Common use of Medical Loss Ratio Calculation Clause in Contracts

Medical Loss Ratio Calculation. Within ninety (90) days following the six (6) month claims run-out period following the Coverage Year, the Department shall calculate the Medical Loss Ratio by dividing the Benefit Expense by the Revenue. The Medical Loss Ratio shall be expressed as a percentage rounded to the second decimal point. Contractor shall have sixty (60) days to review the Department’s Medical Loss Ratio Calculation. Each Party shall have the right to review all data and methodologies used to calculate the Medical Loss Ratio.

Medical Loss Ratio Calculation. Within ninety (90) days following data submission as defined in the six (6) month claims run-out period following annual MLR reporting instructions provided to the Coverage YearContractor, the Department and CMS shall calculate the Medical Loss Ratio in a timely manner by dividing the Benefit Expense by the Revenue. The Medical Loss Ratio shall be expressed as a percentage rounded to the second decimal point. The Contractor shall have sixty (60) days to review the Department’s Medical Loss Ratio Calculation. Each Party shall have the right to review all data and methodologies used to calculate the Medical Loss Ratio.

Medical Loss Ratio Calculation. Within ninety (90) days following the six (6) month claims run-out period following the Coverage Year, the The Department and CMS shall calculate the Medical Loss Ratio in a timely manner by dividing the Benefit Expense by the Revenue. The Medical Loss Ratio shall be expressed as a percentage rounded to the second decimal point. The Contractor shall have sixty (60) days to review the Department’s Medical Loss Ratio Calculation. Each Party shall have the right to review all data and methodologies used to calculate the Medical Loss Ratio.