Common use of Premium Calculations Clause in Contracts

Premium Calculations. 4 For Kaiser Plans, the premium charges shall be the amount charged by 5 Kaiser to the County. For the ODS 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 assessments, pharmaceutical claim expenses, stop-loss premiums, 11 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. 4 For Kaiser Plans, the premium charges shall be the amount charged by 5 Kaiser to the County. For the ODS 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-loss premiums, 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. 4 For Kaiser Plans, the premium charges shall be the amount charged 22 by 5 Kaiser to the County. For the ODS plans, the premium charges shall be calculated, 6 using sound actuarial 23 principles, and include projected claim costs based on plan 7 experience as required by state regulations, IBNR 24 expenses, Oregon Medical 8 Insurance Pool assessments, pharmaceutical claim expenses, stop-loss premiums, 11 25 third-party benefit plan administration costs, and an appropriate trend factor selected to limit County 26 contributions and employee cost shares while providing adequate funding for plan operations. 12 27 28 If a government agency or other taxing authority imposes or increases a tax or 13 other charge 29 upon the County’s Medical and/or Dental benefit plan(s) or any activity 14 of the plan(s), the County may increase 30 the appropriate premium(s) to include the 15 new or increased tax or charge.. 31

Premium Calculations. 4 For Kaiser Plans, the premium charges shall be the amount charged by 5 Kaiser to the County. For the ODS 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-loss premiums, stop- 11 providing adequate funding for plan operations. 12 If a government agency or other taxing authority imposes or increases a 13 tax or 13 other charge upon the County’s Medical and/or Dental benefit plan(s) or any 14 activity 14 of the plan(s), the County may increase the appropriate premium(s) to include 15 the 15 new or increased tax or charge.

Premium Calculations. 4 For Kaiser Plans, the premium charges shall be 24 the amount charged by 5 Kaiser to the County. For the ODS plans, the premium 25 charges shall be calculated, 6 using sound actuarial principles, and include projected 26 claim costs based on plan 7 experience as required by state regulations, IBNR 27 expenses, Oregon Medical 8 Insurance Pool assessments, pharmaceutical claim 28 expenses, stop-loss premiums, 11 third-party benefit plan administration costs, and an 29 appropriate trend factor selected to limit County contributions and employee cost 30 shares while providing adequate funding for plan operations. 12 31 If a government agency or other taxing authority imposes or increases a 32 tax or 13 other charge upon the County’s Medical and/or Dental benefit plan(s) or any 33 activity 14 of the plan(s), the County may increase the appropriate premium(s) to 34 include the 15 new or increased tax or charge.