Common use of Premium Calculations Clause in Contracts

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. 24 1. 2 For Kaiser Plans, the premium charges shall be the amount charged by 25 3 Kaiser to the County. For the Moda plans, the premium charges shall be calculated, 4 using 44 1 sound actuarial principles, and include projected claim costs based on plan 5 experience as 2 required by state regulations, IBNR expenses, federal and state Oregon Medical 6 Insurance Pool assessments, 3 pharmaceutical claim expenses, stop-loss premiums, 7 third-party benefit plan administration 4 costs, and an appropriate trend factor selected 8 to limit County contributions and employee cost 5 shares while providing adequate 9 funding for plan operations. 6 2. 10 If a government agency or other taxing authority imposes or increases a 7 tax or 11 other charge upon the County’s Medical and/or Dental benefit plans(splan(s) or any activity 12 of 8 the plan(s), the County may increase the appropriate premium(s) to include the 13 new or 9 increased tax or charge.

Premium Calculations. 24 1. 5 For Kaiser Plans, the premium charges shall be the amount charged by 25 6 Kaiser to the County. For the Moda plans, the premium charges shall be calculated, using 44 1 7 sound actuarial principles, and include projected claim costs based on plan experience as 2 8 required by state regulations, IBNR expenses, federal and state Insurance Pool 9 assessments, 3 pharmaceutical claim expenses, stop-loss premiums, third-party benefit plan 10 administration 4 costs, and an appropriate trend factor selected to limit County contributions 11 and employee cost 5 shares while providing adequate funding for plan operations. 6 2. 12 If a government agency or other taxing authority imposes or increases a 7 13 tax or other charge upon the County’s Medical and/or Dental benefit plans(s) or any 14 activity of 8 the plan(s), the County may increase the appropriate premium(s) to include the 15 new or 9 increased tax or charge.

Premium Calculations. 24 1. 7 For Kaiser Plans, the premium charges shall be the amount charged by 25 8 Kaiser to the County. For the Moda ODS plans, the premium charges shall be calculated, using 44 1 9 sound actuarial principles, and include projected claim costs based on plan experience as 2 10 required by state regulations, IBNR expenses, federal and state Oregon Medical Insurance Pool 11 assessments, 3 pharmaceutical claim expenses, stop-loss premiums, third-party benefit plan 12 administration 4 costs, and an appropriate trend factor selected to limit County contributions 13 and employee cost 5 shares while providing adequate funding for plan operations. 6 2. 14 If a government agency or other taxing authority imposes or increases a 7 15 tax or other charge upon the County’s Medical and/or Dental benefit plans(s) or any 16 activity of 8 the plan(s), the County may increase the appropriate premium(s) to include the 17 new or 9 increased tax or charge.

Premium Calculations. 24 1. 30 For Kaiser Plans, the premium charges shall be the amount charged by 25 31 Kaiser to the County. For the ODS Moda plans, the premium charges shall be calculated, 32 using 44 1 sound actuarial principles, and include projected claim costs based on plan 33 experience as 2 required by state regulations, IBNR expenses, federal and state Oregon 34 Medical Insurance Pool assessments, 3 pharmaceutical claim expenses, stop-loss 35 premiums, third-party benefit plan administration 4 costs, and an appropriate trend factor 36 selected to limit County contributions and employee cost 5 shares while providing adequate 37 funding for plan operations. 6 2. 38 If a government agency or other taxing authority imposes or increases a 7 39 tax or other charge upon the County’s Medical and/or Dental benefit plans(s) or any 40 activity of 8 the plan(s), the County may increase the appropriate premium(s) to include the 41 new or 9 increased tax or charge.. 42 D. Employee Contribution

Premium Calculations. 24 4 1. For Kaiser Plans, the premium charges shall be the amount charged by 25 5 Kaiser to the County. For the Moda plans, the premium charges shall be calculated, using 44 1 6 sound actuarial principles, and include projected claim costs based on plan experience as 2 7 required by state regulations, IBNR expenses, federal and state Insurance Pool assessments, 3 8 pharmaceutical claim expenses, stop-loss premiums, third-party benefit plan administration 4 9 costs, and an appropriate trend factor selected to limit County contributions and employee cost 5 10 shares while providing adequate funding for plan operations. 6 11 2. If a government agency or other taxing authority imposes or increases a 7 12 tax or other charge upon the County’s Medical and/or Dental benefit plans(s) or any activity of 8 13 the plan(s), the County may increase the appropriate premium(s) to include the new or 9 14 increased tax or charge.

Premium Calculations. 24 1. For Kaiser Plans, the premium charges shall be 24 the amount charged by 25 Kaiser to the County. For the Moda ODS plans, the premium 25 charges shall be calculated, using 44 1 sound actuarial principles, and include projected 26 claim costs based on plan experience as 2 required by state regulations, IBNR 27 expenses, federal and state Oregon Medical Insurance Pool assessments, 3 pharmaceutical claim 28 expenses, stop-loss premiums, third-party benefit plan administration 4 costs, and an 29 appropriate trend factor selected to limit County contributions and employee cost 5 30 shares while providing adequate funding for plan operations. 6 2. 31 If a government agency or other taxing authority imposes or increases a 7 32 tax or other charge upon the County’s Medical and/or Dental benefit plans(splan(s) or any 33 activity of 8 the plan(s), the County may increase the appropriate premium(s) to 34 include the new or 9 increased tax or charge.

Premium Calculations. 24 1. For Kaiser Plans, the premium charges shall be the amount charged 22 by 25 Kaiser to the County. For the Moda ODS plans, the premium charges shall be calculated, using 44 1 sound actuarial 23 principles, and include projected claim costs based on plan experience as 2 required by state regulations, IBNR 24 expenses, federal and state Oregon Medical Insurance Pool assessments, 3 pharmaceutical claim expenses, stop-loss premiums, 25 third-party benefit plan administration 4 costs, and an appropriate trend factor selected to limit County 26 contributions and employee cost 5 shares while providing adequate funding for plan operations. 6 2. 27 28 If a government agency or other taxing authority imposes or increases a 7 tax or other charge 29 upon the County’s Medical and/or Dental benefit plans(splan(s) or any activity of 8 the plan(s), the County may increase 30 the appropriate premium(s) to include the new or 9 increased tax or charge.. 31