Decree of the Ministry of Health No. 305 / 1996 Coll.
Ordinance of the Ministry of Health on the Management Rules with a special general health insurance account and the Rules of Procedure of the Supervisory Body
Valid
Order
Effective from 01.01.1997
Text versions:
01.01.1997
13.12.1996
305
DECLARATION
Ministry of Health
of 5 December 1996
on the management rules for a special general health insurance account and the rules of procedure of the supervisory authority
The Ministry of Health, in agreement with the Ministry of Finance pursuant to § 20 paragraph 4 of the Act of the Czech National Council No. 592 / 1992 Coll., on the insurance of general health insurance, as amended by Act No. 149 / 1996 Coll.:
Management with special account
Health insurance companies carrying out general health insure1) (hereinafter referred to as "health insurance company") communicate to the General Health Insurance Company of the Czech Republic, which pursuant to the General Health Insurance Insurance Act (hereinafter referred to as "the Act") 2 manages the special general health insurance account (hereinafter referred to as "the administrator of the special account") the data needed for the distribution of premiums to general health insurance. This information shall be communicated by means of the forms "Notification of the health insurance undertaking - Redistribution I 'and" Reporting of the health insurance undertaking - Redistribution II' issued by the administrator of the special account, the model of which is set out in the Annex which forms part of this Order.
The administrator of the special account rounded down the total amount corresponding to the relevant health insurance company after the reallocation (Section 21 (2) of the Act).
(1) On the basis of a written communication from the health insurance company on the incorrectly reported number of insured persons for which the insurance payee is the State of Insurance 3 (hereinafter referred to as the "notified number of insured persons"), the Central Insurance Company of the General Health Insurance Company of the Czech Republic shall, at the next notification to the Ministry of Finance (Section 27 (3) of the Act), correct these data for the whole period for which they were wrongly notified.
(2) Where the written notification referred to in paragraph 1 shows that:
(a) the number of insured persons notified was less than the actual number determined, the State will pay the premium for the number of insured persons that makes up the difference between the number notified and the actual number found, at the level set for payment by the State (Section 3c of the Act) at the same time as the next nearest monthly payment for persons for whom it is paid by the State of insurance. 3) The supplement shall be reallocated at the same time as the monthly payment with which it was paid,
(b) the number of insured persons notified was greater than the actual number found, and the administrator of the special account shall notify the Ministry of Finance of the excess premium of the amount specified for payment by the State (Section 3c of the Act). The excess premium shall be settled with the insured State at the nearest monthly payment (Section 12 of the Act). The total amount overpaid shall be added by the administrator of the special account to 60% of the premiums collected by the relevant health insurance company (Section 21 (1) of the Act) at the next reallocation.
If the relevant health insurance undertaking miscommunicate 60% of the premiums collected incorrectly, the administrator of the special account shall, at the earliest reallocation, make a correction before calculating the total amount (Paragraph 21 (2) of the Act) by adding or subtracting the difference between the amount of premiums collected wrongly disclosed and the amount of 60% of the premiums actually determined.
Rules of Procedure of the Supervisory Body
(1) The members of the Supervisory Body (Paragraph 20 (3) of the Act) supervising compliance with the management rules of a special account (hereinafter referred to as the Supervisory Authority) shall transmit a copy of their appointment or mandate to the Supervisory Authority to the administrator of the special account.
(2) The members of the supervisory body (Section 20 (3) of the Act) each with a single vote, with representatives of the other health insurance companies (4) together having one vote (hereinafter referred to as "members entitled to vote"), elect a chairman, Vice-President and manager from among themselves for a period of one year. The President, the Vice-President and the Managing Director may also be re-elected, but no later than for the next year.
(3) The administrator of the special account shall convene the meetings of the supervisory authority once in each calendar month; convene emergency meetings where necessary.
(4) The deliberations of the supervisory authority are governed by its chairman. The agent shall draw up a record of the conduct of the negotiations, which he shall send to all members of the supervisory authority. Any objections to the content of the minutes shall be discussed at the next meeting of the supervisory authority.
(5) The supervisory authority shall be able to act if an absolute majority of the members authorised to vote are present. The resolution shall be adopted if a majority of the members present present vote in favour. In the event of a tie, the administrator of the special account shall convene a new meeting of the supervisory authority in the same calendar month.
(6) The administrator of the special account shall inform the supervisory authority of the management of the special account at each meeting. At the same time, it shall forward to all members written evidence of the reallocation made.
(7) In addition to the members of the supervisory authority, other persons invited by the chairman of the supervisory authority may also be present at the hearing or shall give his consent on a proposal from a member of the supervisory authority.
Efficacy
This Decree shall take effect on 1 January 1997.
Minister:
PhDr.
Annex to Decree No. 305 / 1996 Coll.
_
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1) Act No. 551 / 1991 Coll., on the General Health Insurance Company of the Czech Republic, as amended by Act No. 592 / 1992 Coll., Act No. 10 / 1993 Coll., Act No. 60 / 1995 Coll. and Act No. 149 / 1996 Coll. Act No. 280 / 1992 Coll., on departmental, branch, corporate and other health insurance companies, as amended by Act No. 10 / 1993 Coll., Act No. 15 / 1993 Coll., Act No. 60 / 1995 Coll. and Act No. 149 / 1996 Coll.
2) Act No. 592 / 1992 Coll., on Insurance for General Health Insurance, as amended.
3) § 6c of Act No. 550 / 1991 Coll., on General Health Insurance, as amended by Act No. 59 / 1995 Coll. and Act No. 149 / 1996 Coll.
4) Act No. 280 / 1992 Coll.
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Regulation Information
| Citation | Decree of the Ministry of Health No. 305 / 1996 Coll., on the management rules with a special general health insurance account and the Rules of Procedure of the Supervisory Body |
|---|---|
| Regulation Type | Order |
| Author | - |
| Collection | Code of Laws |
| Date of Promulgation | 13.12.1996 |
|---|---|
| Effective from | 01.01.1997 |
| Effective until | - |
| Status | Valid |
The regulation text is for informational purposes only.
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