Page:United States Statutes at Large Volume 124.djvu/1044

 124 STAT. 1018 PUBLIC LAW 111–148—MAR. 23, 2010 2013 ........................................................... $7,000,000,000 2014, 2015 and 2016 ................................. $9,000,000,000 2017 and thereafter .................................. $10,000,000,000.’’. (c) EXEMPTION FROM ANNUAL FEE ON HEALTH INSURANCE FOR CERTAIN NONPROFIT ENTITIES.—Section 9010(c)(2) of this Act is amended by striking ‘‘or’’ at the end of subparagraph (A), by striking the period at the end of subparagraph (B) and inserting a comma, and by adding at the end the following new subparagraphs: ‘‘(C) any entity— ‘‘(i)(I) which is incorporated as, is a wholly owned subsidiary of, or is a wholly owned affiliate of, a non- profit corporation under a State law, or ‘‘(II) which is described in section 501(c)(4) of the Internal Revenue Code of 1986 and the activities of which consist of providing commercial-type insurance (within the meaning of section 501(m) of such Code), ‘‘(ii) the premium rate increases of which are regu- lated by a State authority, ‘‘(iii) which, as of the date of the enactment of this section, acts as the insurer of last resort in the State and is subject to State guarantee issue require- ments, and ‘‘(iv) for which the medical loss ratio (determined in a manner consistent with the determination of such ratio under section 2718(b)(1)(A) of the Public Health Service Act) with respect to the individual insurance market for such entity for the calendar year is not less than 100 percent, ‘‘(D) any entity— ‘‘(i)(I) which is incorporated as a nonprofit corpora- tion under a State law, or ‘‘(II) which is described in section 501(c)(4) of the Internal Revenue Code of 1986 and the activities of which consist of providing commercial-type insurance (within the meaning of section 501(m) of such Code), and ‘‘(ii) for which the medical loss ratio (as so deter- mined)— ‘‘(I) with respect to each of the individual, small group, and large group insurance markets for such entity for the calendar year is not less than 90 percent, and ‘‘(II) with respect to all such markets for such entity for the calendar year is not less than 92 percent, or ‘‘(E) any entity— ‘‘(i) which is a mutual insurance company, ‘‘(ii) which for the period reported on the 2008 Accident and Health Policy Experience Exhibit of the National Association of Insurance Commissioners had— ‘‘(I) a market share of the insured population of a State of at least 40 but not more than 60 percent, and