Pennsylvania Code
Title 31 - INSURANCE
Part IX - Medical Catastrophe Loss Fund
Chapter 243 - MEDICAL MALPRACTICE AND HEALTH-RELATED SELF-INSURANCE PLANS
Section 243.4 - Reporting requirements for self-insurance plans
Current through Register Vol. 54, No. 12, March 23, 2024
A health care provider with an approved self-insurance plan shall report to the Commissioner not later than 6 months following the end of the hospital's fiscal year the experience of the prior fiscal year. The reports shall include the following:
(1) A certificate of acceptable audit of the self-insurance trust fund by a certified public accountant (CPA) and a copy of the CPA report.
(2) A balance sheet, an income and expense exhibit and other financial exhibits which the Commissioner may require.
(3) A comprehensive report of the risk management program of the self-insurance plan. A provider may substitute the proof of current 3-year accreditation by the Joint Commission on Accreditation of Hospitals and the current Department of Health audit showing a satisfactory status in place of the comprehensive report.
(4) Other information as the Commissioner may reasonably request.
The provisions of this § 243.4 amended under The Insurance Department Act of 1921 (40 P. S. §§ 1-321); The Insurance Company Law of 1921 (40 P. S. §§ 341-991); and sections 206, 506, 1501 and 1502 of The Administrative Code of 1929 (71 P. S. §§ 66, 186, 411 and 412); and the Health Care Services Malpractice Act (40 P. S. §§ 1301.101-1301.1006).
This section cited in 31 Pa. Code § 243.3 (relating to standards for self-insurance plans).
