Section 760IAC1-21-8. Payment into patient's compensation fund; annual surcharge for ancillary provider  


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  •    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.

    (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.

    (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 Nov 26, 2013, 3:43 p.m.: 20131225-IR-760130479RFA)