3426 - EXAMINATION.

41-3426. EXAMINATION. Every service corporation shall be subject to examination by the director, with the same rights and powers and in the same manner as is provided in this code for the examination of insurers; and for the purposes thereof the following sections of this code shall, to the extent so applicable, apply as to such a corporation, which, for the purpose of such application shall be deemed to be an "insurer": (1) Section 41-219 (examination of insurers); (2) Section 41-220 (examination of agents, managers, adjusters, promoters); (3) Section 41-221 (place of examination); (4) Section 41-223 (conduct of examination–access to records–correction of accounts–removal of records); (5) Section 41-224 (examination–appraisal of assets); (6) Section 41-225 (obstruction of examination–penalty); (7) Section 41-226 (examiners–qualifications); (8) Section 41-227 (examination report); (9) Section 41-228 (examination expense); (10) Section 41-229 (witnesses and evidence); and (11) Section 41-230 (testimony compelled–immunity from prosecution).  History: [41-3426, added 1961, ch. 330, sec. 784, p. 645.]
ID Code § 41-3427 (2021)
2021 Idaho Code|Title 41 - INSURANCE|Chapter 34 - HOSPITAL AND PROFESSIONAL SERVICE CORPORATIONS|Section 41-3427 - TAXATION AND ANNUAL REPORT.

41-3427. TAXATION AND ANNUAL REPORT. (1) Each service corporation shall annually on or before the first day of March, file with the director a report in addition to the statement required under section 41-3425, Idaho Code, (on forms as approved by the director) under oath, showing the number of subscribers’ contracts, as defined under section 41-3403(6), Idaho Code, in effect during the preceding year. A tax is hereby imposed upon each such subscriber’s contract, at the rate of four cents ($.04) per subscriber’s contract, per month, such amount to be computed each month. The tax imposed hereby shall be due and payable by each service corporation to the director annually on or before the first day of March of the succeeding year. The tax imposed hereby shall be in lieu of and in place of the premium tax provided in section 41-402, Idaho Code, and except as to the tax imposed hereby, and as to the fees provided for in section 41-3433, Idaho Code, the subscription income, funds and assets of every service corporation are exempt from all state, county and municipal taxes, other than payroll taxes and taxes on real estate and office furniture and equipment. The director shall transmit and account for all taxes received by him hereunder as provided in section 41-3433, Idaho Code. (2) Any service corporation failing to render the annual statement or pay the fee required by section 41-3425, Idaho Code, or to render the report or pay the tax required under subsection (1) of this section on or before the date due or within any extension of time thereof, not to exceed thirty (30) days, which the director for good cause may have granted, shall be liable to a fine of twenty-five dollars ($25.00) for each additional day of delinquency; and the taxes shall be collected by distraint and recovered by an action to be instituted by the attorney general in the name of the state in any court of competent jurisdiction. The director shall suspend or revoke the certificate of authority of the delinquent service corporation until the statement is filed and the taxes and fine, if any, are fully paid.  History: [41-3427, added 1961, ch. 330, sec. 785, p. 645; am. 1973, ch. 283, sec. 1, p. 599; am. 1978, ch. 9, sec. 1, p. 16; am. 1982, ch. 252, sec. 1, p. 643.]
ID Code § 41-3428 (2021)
2021 Idaho Code|Title 41 - INSURANCE|Chapter 34 - HOSPITAL AND PROFESSIONAL SERVICE CORPORATIONS|Section 41-3428 - JOINT OPERATIONS.

41-3428. JOINT OPERATIONS. (1) A hospital service corporation and a professional service corporation may operate under joint management for the purpose of reducing operating costs. (2) Separate records and accounts shall be kept for each such corporation, and the funds and assets of one shall not be commingled with those of the other; except that funds received from a joint billing to subscribers may be deposited in a common bank account for purposes of collection, if the records of each corporation at all times show the amount of such funds belonging to each and if final distribution of the funds is made to each corporation within thirty (30) days from receipt of payment of such joint billing.  History: [41-3428, added 1961, ch. 330, sec. 786, p. 645; am. 1971, ch. 252, sec. 14, p. 1008.]
ID Code § 41-3429 (2021)
2021 Idaho Code|Title 41 - INSURANCE|Chapter 34 - HOSPITAL AND PROFESSIONAL SERVICE CORPORATIONS|Section 41-3429 - COMBINED CORPORATION.

41-3429. COMBINED CORPORATION. (1) A service corporation may be formed as, or may by suitable amendment of its articles of incorporation become, a combined professional service and hospital service corporation. As to its professional services each such combined service corporation shall fully comply with those provisions of this chapter especially applicable as to professional service corporations; and as to its hospital services the corporation shall fully comply with those provisions of this chapter especially applicable as to hospital service corporations. (2) Subject to subsection (1) above, nothing in this chapter shall be deemed to prohibit such a combined service corporation from issuing subscriber’s contracts providing for both professional services and hospital services.  History: [41-3429, added 1961, ch. 330, sec. 787, p. 645; am. 1971, ch. 252, sec. 15, p. 1008.]
ID Code § 41-3430 (2021)
2021 Idaho Code|Title 41 - INSURANCE|Chapter 34 - HOSPITAL AND PROFESSIONAL SERVICE CORPORATIONS|Section 41-3430 - CONTRACTS COVERING WORKMEN’S COMPENSATION RISKS.

41-3430. CONTRACTS COVERING WORKMEN’S COMPENSATION RISKS. (1) No service corporation shall issue any subscriber’s contract covering, or otherwise insure, any industrial injury or illness with respect to which health care service or indemnity benefits are provided by either federal or state law, or covered under the provisions of the Idaho workmen’s compensation act. (2) The restriction set forth in subsection (1) above, shall not be construed as prohibiting hospitals or licensees, either as individuals, partnerships, or as a separate corporation, from contracting directly with employers, in their own right, with respect to such health care services as are provided for in the Idaho workmen’s compensation act. (3) A service corporation may act as agent for such hospitals or licensees as may so contract, as referred to in subsection (2) above, for the purpose and to the extent only of the collection of moneys from the employers, the payment of claims therefrom to the hospitals or licensees, the keeping of such records as may be necessarily related thereto, and the rendering of reports to the hospitals or licensees and the Idaho industrial commission. The service corporation shall charge and receive payment of reasonable compensation for such services. (4) The service corporation acting as agent as provided in subsection (3) above, shall not at any time be liable as to any claim arising against any employer, except to disburse on behalf of the contracting hospitals or licensees responsible as to such liability, such sums, out of the funds available, as may be awarded or payable under the workmen’s compensation act. The service corporation shall keep all such funds in separate accounts in the names of the respective hospitals or licensees, and shall not commingle them with the funds of the service corporation.  History: [41-3430, added 1961, ch. 330, sec. 788, p. 645; am. 1971, ch. 252, sec. 16, p. 1008.]
ID Code § 41-3431 (2021)
2021 Idaho Code|Title 41 - INSURANCE|Chapter 34 - HOSPITAL AND PROFESSIONAL SERVICE CORPORATIONS|Section 41-3431 - ANNUAL ADJUSTMENT OF SERVICE PAYMENTS — DISPOSITION OF EXCESS FUNDS.

41-3431. ANNUAL ADJUSTMENT OF SERVICE PAYMENTS — DISPOSITION OF EXCESS FUNDS. (1) Annually on or before March 1 every service corporation shall make a special accounting, at which time any prorated settlements for any bills submitted by participant licensees or hospitals, for services rendered during the preceding calendar year shall be adjusted, and any deficits thereon made up on a uniform basis as to all such participants to the extent of funds available therefor. (2) Any funds of the service corporation remaining after such annual accounting, and after adequate provision for all its liabilities and reserves, and for the surplus fund required under section 41-3422, Idaho Code, may be used by the corporation, upon express authorization by its board of directors, for any of the following purposes: (a) To liquidate on a uniform and prorata basis any charges for services by participant licensees or participant hospitals not paid in full upon the settlement of bills in previous years; (b) To pay off any part or the whole of any outstanding contribution of working capital to the corporation, any such payment to be prorated on a uniform basis among all such outstanding contributions; or (c) To reduce the rates thereafter to be charged subscribers, or to expand the services or benefits thereafter to be provided under subscription contracts.  History: [41-3431, added 1961, ch. 330, sec. 789, p. 645; am. 1967, ch. 399, sec. 14, p. 1194; am. 1971, ch. 252, sec. 17, p. 1008.]
ID Code § 41-3432 (2021)
2021 Idaho Code|Title 41 - INSURANCE|Chapter 34 - HOSPITAL AND PROFESSIONAL SERVICE CORPORATIONS|Section 41-3432 - FIDELITY BOND.

41-3432. FIDELITY BOND. Every service corporation shall procure and maintain in force a fidelity bond or bonds, with authorized corporate surety, covering every officer or employee entrusted with the handling of its funds, in such amount, but not less than five thousand dollars ($5,000), as may be fixed by its board of directors.  History: [41-3432, added 1961, ch. 330, sec. 790, p. 645.]
ID Code § 41-3433 (2021)
2021 Idaho Code|Title 41 - INSURANCE|Chapter 34 - HOSPITAL AND PROFESSIONAL SERVICE CORPORATIONS|Section 41-3433 - SERVICE CORPORATION FEES.

41-3433. SERVICE CORPORATION FEES. (1) Every service corporation shall pay to the director fees in advance as provided for by regulation. (2) The director shall transmit and account for all fees received by him hereunder, as provided in section 41-406, Idaho Code[.]  History: [41-3433, added 1984, ch. 23, sec. 7, p. 41.]
ID Code § 41-3434 (2021)
2021 Idaho Code|Title 41 - INSURANCE|Chapter 34 - HOSPITAL AND PROFESSIONAL SERVICE CORPORATIONS|Section 41-3434 - OTHER PROVISIONS APPLICABLE.

41-3434. OTHER PROVISIONS APPLICABLE. In addition to those contained or referred to heretofore in this chapter, the following chapters and provisions of title 41, Idaho Code, shall also apply with respect to service corporations to the extent applicable and not in conflict with the express provisions of this chapter and the reasonable implications of such express provisions and, for the purposes of such application, such corporations shall be deemed to be mutual "insurers": (1) Chapter 1, Idaho Code (scope of insurance code); (2) Chapter 2, Idaho Code (the department of insurance); (3) Section 41-308(2), Idaho Code (general eligibility for certificate of authority — competence, affiliations of management); (4) Sections 41-345 through 41-347, Idaho Code (disclosure of material transactions); (5) Section 41-601, Idaho Code ("assets" defined); (6) Section 41-603, Idaho Code (assets not allowed); (7) Section 41-604, Idaho Code (disallowance of "wash" transactions); (8) Section 41-613, Idaho Code (valuation of bonds); (9) Section 41-731, Idaho Code (prohibited investments and investment underwriting); (10) Chapter 13, Idaho Code (trade practices and frauds); (11) Section 41-2840, Idaho Code (vouchers for expenditures); (12) Section 41-2841, Idaho Code (borrowed surplus); (13) Sections 41-2857, Idaho Code (mergers and consolidations of mutual insurers), 41-2858, Idaho Code (bulk reinsurance, mutual insurers), and 41-2859, Idaho Code (mutual member’s share of assets on liquidation); (14) Chapter 33, Idaho Code (supervision, rehabilitation and liquidation); (15) Sections 799 through 809, chapter 330, laws of 1961 (transitory provisions); (16) Section 41-2106(3), Idaho Code (health history application for disability insurance); (17) Section 41-2141, Idaho Code (coordination of benefits — coordination with social security benefits); (18) Section 41-1839, Idaho Code (attorney’s fees); (19) Chapter 46, Idaho Code (long-term care insurance act); (20) Section 41-1844, Idaho Code (prescription drug benefit restrictions prohibited);  (21) Section 41-2216, Idaho Code (coordination of benefits — coordination with social security benefits);  (22) Chapter 54, Idaho Code (risk-based capital); (23) Chapter 64, Idaho Code (corporate governance); and (24) Chapter 63, Idaho Code (own risk and solvency assessment).  History: [41-3434, added 1961, ch. 330, sec. 792, p. 645; am. 1976, ch. 135, sec. 2, p. 508; am. 1978, ch. 10, sec. 4, p. 21; am. 1988, ch. 8, sec. 1, p. 10; am. 1990, ch. 285, sec. 4, p. 802; am. 1991, ch. 123, sec. 2, p. 268; am. 1994, ch. 404, sec. 3, p. 1271; am. 1995, ch. 68, sec. 4, p. 177; am. 1997, ch. 319, sec. 3, p. 943; am. 2003, ch. 304, sec. 13, p. 838; am. 2014, ch. 319, sec. 8, p. 792; am. 2017, ch. 75, sec. 2, p. 192; am. 2017, ch. 77, sec. 2, p. 213; am. 2018, ch. 169, sec. 11, p. 359.]
ID Code § 41-3435 (2021)
2021 Idaho Code|Title 41 - INSURANCE|Chapter 34 - HOSPITAL AND PROFESSIONAL SERVICE CORPORATIONS|Section 41-3435 - PRODUCER LICENSING.

41-3435. PRODUCER LICENSING. (1) Producers or persons representing a service corporation in the solicitation and negotiation of subscriber’s contracts shall qualify for and be licensed as producers of the service corporation in the same manner and in compliance with the same applicable qualifications, licensing procedures and fees as apply under this code as to producers of disability insurers except that: (a) Any such person who holds a valid license as a producer for a disability insurer issued under chapter 10, title 41, Idaho Code, may be appointed as the agent for such service corporation without further examination or other compliance with chapter 10, title 41, Idaho Code; and (b) Nothing in this section shall prevent such person from being licensed as a producer and appointed as an agent for a life insurer or insurers under chapter 10, title 41, Idaho Code, and concurrently being licensed as a producer for such a service corporation. (2) Service corporations may file appointment of agents or representatives in the same manner as provided in section 41-1018, Idaho Code, with respect to producers of insurers. (3) The exceptions to license requirements set forth in chapter 10, title 41, Idaho Code, shall also apply as to service corporations.  History: [I.C., sec. 41-3435, as added by 1969, ch. 214, sec. 71, p. 625; am. 1977. ch. 142, sec. 14, p. 314; am. 2001, ch. 296, sec. 7, p. 1064.]
ID Code § 41-3436 (2021)
2021 Idaho Code|Title 41 - INSURANCE|Chapter 34 - HOSPITAL AND PROFESSIONAL SERVICE CORPORATIONS|Section 41-3436 - DEPENDENT’S COVERAGE — DEPENDENT’S TERMINATION OF COVERAGE, DISABILITY AND DEPENDENCY PROOF AND APPLICATION.

41-3436. DEPENDENT’S COVERAGE — DEPENDENT’S TERMINATION OF COVERAGE, DISABILITY AND DEPENDENCY PROOF AND APPLICATION. (1) Any new or renewing subscriber contract delivered or issued for delivery in this state shall provide that an unmarried child under the age of twenty-five (25) years and who receives more than one-half (1/2) of his financial support from the parent shall be permitted to remain on the parent’s or parents’ contract. Further, any unmarried child of any age who is medically certified as disabled and financially dependent upon the parent is permitted to remain on the parent’s or parents’ contract. (2) There shall be a provision that a subscriber’s contract delivered or issued for delivery in this state more than one hundred twenty (120) days after the effective date of this act under which coverage of a dependent of a subscriber terminates at a specified age shall, with respect to an unmarried child who is incapable of self-sustaining employment by reason of intellectual disability or physical disability and who became so incapable prior to attainment of the limiting age and who is chiefly dependent upon such member for support and maintenance, not to terminate while the contract remains in force and the dependent remains in such condition, if the member has within thirty-one (31) days of such dependent’s attainment of the limiting age submitted proof of such dependent’s incapacity as described herein. The service corporation may require at reasonable intervals during the two (2) years following the child’s attainment of the limiting age subsequent proof of the child’s disability and dependency. After the two (2) year period, such subsequent proof may not be required more than once each year.  History: [41-3436, added 1972, ch. 348, sec. 4, p. 1030; am. 2008, ch. 296, sec. 3, p. 828; am. 2009, ch. 125, sec. 4, p. 394; am. 2010, ch. 235, sec. 34, p. 569.]