Decree No. 519 / 2005 Coll.
Decree amending Decree No. 418 / 2003 Coll., establishing a more detailed definition of the heading and amount of the public health insurance funds of health insurance companies, the conditions for their creation, use, the admissibility of transfers of funds between them and the management of them, the limit of the cost of the activities of health insurance companies covered by the resources of the basic fund, including the procedure for calculating that limit, as amended by Decree No 656 / 2004 Coll.
Valid
Order
Effective from 01.01.2006
Text versions:
01.01.2006
28.12.2005
519
DECLARATION
of 14 December 2005
amending Decree No. 418 / 2003 Coll., establishing a more detailed definition of the heading and amount of the public health insurance funds of health insurance companies, the conditions for their creation, use, admissibility of transfers of funds and their management, the limit of the cost of the activities of health insurance companies covered by the resources of the basic fund, including the calculation procedure for that limit, as amended by Decree No 656 / 2004 Coll.
The Ministry of Finance, after consulting the Ministry of Health, provides for Act No. 551 / 1991 Coll., on the General Health Insurance Company of the Czech Republic, as amended by Act No. 127 / 1998 Coll., and pursuant to Section 16 (6) of the Act No. 280 / 1992 Coll., on departmental, branch, corporate and other health insurance companies, as amended by Act No. 225 / 1999 Coll.:
Decree No. 418 / 2003 Coll., establishing a more detailed definition of the heading and amount of the public health insurance funds of health insurance companies, the conditions for their creation, use, admissibility of transfers of funds and their management, the limit of the cost of the activities of health insurance companies covered by the resources of the basic fund, including the calculation procedure for this limit, as amended by Decree No 656 / 2004 Coll., is amended as follows:
1. in Article 1 (1) (e), including footnote 4a:
"(e) claims for health care paid in the Czech Republic to foreign insured persons who are natural persons for whom health care has been paid in accordance with declared international social security agreements with which Parliament has given its assent and with which the Czech Republic is bound, or according to the directly applicable provisions of the European Communities (4a);
(4a) For example, Council Regulation (EEC) No 1408 / 71 on the application of social security schemes to employed persons, self-employed persons and members of their families moving within the Community, Council Regulation (EEC) No 574 / 72 laying down the procedure for implementing Council Regulation (EEC) No 1408 / 71 on the application of social security systems to employed persons, to self-employed persons and to members of their families moving within the Community. ';
2. in Article 1 (1), point (f) is deleted;
Points (g) to (j) shall be renumbered as points (f) to (i).
3. in Article 1 (4) (b), including footnote 13:
"(b) obligations arising from the treatment provided to insured persons in a foreign country (13), including additional settlement corrections;
13) Sections 14 and 55a of Act No. 48 / 1997 Coll. '.
4. in Article 1 (4) (c):
"(c) the obligations arising from the provision of health care charged to the health insurance company by health insurance companies as foreign insured persons, by which natural persons who have been granted healthcare in accordance with the declared international social security agreements with which Parliament has given its assent and with which the Czech Republic is bound, or under the directly applicable provisions of the European Communities (4a),"
5. in Article 1 (4), point (d) shall be deleted;
Points (e) to (l) shall be renumbered (d) to (k).
6. In Article 3 (4) (c), "basic 'is replaced by" reserve'.
7. in § 6 (2) (a), the words "§ 3 (4) (a)" shall be inserted after the words "after";
8. In Article 6 (2) (c), "(l) 'is replaced by" (k)';
9. Paragraph 7 (2) reads as follows:
"(2) The amount of the limit of funds constituting the sum of the allocations to the operational fund, the social fund and the capital reproductions fund shall be calculated according to the following formula:
L = PC: 100 × koef.
where:
L... represents the cost limit for the health insurance business calculated from public health insurance in CZK,
PC... represent income in CZK per calendar year from public health insurance after redistribution, from penalty payments, fines, premiums and damages,
coef.... represents a percentage coefficient, rounded to two decimal places and calculated using the formula
coef. = -0,58 / P × p + 3,71 + 0,58 / P × 50
where:
P... represents the value of 10 310, representing one thousand of the average number of insured persons of the public health insurance scheme included in the calculation of the limit,
p... represents one thousand of the average number of insured persons of a health insurance company, calculated from monthly distribution data for the evaluation period, including corrective reports, rounded up to the integer. '.
10. in Article 7 (3) (b), the words "all tangible and intangible assets" shall be inserted after the words "depreciation."
11. in the first sentence of Article 7 (4), "paragraph 9" is replaced by "paragraph 10."
Transitional provision
The calculation provided for in Article 7 (2) of Decree No. 418 / 2003 Coll., as effective from the date of entry into force of the Order, shall apply for the first time for cases falling within the accounting year 2006.
Efficacy
This Decree shall take effect on 1 January 2006.
Minister:
Sobotka v. r.
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Regulation Information
| Citation | Decree No. 519 / 2005 Coll., amending Decree No. 418 / 2003 Coll., establishing a more detailed definition of the heading and amount of the public health insurance funds of health insurance companies, the conditions for their creation, use, admissibility of transfers of funds and their management, the limit of the cost of the activities of health insurance companies covered by the resources of the basic fund, including the calculation procedure for this limit, as amended by Decree No. 656 / 2004 Coll. |
|---|---|
| Regulation Type | Order |
| Author | - |
| Collection | Code of Laws |
| Date of Promulgation | 28.12.2005 |
|---|---|
| Effective from | 01.01.2006 |
| Effective until | - |
| Status | Valid |
The regulation text is for informational purposes only.
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