Premium Calculations. 24 1. For Kaiser Plans, the premium charges shall be the amount charged by 25 Kaiser to the County. For the Moda plans, the premium charges shall be calculated, using 44 1 sound actuarial principles, and include projected claim costs based on plan experience as 2 required by state regulations, IBNR expenses, federal and state Insurance Pool assessments, 3 pharmaceutical claim expenses, stop-loss premiums, third-party benefit plan administration 4 costs, and an appropriate trend factor selected to limit County contributions and employee cost 5 shares while providing adequate funding for plan operations.
6 2. If a government agency or other taxing authority imposes or increases a 7 tax or other charge upon the County’s Medical and/or Dental benefit plans(s) or any activity of 8 the plan(s), the County may increase the appropriate premium(s) to include the new or 9 increased tax or charge.
Premium Calculations. Premiums for all plans shall be established using standard actuarial principles or actual rates being charged by the carrier or HMO. Covered employees for premium calculation purposes shall include all employees receiving the same benefits.
Premium Calculations. 18 For Kaiser Plans, the premium charges shall be the amount charged by Kaiser
Premium Calculations. 4 For Kaiser Plans, the premium charges shall be the amount charged by 5 Kaiser to the County. For the Moda plans, the premium charges shall be calculated, 6 using sound actuarial principles, and include projected claim costs based on plan 7 experience as required by state regulations, IBNR expenses, Oregon Medical 8 Insurance Pool or other state assessments, pharmaceutical claim expenses, stop- 11 providing adequate funding for plan operations. 12 If a government agency or other taxing authority imposes or increases a tax or 13 other charge upon the County’s Medical and/or Dental benefit plan(s) or any activity 14 of the plan(s), the County may increase the appropriate premium(s) to include the 15 new or increased tax or charge.
Premium Calculations. For Kaiser Plans, the premium charges shall be the amount charged by Kaiser to the County. For the Moda plans, the premium charges shall be calculated, using sound actuarial principles, and include projected claim costs based on plan experience as required by state regulations, IBNR expenses, federal and State Insurance assessments, pharmaceutical claim expenses, stop-loss premiums, third- party benefit plan administration costs, and an appropriate trend factor selected to limit County contributions and employee cost shares while providing adequate funding for plan operations.
Premium Calculations. For Kaiser Plans, the premium charges shall be 20 the amount charged by Kaiser to the County. For the ODS plans, the premium charges 21 shall be calculated, using sound actuarial principles, and include projected claim costs 22 based on plan experience as required by state regulations, IBNR expenses, Oregon 23 Medical Insurance Pool assessments, pharmaceutical claim expenses, stop-loss 24 premiums, third-party benefit plan administration costs, and an appropriate trend factor 25 selected to limit County contributions and employee cost shares while providing 26 adequate funding for plan operations.
Premium Calculations. 13 For Kaiser Plans, the premium charges shall be the amount 14 charged by Kaiser to the County. For the ODS plans, the premium charges shall 15 be calculated, using sound actuarial principles, and include projected claim costs 16 based on plan experience as required by state regulations, IBNR expenses, 17 Oregon Medical Insurance Pool assessments, pharmaceutical claim expenses, 18 stop-loss premiums, third-party benefit plan administration costs, and an 19 appropriate trend factor selected to limit County contributions and employee cost 20 shares while providing adequate funding for plan operations. 21 Other than the High Cost Employer Sponsored Health Coverage 22 Excise Tax (“Excise Tax”), if a government agency or other taxing authority 23 imposes or increases a tax or other charge upon the County’s Medical and/or 24 Dental benefit plan(s) or any activity of the plan(s), the County may increase the 25 appropriate premium(s) to include the new or increased tax or charge.
Premium Calculations. 6 For Kaiser Plans, the premium charges shall be the amount charged by 7 Kaiser to the County. For the Moda plans, the premium charges shall be calculated, 8 using sound actuarial principles, and include projected claim costs based on plan 11 premiums, third-party benefit plan administration costs, and an appropriate trend 12 factor selected to limit County contributions and employee cost shares while 13 providing adequate funding for plan operations. 14 If a government agency or other taxing authority imposes or increases a 15 tax or other charge upon the County’s Medical and/or Dental benefit plan(s) or any 16 activity of the plan(s), the County may increase the appropriate premium(s) to include 17 the new or increased tax or charge.
Premium Calculations. Insurance premiums will be calculated monthly and deducted from the owner operator’s account. • Premiums will be reviewed annually.
Premium Calculations. 6 For Kaiser Plans, the premium charges shall be the amount charged 7 by Kaiser to the County. For the Moda plans, the premium charges shall be 8 calculated, using sound actuarial principles, and include projected claim costs 11 administration costs, and an appropriate trend factor selected to limit County 12 contributions and employee cost shares while providing adequate funding for plan 13 operations. 14 Other than the High Cost Employer Sponsored Health Coverage 15 Excise Tax (“Excise Tax”), if a government agency or other taxing authority 16 imposes or increases a tax or other charge upon the County’s Medical and/or 17 Dental benefit plan(s) or any activity of the plan(s), the County may increase the 18 appropriate premium(s) to include the new or increased tax or charge.
