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.
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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.
Appears in 2 contracts
Premium Calculations. 24 1. 12 For Kaiser Plans, the premium charges shall be the amount charged by 25 13 Kaiser to the County. For the Moda plans, the premium charges shall be calculated, using 44 1 14 sound actuarial principles, and include projected claim costs based on plan experience 15 as 2 required by state regulations, IBNR expenses, federal and state Insurance Pool 16 assessments, 3 pharmaceutical claim expenses, stop-loss premiums, third-party benefit 17 plan administration 4 costs, and an appropriate trend factor selected to limit County 18 contributions and employee cost 5 shares while providing adequate funding for plan 19 operations.
Appears in 1 contract
Samples: Agreement
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 State Insurance Pool assessments, 3 pharmaceutical claim expenses, stop-loss premiums, third-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.
Appears in 1 contract
Samples: Multnomah County Employees
Premium Calculations. 24 1. 11 For Kaiser Plans, the premium charges shall be the amount charged by 25 12 Kaiser to the County. For the Moda plans, the premium charges shall be calculated, using 44 1 13 sound actuarial principles, and include projected claim costs based on plan experience 14 as 2 required by state regulations, IBNR expenses, federal and state Insurance Pool 15 assessments, 3 pharmaceutical claim expenses, stop-loss premiums, third-party benefit 16 plan administration 4 costs, and an appropriate trend factor selected to limit County 17 contributions and employee cost 5 shares while providing adequate funding for plan 18 operations.
Appears in 1 contract
Samples: Agreement