Annual premiums
Health benefit premium
In general
The health benefit premium for any plan year for any assigned operator shall be an amount equal to the product of the per beneficiary premium for the plan year multiplied by the number of eligible beneficiaries assigned to such operator under section 9706.
Per beneficiary premium
Adjustments for medicare reductions
If, by reason of a reduction in benefits under title XVIII of the Social Security Act, the level of health benefits under the Combined Fund would be reduced, the trustees of the Combined Fund shall increase the per beneficiary premium for the plan year in which the reduction occurs and each subsequent plan year by the amount necessary to maintain the level of health benefits which would have been provided without such reduction.
Death benefit premium
The death benefit premium for any plan year for any assigned operator shall be equal to the applicable percentage of the amount, actuarially determined, which the Combined Fund will be required to pay during the plan year for death benefits coverage described in section 9703(c).
Unassigned beneficiaries premium
Plan years ending on or before
For plan years ending on or before , the unassigned beneficiaries premium for any assigned operator shall be equal to the applicable percentage of the product of the per beneficiary premium for the plan year multiplied by the number of eligible beneficiaries who are not assigned under section 9706 to any person for such plan year.
Plan years beginning on or after
In general
For plan years beginning on or after , subject to subparagraph (B), there shall be no unassigned beneficiaries premium, and benefit costs with respect to eligible beneficiaries who are not assigned under section 9706 to any person for any such plan year shall be paid from amounts transferred under section 9705(b).
Inadequate transfers
30 U.S.C. 1232If, for any plan year beginning on or after , the amounts transferred under section 9705(b) are less than the amounts required to be transferred to the Combined Fund under subsection (h)(2)(A) or (i) of section 402 of the Surface Mining Control and Reclamation Act of 1977 (), then the unassigned beneficiaries premium for any assigned operator shall be equal to the operator’s applicable percentage of the amount required to be so transferred which was not so transferred.
Premium accounts; adjustments
Accounts
The trustees of the Combined Fund shall establish and maintain 3 separate accounts for each of the premiums described in subsections (b), (c), and (d). Such accounts shall be credited with the premiums received and amounts transferred under section 9705(b) and debited with expenditures allocable to such premiums.
Allocations
Administrative expenses
Administrative costs for any plan year shall be allocated to premium accounts under paragraph (1) on the basis of expenditures (other than administrative costs) from such accounts during the preceding plan year.
Interest
Interest shall be allocated to the account established for health benefit premiums.
Shortfalls and surpluses
In general
Except as provided in subparagraph (B), if, for any plan year, there is a shortfall or surplus in any premium account, the premium for the following plan year for each assigned operator shall be proportionately reduced or increased, whichever is applicable, by the amount of such shortfall or surplus. Amounts credited to an account from amounts transferred under section 9705(b) shall not be taken into account in determining whether there is a surplus in the account for purposes of this paragraph.
Exception
No authority for increased payments
Nothing in this paragraph shall be construed to allow expenditures for health care benefits for any plan year in excess of the limit under section 9703(b)(2).
Applicable percentage
In general
The term “applicable percentage” means, with respect to any assigned operator, the percentage determined by dividing the number of eligible beneficiaries assigned under section 9706 to such operator by the total number of eligible beneficiaries assigned under section 9706 to all such operators (determined on the basis of assignments as of ).
Annual adjustments
Payment of premiums
In general
The annual premium under subsection (a) for any plan year shall be payable in 12 equal monthly installments, due on the twenty-fifth day of each calendar month in the plan year. In the case of the plan year beginning , the annual premium under subsection (a) shall be added to such premium for the plan year beginning .
Deductibility
Any premium required by this section shall be deductible without regard to any limitation on deductibility based on the prefunding of health benefits.
Information
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Transition rules
1988 agreement operators
1st year costs
During the plan year of the Combined Fund beginning , the 1988 agreement operators shall make contributions to the Combined Fund in amounts necessary to pay benefits and administrative costs of the Combined Fund incurred during such year, reduced by the amount transferred to the Combined Fund under section 9705(a) on .
Deficits from merged plans
During the period beginning , and ending , the 1988 agreement operators shall make contributions to the Combined Fund as are necessary to pay off the expenses accrued (and remaining unpaid) by the 1950 UMWA Benefit Plan and the 1974 UMWA Benefit Plan as of , reduced by the assets of such plans as of such date.
Failure
If any 1988 agreement operator fails to meet any obligation under this paragraph, any contributions of such operator to the Combined Fund or any other plan described in section 404(c) shall not be deductible under this title until such time as the failure is corrected.
Premium reductions
1st year payments
In the case of a 1988 agreement operator making contributions under subparagraph (A), the premium of such operator under subsection (a) shall be reduced by the amount paid under subparagraph (A) by such operator for the plan year beginning .
Deficit payments
In the case a 1988 agreement operator making contributions under subparagraph (B), the premium of such operator under subsection (a) shall be reduced by the amounts which are paid to the Combined Fund by reason of claims arising in connection with the 1950 UMWA Benefit Plan and the 1974 UMWA Benefit Plan as of , including claims based on the “evergreen clause” found in the language of the 1950 UMWA Benefit Plan and the 1974 UMWA Benefit Plan, and which are allocated to such operator under subparagraph (E).
Limitation
Clause (ii) shall not apply to the extent the amounts paid exceed the contributions.
Plan years
Premiums under subsection (a) shall be reduced for the first plan year for which amounts described in clause (i) or (ii) are available and for any succeeding plan year until such amounts are exhausted.
Allocations of contributions and refunds
Contributions under subparagraphs (A) and (B), and premium reductions under subparagraph (D)(ii), shall be made ratably on the basis of aggregate contributions made by such operators under the applicable 1988 coal wage agreements as of .
1st plan year
Startup costs
The 1950 UMWA Benefit Plan and the 1974 UMWA Benefit Plan shall pay the costs of the Combined Fund incurred before . For purposes of this section, such costs shall be treated as administrative expenses incurred for the plan year beginning .
Prepayment of premium liability
In general
Assigned operators to which subsection applies
In general
Controlled group of corporations
A controlled group of corporations is described in this subparagraph if the common parent of such group is a corporation the shares of which are publicly traded on a United States exchange.
Coordination with repeal of assignments
A person shall not fail to be treated as an assigned operator to which this subsection applies solely because the person ceases to be an assigned operator by reason of section 9706(h)(1) if the person otherwise meets the requirements of this subsection and is liable for the payment of premiums under section 9706(h)(3).
Controlled group
For purposes of this subsection, the term “controlled group of corporations” has the meaning given such term by section 52(a).
Requirements
Use of prepayment
Pub. L. 102–486, title XIX, § 19143(a)106 Stat. 3042 Pub. L. 103–296, title I, § 108(h)(9)(A)108 Stat. 1487 Pub. L. 109–432, div. C, title II120 Stat. 3020 Pub. L. 115–141, div. U, title IV, § 401(a)(344)132 Stat. 1200 (Added , , ; amended , , ; , §§ 211(a), 212(a)(2), , , 3024; , , .)
Editorial Notes
References in Text
act Aug. 14, 1935, ch. 531 49 Stat. 620 section 1305 of Title 42The Social Security Act, referred to in subsec. (b)(3), is , . Title XVIII of the Act is classified generally to subchapter XVIII (§ 1395 et seq.) of chapter 7 of Title 42, The Public Health and Welfare. For complete classification of this Act to the Code, see and Tables.
Amendments
Pub. L. 115–1412018—Subsec. (d)(2)(B). substituted “1232),” for “1232)),”.
Pub. L. 109–432, § 212(a)(2)(A)2006—Subsec. (d). , reenacted heading without change and amended text of subsec. (d) generally. Prior to amendment, text read as follows: “The unassigned beneficiaries premium for any plan year for any assigned operator shall be equal to the applicable percentage of the product of the per beneficiary premium for the plan year multiplied by the number of eligible beneficiaries who are not assigned under section 9706 to any person for such plan year.”
Pub. L. 109–432, § 212(a)(2)(B)(i)Subsec. (e)(1). , inserted “and amounts transferred under section 9705(b)” after “premiums received”.
Pub. L. 109–432, § 212(a)(2)(B)(ii)Subsec. (e)(3)(A). , inserted at end “Amounts credited to an account from amounts transferred under section 9705(b) shall not be taken into account in determining whether there is a surplus in the account for purposes of this paragraph.”
Pub. L. 109–432, § 212(a)(2)(C)Subsec. (f)(2)(C). , added subpar. (C).
Pub. L. 109–432, § 211(a)Subsec. (j). , added subsec. (j).
Pub. L. 103–2961994—Subsecs. (b)(2), (h). substituted “Commissioner of Social Security” for “Secretary of Health and Human Services”.
Statutory Notes and Related Subsidiaries
Effective Date of 2006 Amendment
Pub. L. 109–432, div. C, title II, § 212(a)(4)120 Stat. 3025
Effective Date of 1994 Amendment
Pub. L. 103–296section 110(a) of Pub. L. 103–296section 401 of Title 42Amendment by effective , see , set out as a note under , The Public Health and Welfare.