Section 2.04 - Surcharge Payor Assessment(1)General. The Commission shall establish a one-time surcharge assessment on all Qualifying Surcharge Payors. The surcharge amount to be paid to the Commission by each Qualifying Surcharge Payor is the product of:(b) the surcharge payor surcharge percentage as defined in 958 CMR 2.04(2).(2)Calculation of the Surcharge Payor Surcharge Percentage. The Commission shall establish, using the best data available as determined by the Commission, the surcharge payor surcharge percentage by dividing the surcharge payor's payments made to the Health Safety Net during fiscal year 2012 for Hospital Services by the total of such payments from all surcharge payors in fiscal year 2012.(3)Payment Process for Surcharge Payors.(a)Notification. The Commission shall notify all Qualifying Surcharge Payors of its total surcharge amount by April 1, 2013. The notification shall be in writing and shall inform the Surcharge Payor of its payment options as defined by 958 CMR 2.04(3)(b).(b)Payment Option. A Qualifying Surcharge Payor shall pay the full amount of the surcharge amount to the Commission in the following manner:1. A single payment to be made no later than June 30, 2013; or2. In four equal annual installments to be paid on or before June 30th of each year beginning on June 30, 2013.(c) All surcharge payments must be payable in United States dollars and drawn on a United States bank. The Commission will assess a $30 penalty on any Surcharge Payor whose check is returned for insufficient funds.