Experience Adjustment Sample Clauses

Experience Adjustment. In the event that the actual medical loss ratio (MLR) that the INSURER achieves for this CONTRACT is better than eighty five percent (85%), calculated in the same manner as the premium development and allocation methodology utilized in INSURER’s ITN response. INSURER shall return to FHKC a share of the dollar difference between the INSURER’s actual MLR for said period and the projected minimum MLR of eighty five percent (85%) based on the following tiered Experience Adjustment schedule:
Sample 1
AutoNDA by SimpleDocs
Experience Adjustment. HEALTH PLANS Effective Dates: October 1, 2003 - September 30, 2005 In the event that the actual experience is less than 85 percent, in the aggregate for both Well Care and HealthEase, HEALTH PLAN shall pay to FHKC one-half of the difference. HEALTH PLAN shall annually provide FHKC with an aggregate experience report no later than March 1st for the prior calendar year. If any payments are due under this provision, HEALTH PLAN shall forward such payment with its written notification. HEALTH PLAN may be subject to audit or verification by FHKC or its designated agents. FHKC is not under any further obligation if the actual loss ratio exceeds 85%. HEALTH PLANS Effective Dates: October 1, 2003 - September 30, 2005 Page 29 of 50 EXHIBIT B ENROLLMENT PROCEDURES 1 All FHKC eligible participants will be provided with necessary enrollment materials and forms from FHKC or its assignee.
Sample 1
Experience Adjustment. In the event that the medical loss ratio. for this Agreement is better than eighty five percent (85%) calculated in the same manner as the premium development and allocation methodology utilized in AMERIGROUP’s response to the Request for Proposals (RFP), AMERIGROUP shall share equally with FHKC the dollar difference between the actual loss ratio for said period and the predicted eighty five percent (85%). AMERIGROUP shall provide FHKC with a written copy of its findings for each Agreement year by February 1st (first). If any payments are due under this provision, AMERIGROUP shall forward such payment with its written notification. AMERIGROUP may be subject to audit or verification by FHKC or its designated agents. FHKC shall determine the adequacy of the information supplied under this section and whether or not the calculation has been accurately performed in the manner prescribed below. The Calculation shall be illustrated in the following manner:
Sample 1
Experience Adjustment. In addition to the annual base rate adjustment provided in Paragraph A of this Section III, Landlord reserves the right to increase or decrease the annual base rate per square foot from time to time by the issuance of a revised rate schedule based on Landlord's accumulated experience compiled from the operation of the central cold air distribution system, including increased costs of materials and supplies, costs incurred for governmental impositions and to meet governmental requirements, unusual or extraordinary costs in maintaining or repairing the central plant equipment and distribution system, costs experienced for purchase and installation of new equipment and renovation of existing equipment and the distribution system and costs incurred to utilize and add to the plant equipment and distribution system new technological features. LANDLORD'S TENANT'S INITIALS INITIALS ---------- -------- J.E.S. DD H.T.S. [GRAPH OF BASE RATE CURVE SHEET @4060 HRS. - SCHEDULE A] LANDLORD'S TENANT'S INITIALS INITIALS ---------- -------- J.E.S. DD H.T.S. [GRAPH OF ADJUSTED RATE CURVE SHEET - SCHEDULE B] LANDLORD'S TENANT'S INITIALS INITIALS ---------- -------- J.E.S. DD H.T.S. SOUTH COAST PLAZA DETAILED DESIGN CRITERIA AND STANDARDS FOR LANDLORD'S WORK AND FOR TENANT'S WORK*
Sample 1
Experience Adjustment. In the event that the medical loss ratio for this Agreement is better than eighty-five percent (85%) in the aggregate for both WellCare and HealthEase calculated in the same manner as the premium development and allocation methodology utilized in the insurer’s original rate proposal in its response to the RFP, INSURER shall share equally with FHKC the dollar difference between the actual loss ratio for said period and the predicted eighty-five percent (85%). The INSURER shall provide annually FHKC with a written copy of its findings each year during the term of this Agreement by February 1st. If any payments are due under this provision, INSURER shall forward such payment with its written notification. The INSURER may be subject to audit or verification by FHKC or its designated agents. FHKC shall determine the adequacy of the information supplied under this section and whether or not the calculation has been accurately performed in the manner prescribed below. The Calculation shall be illustrated in the following manner:
Sample 1
Experience Adjustment. To reflect the impact of population morbidity, program changes, fee schedule changes, and COVID-19 impacts that have occurred since CY 2019, we applied an experience adjustment to the CY 2019 encounter data so that the data reflects utilization and cost levels consistent with a SFY 2021 incurred period. This experience adjustment was developed based on a direct comparison of CY 2019 incurred encounters to SFY 2021 incurred encounters. This process was established to enable use of an experience period closer to the rating period and promote transparency related to the impacts of COVID-19 on emerging experience. The SFY 2021 Experience Adjusted data serves as the primary source for modeling the impact of retrospective and prospective program changes. Below we have outlined the steps of our methodology for developing the Experience Adjustment.
Sample 1

Related to Experience Adjustment

  • Performance Adjustment One-twelfth of the annual Performance Adjustment Rate will be applied to the average of the net assets of the Portfolio (computed in the manner set forth in the Fund's Declaration of Trust or other organizational document) determined as of the close of business on each business day throughout the month and the performance period.

  • Adjustment, etc Any adjustment, indulgence, forbearance or compromise that might be granted or given by any of the Lenders to Borrower or Guarantor or any Person liable on the Liabilities;

  • Equitable Adjustment Trading volume amounts, price/volume amounts and similar figures in the Transaction Documents shall be equitably adjusted (but without duplication) to offset the effect of stock splits, similar events and as otherwise described in this Agreement and Warrants.

  • Adjustment of Conversion Rate The Conversion Rate shall be adjusted from time to time by the Company if any of the following events occurs, except that the Company shall not make any adjustments to the Conversion Rate if Holders of the Notes participate (other than in the case of (x) a share split or share combination or (y) a tender or exchange offer), at the same time and upon the same terms as holders of the Common Stock and solely as a result of holding the Notes, in any of the transactions described in this Section 14.04, without having to convert their Notes, as if they held a number of shares of Common Stock equal to the Conversion Rate, multiplied by the principal amount (expressed in thousands) of Notes held by such Holder.

  • Adjustment Events In the event the General Partner (i) declares or pays a dividend on any Class of its outstanding REIT Shares in REIT Shares or makes a distribution to all holders of any Class of its outstanding REIT Shares in REIT Shares, (ii) subdivides any Class of its outstanding REIT Shares, or (iii) combines any Class of its outstanding REIT Shares into a smaller number of REIT Shares with respect to any Class of REIT Shares, then a corresponding adjustment to the number of outstanding Partnership Units of the applicable Class necessary to maintain the proportionate relationship between the number of outstanding Partnership Units of such Class to the number of outstanding REIT Shares of such Class shall automatically be made. Additionally, in the event that any other entity shall become General Partner pursuant to any merger, consolidation or combination of the General Partner with or into another entity (the “Successor Entity”), the number of outstanding Partnership Units of each Class shall be adjusted by multiplying such number by the number of shares of the Successor Entity into which one REIT Share of such Class is converted pursuant to such merger, consolidation or combination, determined as of the date of such merger, consolidation or combination. Any adjustment to the number of outstanding Partnership Units of any Class shall become effective immediately after the effective date of such event retroactive to the record date, if any, for such event; provided, however, that if the General Partner receives a Notice of Redemption after the record date, but prior to the effective date of such dividend, distribution, subdivision or combination, or such merger, consolidation or combination, the number of outstanding Partnership Units of any Class shall be determined as if the General Partner had received the Notice of Redemption immediately prior to the record date for such dividend, distribution, subdivision or combination or such merger, consolidation or combination. If the General Partner takes any other action affecting the REIT Shares other than actions specifically described above and, in the opinion of the General Partner such action would require an adjustment to the number of Partnership Units to maintain the proportionate relationship between the number of outstanding Partnership Units to the number of outstanding REIT Shares, the General Partner shall have the right to make such adjustment to the number of Partnership Units, to the extent permitted by law, in such manner and at such time as the General Partner, in its sole discretion, may determine to be appropriate under the circumstances.

  • Final Adjustment As soon as practicable, the Company will prepare and deliver to Centerprise a final calculation of Net Working Capital revised to reflect all collections of AR up to the date 180 days from the Closing Date. Centerprise will review such calculation and any records, work papers and other documents related thereto. Within 10 days of receipt of such calculation, Centerprise will deliver to the Member Representative a written report indicating the amount and nature of any adjustment to the Basic Purchase Consideration determined in accordance with Section 2.2.1 (the "Final Adjustment").

  • Price Adjustment Civil works contracts of long duration (more than 18 months) shall contain an appropriate price adjustment clause.

  • ADJUSTMENT OF CONTRACT PRICE The Contract Price shall be subject to adjustment, as hereinafter set forth, in the event of the following contingencies (it being understood by both parties that any reduction of the Contract Price is by way of liquidated damages and not by way of penalty):

  • Conversion Price Adjustment In the event the Company, shall, at any time following the issuance of the Series A-1 Preference Shares, issue additional Common Shares in a financing transaction the sole purpose of which is to raise capital, at a price per share less than the Conversion Price then in effect, then the Conversion Price upon each such issuance shall be reduced to a price equal to the consideration paid for such additional Common Shares.

Draft better contracts in just 5 minutes Get the weekly Law Insider newsletter packed with expert videos, webinars, ebooks, and more!