Expected claims definition
Expected claims means the amount of claims that, in the absence of stop-loss insurance or other insurance, are projected to be incurred by an insured group through its health plan.
Expected claims means the most accurate actuarial esti- mate of aggregate claims during a benefit period.
Expected claims means the amount of claims that, in the absence of a stop loss policy or other insurance or evidence of coverage, are projected to be incurred by an employer-sponsored plan covering health care expenses.
More Definitions of Expected claims
Expected claims means the amount of claims that, in the absence of medical stop–loss insurance, are projected to be incurred by the insured using reasonable and accepted actuarial principles.
Expected claims means the amount of claims that, in the absence of
Expected claims means the amount of claims that, in the absence of aggregate stop-loss insurance, are projected to be incurred by a small employer health plan using reasonable and accepted actuarial principles.
Expected claims. ’ means the amount of covered claims under the plan that is projected to be incurred by a policyholder under the plan.
Expected claims means the amount of claims that, in the absence of a health care stop loss policy or other insurance, are projected to be incurred by a group health plan.
Expected claims means the amount of claims that, in the absence of a policy for stop- loss insurance or other insurance, are projected to be incurred by an insured group through its group health plan and that would be eligible for reimbursement under a policy for stop-loss insurance.
Expected claims means the amount of claims that, in the absence of an employee benefit excess insurance policy or other insurance, is projected to be incurred by an insured group through its health plan.