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Kansas Health Care
Stabilization Fund

300 SW 8th Ave, 2nd Floor
Topeka, KS 66603

Ph: (785) 291-3777
F: (785) 291-3550
hcsf@hcsf.org

Surcharge Rating System Information

Insurers should submit the Notice of Basic Coverage (NBC) form and the premium surcharge to the Fund. Both the "Notice of Basic Coverage" and associated "Instructions" may be downloaded from the forms page. There is also an electronic form with an on-line payment option available via the "E-Compliance" link in the "For Insurers" drop-down box.

FORMS PAGE LINK

The following information should be used to complete the NBC and calculate the surcharge amount.

HCSF Surcharge Rate Tables Effective July 1, 2013

HCSF Surcharge Rate Tables Effective July 1, 2012

TABLE A - $100,000/$300,000 Coverage Limits

 

HCSF

Class Group

 

 

1st  Year

 

 

 

2nd  Year

 

 

 

3rd  Year

 

 

 

4th  Year

 

 

 

5th Year

or More

 

1

 

$85

 

$221

 

$346

 

$383

 

$428

 

2

 

$162

 

$419

 

$657

 

$726

 

$814

 

3

 

$223

 

$575

 

$906

 

$1,001

 

$1,119

 

4

 

$250

 

$645

 

$1,013

 

$1,117

 

$1,252

 

5

 

$271

 

$705

 

$1,109

 

$1,226

 

$1,370

 

6

 

$317

 

$818

 

$1,287

 

$1,422

 

$1,590

 

7

 

$264

 

$682

 

$1,076

 

$1,187

 

$1,328

 

8

 

$606

 

$1,568

 

$2,472

 

$2,728

 

$3,051

 

9

 

$610

 

$1,574

 

$2,481

 

$2,736

 

$3,063

 

10

 

$891

 

$2,307

 

$3,636

 

$4,011

 

$4,489

 

11

 

$1,498

 

$3,868

 

$6,095

 

$6,726

 

$7,524

 

12

 

$50

 

$118

 

$188

 

$206

 

$230

 

13

 

$88

 

$228

 

$356

 

$394

 

$445

 

14

 

$207

 

$536

 

$843

 

$931

 

$1,040

 

15-20

 

23.0%

 

23.0%

 

23.0%

 

23.0%

 

23.0%

 

 

TABLE B - $300,000/$900,000 Coverage Limits

 

HCSF

Class Group

 

 

1st  Year

 

 

 

2nd  Year

 

 

 

3rd  Year

 

 

 

4th  Year

 

 

 

5th Year

or More

 

1

 

$149

 

$385

 

$607

 

$671

 

$750

 

2

 

$281

 

$729

 

$1,152

 

$1,272

 

$1,425

 

3

 

$387

 

$1,007

 

$1,587

 

$1,751

 

$1,960

 

4

 

$439

 

$1,126

 

$1,776

 

$1,958

 

$2,189

 

5

 

$479

 

$1,231

 

$1,941

 

$2,142

 

$2,396

 

6

 

$554

 

$1,430

 

$2,255

 

$2,487

 

$2,780

 

7

 

$463

 

$1,192

 

$1,883

 

$2,076

 

$2,323

 

8

 

$1,063

 

$2,744

 

$4,324

 

$4,775

 

$5,341

 

9

 

$1,067

 

$2,754

 

$4,341

 

$4,791

 

$5,358

 

10

 

$1,563

 

$4,035

 

$6,359

 

$7,021

 

$7,853

 

11

 

$2,622

 

$6,766

 

$10,666

 

$11,769

 

$13,167

 

12

 

$80

 

$207

 

$328

 

$362

 

$404

 

13

 

$152

 

$397

 

$626

 

$690

 

$775

 

14

 

$363

 

$936

 

$1,475

 

$1,630

 

$1,822

 

15-20

 

35.0%

 

35.0%

 

35.0%

 

35.0%

 

35.0%

 

 

TABLE C - $800,000/$2,400,000 Coverage Limits

HCSF

Class Group

 

 

1st  Year

 

 

 

2nd  Year

 

 

 

3rd  Year

 

 

 

4th  Year

 

 

 

5th Year

or More

1

 

$188

 

$484

 

$762

 

$842

 

$941

2

 

$358

 

$919

 

$1,448

 

$1,602

 

$1,788

3

 

$489

 

$1,265

 

$1,995

 

$2,203

 

$2,462

4

 

$546

 

$1,413

 

$2,229

 

$2,462

 

$2,754

5

 

$600

 

$1,548

 

$2,440

 

$2,693

 

$3,012

6

 

$697

 

$1,797

 

$2,832

 

$3,125

 

$3,497

7

 

$582

 

$1,501

 

$2,367

 

$2,611

 

$2,920

8

 

$1,337

 

$3,451

 

$5,438

 

$5,999

 

$6,713

9

 

$1,343

 

$3,462

 

$5,456

 

$6,022

 

$6,736

10

 

$1,967

 

$5,074

 

$7,996

 

$8,828

 

$9,873

11

 

$3,293

 

$8,509

 

$13,406

 

$14,798

 

$16,552

12

 

$100

 

$259

 

$410

 

$452

 

$506

13

 

$195

 

$498

 

$789

 

$870

 

$973

14

 

$455

 

$1,176

 

$1,856

 

$2,047

 

$2,291

15-20

 

40.0%

 

40.0%

 

40.0%

 

40.0%

 

40.0%

 

 

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