Common use of Premium Calculations Clause in Contracts

Premium Calculations. 19 For Kaiser Plans, the premium charges shall be the amount charged by 20 Kaiser to the County. For the MODA plan, the premium charges shall be calculated, 21 using sound actuarial principles, and include projected claim costs based on plan 22 experience as required by state regulations, IBNR expenses, federal or Oregon Pool 23 assessments, pharmaceutical claim expenses, stop-loss premiums, third-party benefit 24 plan administration costs, and an appropriate trend factor selected to limit County 25 contributions and employee cost shares while providing adequate funding for plan 26 operations.

Premium Calculations. 19 1 For Kaiser Plans, the premium charges shall be the amount 2 charged by 20 Kaiser to the County. For the MODA planODS plans, the premium charges shall 3 be calculated, 21 using sound actuarial principles, and include projected claim costs 4 based on plan 22 experience as required by state regulations, IBNR expenses, federal or 5 Oregon Medical Insurance Pool 23 assessments, pharmaceutical claim expenses, 6 stop-loss premiums, third-party benefit 24 plan administration costs, and an 7 appropriate trend factor selected to limit County 25 contributions and employee cost 8 shares while providing adequate funding for plan 26 operations.

Premium Calculations. 19 For Kaiser Plans, the premium charges shall be the amount charged by 20 Kaiser to the County. For the MODA planODS plans, the premium charges shall be calculated, 21 using sound actuarial principles, and include projected claim costs based on plan 22 experience as required by state regulations, IBNR expenses, federal or Oregon Medical Insurance Pool 23 assessments, pharmaceutical claim expenses, stop-loss premiums, third-party benefit 24 plan administration costs, and an appropriate trend factor selected to limit County 25 contributions and employee cost shares while providing adequate funding for plan 26 operations.

Premium Calculations. 19 1. For Kaiser Plans, the premium charges shall be the amount charged by 20 Kaiser to the County. For the MODA planPreferred Provider Organizational Plans (PPO) plans, the premium charges shall be calculated, 21 using sound actuarial principles, and include projected claim costs based on plan 22 experience as required by state regulations, IBNR expenses, federal or Oregon and state Insurance Pool 23 assessments, pharmaceutical claim expenses, stop-loss premiums, third-party benefit 24 plan administration costs, and an appropriate trend factor selected to limit County 25 contributions and employee cost shares while providing adequate funding for plan 26 operations.

Premium Calculations. 19 For Kaiser Plans, the premium charges shall be 20 the amount charged by 20 Kaiser to the County. For the MODA planODS plans, the premium charges 21 shall be calculated, 21 using sound actuarial principles, and include projected claim costs 22 based on plan 22 experience as required by state regulations, IBNR expenses, federal or Oregon 23 Medical Insurance Pool 23 assessments, pharmaceutical claim expenses, stop-loss 24 premiums, third-party benefit 24 plan administration costs, and an appropriate trend factor 25 selected to limit County 25 contributions and employee cost shares while providing 26 adequate funding for plan 26 operations.