26-48-201. Definitions. (a) As used in this article: (i) 'Adjusted RBC report' means an RBC report which has been adjusted by the commissioner in accordance with W.S. 26-48-202(c); (ii) 'Corrective order' means an order issued by the commissioner specifying corrective actions which the commissioner has determined are required; (iii) 'Domestic health organization' means a health organization domiciled in this state; (iv) 'Foreign health organization' means a health organization that is licensed to do business in this state but is not domiciled in this state; (v) 'Health organization' means a health maintenance organization, limited health service organization, dental or vision plan, hospital, medical and dental indemnity or service corporation or other managed care organization licensed under chapter 3 or chapter 34 of this title. This definition does not include an organization that is licensed as either a life and health insurer or a property and casualty insurer as defined in W.S. 26-48-101(a)(xiii) and (xiv) and that is otherwise subject to either the life or property and casualty risk based capital requirements of W.S. er or a property and casualty insurer as defined in W.S. 26-48-101(a)(xiii) and (xiv) and that is otherwise subject to either the life or property and casualty risk based capital requirements of W.S. 26-48-101 through 26-48-112; (vi) 'NAIC' means the National Association of Insurance Commissioners; (vii) 'RBC' means risk-based capital; (viii) 'RBC instructions' means the RBC report including risk-based capital instructions adopted by the commissioner, and as may be amended by the commissioner; (ix) 'RBC level' means a health organization's company action level RBC, regulatory action level RBC, authorized control level RBC or mandatory control level RBC where: (A) 'Company action level RBC' means, with respect to any health organization, the product of two (2) and its authorized control level RBC; (B) 'Regulatory action level RBC' means the product of one and one-half (1.5) and its authorized control level RBC; (C) 'Authorized control level RBC' means the number determined under the risk-based capital formula in accordance with the RBC instructions; (D) 'Mandatory control level RBC' means the product of seven-tenths (.7) and the authorized control level RBC. determined under the risk-based capital formula in accordance with the RBC instructions; (D) 'Mandatory control level RBC' means the product of seven-tenths (.7) and the authorized control level RBC. (x) 'RBC plan' means a comprehensive financial plan containing the elements specified in W.S. 26-48-203(b). If the commissioner rejects the RBC plan, and it is revised by the health organization, with or without the commissioner's recommendation, the plan shall be called the 'revised RBC plan'; (xi) 'RBC report' means the report required in W.S. 26-48-202; (xii) 'Total adjusted capital' means the sum of: (A) A health organization's statutory capital and surplus as determined in accordance with the statutory accounting applicable to the annual financial statements required to be filed under W.S. 26-3-123 or 26-34-110; and (B) Such other items, if any, as the RBC instructions may provide.
Wyoming Legal Code