Common use of Experience Adjustment Report Clause in Contracts

Experience Adjustment Report. ‌ In addition to the quarterly and annual MLR report, Insurer shall provide an experience adjustment report for each Contract Year. The experience adjustment report due date is December 31st the following year. The MLR rebate, if any, shall be calculated and provided based on the data included in this report. If any MLR rebate is owed to FHKC, Insurer shall remit such payment to FHKC no later than February 1st. The experience adjustment report shall be in a format established by FHKC and include sufficient documentation, as determined by FHKC, to support Insurer’s MLR calculation and to allow FHKC to evaluate the component and subcomponent expenses included. FHKC shall determine the adequacy of the information supplied and whether the MLR calculation is accurate.

Experience Adjustment Report. ‌ In addition to the quarterly and annual MLR report, Insurer shall provide an experience adjustment report for each Contract Year. The experience adjustment report due date is December 31st June 30th the following year. The MLR rebate, if any, shall be calculated and provided based on the data included in this report. If any MLR rebate is owed to FHKC, Insurer shall remit such payment to FHKC no later than February August 1st. The experience adjustment report shall be in a format established by FHKC and include sufficient documentation, as determined by FHKC, to support Insurer’s MLR calculation and to allow FHKC to evaluate the component and subcomponent expenses included. FHKC shall determine the adequacy of the information supplied and whether the MLR calculation is accurate.

Experience Adjustment Report. ‌ ‌‌ In addition to the quarterly and annual MLR report, Insurer shall provide an experience adjustment report for each Contract Year. The experience adjustment report due date is December 31st June 30th the following year. The MLR rebate, if any, shall be calculated and provided based on the data included in this report. If any MLR rebate is owed to FHKC, Insurer shall remit such payment to FHKC no later than February August 1st. The experience adjustment report shall be in a format established by FHKC and include sufficient documentation, as determined by FHKC, to support Insurer’s MLR calculation and to allow FHKC to evaluate the component and subcomponent expenses included. FHKC shall determine the adequacy of the information supplied and whether the MLR calculation is accurate.