Coverage Year. The coverage year shall be the calendar year. The MLR calculation shall be prepared using all data available from the coverage year, including incurred but not paid (IBNP) and six (6) months of run-out for benefit expense (excluding sub-capitation paid during the run-out months.
Coverage Year. The Coverage Year shall be the calendar year. The Medical Loss Ratio Calculation shall be prepared using all data available from the Coverage Year, including IBNP and six (6) months of run-out for Benefit Expense (excluding sub-capitation paid during the run-out months).
Coverage Year. The Coverage Year shall be the demonstration year. The Medical Loss Ratio Calculation shall be prepared using all data available from the Coverage Year, including IBNP and eighteen (18) months of run-out for Benefit Expense.
Coverage Year. The coverage year shall be the demonstration year. The MLR calculation shall be prepared using all data available from the coverage year, including IBNP and nine (9) months of run-out for benefit expense (excluding sub-capitation paid during the run-out months).
Coverage Year. 1. An eligible unit member for the District-paid fringe benefits is one who is contracted to work five (5) teaching periods daily during the contract year. For those unit members employed after July 1, 1994, who work less than five (5) and more than two (2) teachingperiods, the District will pay a pro-rated amount towards their medical benefits equal to the percentage of their assignment.
Coverage Year. The vision coverage year begins January 1 of each year.
Coverage Year. The first coverage year shall be May 2014 through December 2015. Following December 2015, the coverage year shall be the calendar year. The MLR calculation shall be prepared using all data available from the coverage year, including IBNP and six (6) months of run-out for benefit expense (excluding sub-capitation paid during the run-out months).
Coverage Year. The coverage year shall be the demonstration year. The MLR calculation shall be prepared using all data available from the coverage year, including IBNP and nine
Coverage Year. The Coverage Year will initially be considered a fifteen (15) month period followed by subsequent twelve (12)
