Experience Rated definition

Experience Rated means a rating method in the large group market under which a health care service plan or insurer calculates the premiums for a large group in whole or blended based on the group’s prior experience. (H&SC § 1385.01(a)(3) & CIC § 10181(a)(3).)
Experience Rated means a rating method in the large group market under which a health insurer calculates the premiums for a large group in whole or blended based on the group’s prior experience.
Experience Rated also called “merit rated,” means that rates are based on the claims experience of the particular insured person or group. In Vermont, all large employer groups are experience rated meaning that each large employer group has a distinct rate determined on the basis of that group’s claims experience.

Examples of Experience Rated in a sentence

  • For the Plan Years for which “M” depended on the returns of designated retired life reserve assets, the earnings rate on retired life reserve assets was to be determined by an actuary, using the “investment year block” method of crediting interest that First Allmerica used to credit interest on its Experience Rated group annuity contracts that are in force on an active basis.

  • The District incurs costs related to the Orleans-Niagara Experience Rated Health Insurance Group Plan (Plan) sponsored by the Orleans-Niagara Board of Cooperative Educational Services and its component districts.

  • Experience Rated Employer Contribution RatesExperience rating helps ensure an equitable distribution of costs of the unemployment compensation program among employers.

  • Experience Rated, Garage and Commercial Risks may require the Agent/Broker to determine whether the information on record and/or coverages need revision or updating.

  • PLEASE READ THIS DOCUMENT CAREFULLY AND KEEP IT WITH YOUR POLICY.This endorsement, which is attached to and made a part of the policy, modifies insurance provided under the following: Trupanion Experience Rated Program Pet Health Insurance Policy 1.

  • It is recommended that Excellus abide by its Large Group Experience Rated formula filed with and approved by the Department.

  • Lerner, DOL Legal Analysis of Premium Refunds, Credits or Dividends on Experience Rated Contracts (Apr.

  • The formula for the adjusted rate is as follows: Final Rate = [P*(ELR/TL)*CR] + [(1-CR)*MR] Where:P = Prior Rate (Rate In Effect For The Year Being Experience Rated) ELR = Experienced Loss Ratio (Incurred Claims / Earned Claim Cost) TL = Target Loss Ratio (Pricing Loss Ratio)CR = Credibility Factor, From Table 5A or Table 5B in the attached Rating Adjustment FactorsMR = Manual Rate The Credibility Factors are listed in Tables 5A and 5B of the Claim Costs And Adjustment Factors worksheets in Attachment 1.

  • MLP Decision MIN-OG-4 (page 18)Apply a CSU stipulation (Baseline) in areas with sensitive resources in order to minimize the amount of surface disturbance and related impacts resulting from mineral development (213,218 acres, [MLP] Map 9).

  • This amount will not exceed Munich Re, U.S. (Life)’s share of the maximum Automatic Binding Limits specified in Exhibit B.3. For Private Placement Experience Rated policies Munich Re, U.S. (Life)’s Share will be calculated as follows: The Credibility Factor (CF) provides the percentage of the NAAR that is Experience Rated and ranges from 0% to 100%.


More Definitions of Experience Rated

Experience Rated also called “merit rated,” means that rates are based on the claims experience of the particular insured. In Vermont, all large employer groups are experi- ence rated— each large employer group has distinct rates determined on the basis of that employer group’s claims experience.
Experience Rated means a rating method in the group market under which a health care service plan or health insurer calculates the premiums for a group in whole or blended based on the group’s prior experience. (Ibid.)

Related to Experience Rated

  • Experience period means the most recent period of time for which experience is reported, but not for a period longer than three (3) full years. (7-1-93)

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  • Curr Rate CLTV: Prin Bal: Maturity Date: Lien Pos: 4096851 CA 300 14 131995.17 52000 586.09 701 409685100000000 8 299 1 152000 12/07/2000 42 XXXXXXXXX 00000 2 12.990 122 51976.81 12/13/2025 2 4096852 WI 300 14 114701.82 47200 586.31 669 409685200000000 8 299 1 143000 12/07/2000 46 KENOSHA 53143 2 14.500 114 47184.02 12/13/2025 2 4096853 NY 180 14 71476 18000 227.63 701 409685300000000 6 179 1 71900 12/07/2000 40 SYRACUSE 13212 2 12.990 125 17967.22 12/13/2015 2 4096854 LA 180 14 74040.09 25000 349.73 663 409685400000000 6 179 1 82000 12/07/2000 00 XXXX XXXXXX 00000 2 14.990 121 24962.56 12/13/2015 2 4096857 MO 301 14 152510.3 44500 561.36 685 409685700000000 8 299 1 160000 11/30/2000 47 O'FALLON 63366 2 14.750 124 44485.62 12/08/2025 2 4096858 MI 240 14 143231.7 50000 649.18 684 409685800000000 9 239 1 160000 12/07/2000 47 XXXXXXXXXX XXXXX 00000 2 14.750 121 49965.4 12/13/2020 2 4096859 MN 300 14 144985.47 39600 499.55 675 409685900000000 8 299 1 152000 12/05/2000 45 XXXXXX XXXX 00000 2 14.750 122 39587.2 12/11/2025 2 4096860 NY 300 14 61663 25000 320.02 662 409686000000000 8 299 1 73000 12/07/2000 37 NEWBURGH 12550 2 14.990 119 24992.27 12/13/2025 2 4096861 GA 300 14 105425.2 35000 421.05 682 409686100000000 8 299 1 145000 12/04/2000 46 XXXXX XXXXX 00000 2 13.990 97 34986.99 12/08/2025 2 4096862 CA 180 14 139196.02 48950 639.61 719 409686200000000 6 179 1 172500 12/07/2000 40 MANTECA 95337 2 13.630 110 48865.79 12/13/2015 2 4096863 RI 300 14 73031.81 45500 534.7 704 409686300000000 8 299 1 95000 12/06/2000 45 WARWICK 2889 2 13.630 125 45481.91 12/12/2025 2 4096864 TN 180 4 67449.68 26500 407.65 644 409686400000000 6 179 1 79000 12/07/2000 37 XXXXXXX CITY 37615 2 16.990 119 26467.55 12/13/2015 2 4096866 ND 180 14 82471.06 35000 477.93 686 409686600000000 6 179 1 100000 12/04/2000 39 NORWICH 58768 2 14.500 118 34944.99 12/08/2015 2 4096867 MO 180 14 100576 35000 538.41 641 409686700000000 6 179 1 118500 12/05/2000 40 LEES SUMMIT 64081 2 16.990 115 34957.13 12/11/2015 2 4096868 IL 300 14 126816.92 40500 479.79 664 409686800000000 8 299 1 134000 12/06/2000 50 ALGONQUIN 60102 2 13.750 125 40364.06 12/13/2025 2 4096869 WA 180 14 127607.19 47300 661.69 665 409686900000000 6 179 1 140000 12/05/2000 44 RICHLAND 99352 2 14.990 125 47225.86 12/11/2015 2 Page 242 of 409

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  • Advance Rates shall have the meaning set forth in Section 2.1(a) hereof.

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  • Fixed Base Rate means, for each Disbursed Amount, the equivalent of the London interbank offered rate for six-month deposits in dollars for value on the Rate Fixing Date for such Disbursed Amount, expressed as a single fixed interest rate based on the fixed interest rates corresponding to the repayment installments of such Disbursed Amount, as reasonably determined by the Bank and expressed as a percentage per annum.

  • Capitation rate means the fee the department pays monthly to an HMO for each enrolled recipient for the provision of covered medical and health services whether or not the enrolled recipient received services during the month for which the fee is intended.

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