Common use of Reinsurance Requirements and Effect on Capitation Rates Clause in Contracts

Reinsurance Requirements and Effect on Capitation Rates. MyCare MCOPs are required to maintain minimum reinsurance protection as set out in the Ohio Administrative Code. The three-way contract for the Opt-In program outlines specific requirements. We have adjusted expenses in the historical period by the net cost of reinsurance (reinsurance premiums less reinsurance recoveries) as reported by the MCOPs in their 2024 Survey submissions.

Reinsurance Requirements and Effect on Capitation Rates. MyCare MCOPs are required to maintain minimum reinsurance protection as set out in the Ohio Administrative Code. The three3-way contract for the Opt-In program outlines specific requirements. Opt-Out requirements are consistent with the Opt-In requirements. We have adjusted expenses in the historical period by the net cost of reinsurance (reinsurance premiums less reinsurance recoveries) as reported by in the MCOPs 2019 annual cost report data. Reinsurance recoveries were based on amounts reported in their 2024 Survey submissionsMCOP cost report data.

Reinsurance Requirements and Effect on Capitation Rates. MyCare MCOPs are required to maintain minimum reinsurance protection as set out in the Ohio Administrative Code. The threeRefer to the 3-way contract for specific requirements. Opt-Out requirements are consistent with the Opt-In program outlines specific requirements. We have adjusted expenses An adjustment was not made in the historical period by rate development process due to the immateriality of the net cost impact of reinsurance (reinsurance premiums less reinsurance premium and recoveries) as reported by the MCOPs in their 2024 Survey submissions).