Reinsurance Program. Claims under the Reinsurance Program shall be valued at the Cost of Care as defined in this Agreement. The Reinsurance Deductible, Reinsurance Premium and Reinsurance Coinsurance for the Commercial Plan shall initially be: (i) Reinsurance Deductible shall be percent ( %) per Commercial Plan Member per calendar year. (ii) Reinsurance Premium shall be percent ( %) of Commercial Plan Premium. (iii) Reinsurance Coinsurance shall be fifty percent (50%) of the Cost of Care for amounts in excess of the Reinsurance Deductible but less than two hundred fifty thousand dollars ($250,000) and twenty percent (20%) of the Cost of Care for amounts in excess of two hundred fifty thousand dollars ($250,000).
Appears in 3 contracts
Sources: Medical Group/Ipa Services Agreement (Prospect Medical Holdings Inc), Medical Group/Ipa Services Agreement (Prospect Medical Holdings Inc), Medical Group/Ipa Services Agreement (Prospect Medical Holdings Inc)
Reinsurance Program. Claims under the Reinsurance Program shall be valued at the Cost of Care as defined in this Agreement. The Reinsurance Deductible, Reinsurance Premium and Reinsurance Coinsurance for the Commercial Plan shall initially be:
(i) Reinsurance Deductible shall be percent ( %fifty thousand dollars ($50,000) per Commercial Plan Member per calendar year.
(ii) Reinsurance Premium shall be six and ninety-six tenths percent ( (6.96%) of Commercial Plan Premium.
(iii) Reinsurance Coinsurance shall be fifty percent (50%) of the Cost of Care for amounts in excess of the Reinsurance Deductible but less than two hundred fifty thousand dollars ($250,000) and twenty percent (20%) of the Cost of Care for amounts in excess of two hundred fifty thousand dollars ($250,000).
Appears in 2 contracts
Sources: Pacificare Medical Group/Ipa Services Agreement (Prospect Medical Holdings Inc), Professional Capitation Medical Group/Ipa Services Agreement (Prospect Medical Holdings Inc)
Reinsurance Program. Claims under the Reinsurance Program shall be valued at the Cost of Care as defined in this Agreement. The Reinsurance Deductible, Reinsurance Premium and Reinsurance Coinsurance for the Commercial Plan shall initially be:
(i) Reinsurance Deductible shall be percent ( %zero dollars ($0) per Commercial Plan Member per calendar year.
(ii) Reinsurance Premium shall be zero percent ( (0%) of Commercial Plan Premium.
(iii) Reinsurance Coinsurance shall be fifty percent (50%) of the Cost of Care for amounts in excess of the Reinsurance Deductible but less than two hundred fifty thousand dollars ($250,000) and twenty percent (20%) of the Cost of Care for amounts in excess of two hundred fifty thousand dollars ($250,000).
Appears in 1 contract
Sources: Medical Group/Ipa Services Agreement (Prospect Medical Holdings Inc)
Reinsurance Program. Claims under the Reinsurance Program shall be valued at the Cost of Care as defined in this Agreement. The Reinsurance Deductible, Reinsurance Premium and Reinsurance Coinsurance for the Commercial Plan shall initially be:
(i) Reinsurance Deductible shall be percent ( %[WORD] ($ ) per Commercial Plan Member per calendar year.
(ii) Reinsurance Premium shall be [WORD] percent ( %) of Commercial Plan Premium.
(iii) Reinsurance Coinsurance shall be fifty percent (50%) of the Cost of Care for amounts in excess of the Reinsurance Deductible but less than two hundred fifty thousand dollars ($250,000) and twenty percent (20%) of the Cost of Care for amounts in excess of two hundred fifty thousand dollars ($250,000).
Appears in 1 contract
Sources: Professional Capitation Medical Group/Ipa Services Agreement (Prospect Medical Holdings Inc)
Reinsurance Program. Claims under the Reinsurance Program shall be valued at the Cost of Care as defined in this Agreement. The Reinsurance Deductible, Reinsurance Premium and Reinsurance Coinsurance for the Commercial Plan shall initially be:
(i) Reinsurance Deductible shall be percent dollars ( %) per Commercial Plan Member per calendar year.
(ii) Reinsurance Premium shall be percent dollars ( %) of Commercial Plan Premium.
(iii) Reinsurance Coinsurance shall be fifty percent (50%) of the Cost of Care for amounts in excess of the Reinsurance Deductible but less than two hundred fifty thousand dollars ($250,000) and twenty percent (20%) of the Cost of Care for amounts in excess of two hundred fifty thousand dollars ($250,000).
Appears in 1 contract
Sources: Pacificare Medical Group/Ipa Services Agreement (Prospect Medical Holdings Inc)