Stop Loss Policy definition

Stop Loss Policy means that certain Stop Loss Policy issued by DBIC to Xxxxx Public Utilities (aka Xxxxx PUD), a public utility agency in Xxxxx County, Washington, Policy No. 10000178- SL-WA, effective January 1, 2012, together with any amendments, renewals or modifications thereto.

Stop Loss Policy or “Policy” means: the Stop Loss Insurance Policy issued by Cigna Health and Life Insurance Company * to the Client in connection with the Plan.

Stop Loss Policy means a policy issued to and for the purposes of insuring the employer, the trustee, or other sponsor of a benefit plan for providing health services, or the benefit plan itself, but not the employees, members, or participants for which payment by the insurer must be made to the employer, the trustee, or other sponsor of the benefit plan or the benefit plan itself, but not to the employees, members, participants, or health care providers; and the policy must contain a provision that establishes an aggregate attaching point or retention that is at the minimum one hundred twenty percent of the expected claims; and the policy may provide for an individual attaching point or retention that is not less than five percent of the expected claims or one hundred thousand dollars, whichever is less. +}

Examples of Stop Loss Policy in a sentence

• If the Stop Loss Insurance Company elects to reissue the Employer a Stop Loss Policy, the Stop Loss Policy premiums due by Employer may be adjusted accordingly.

• If the Stop Loss Insurance Company elects to reissue the Stop Loss Policy, Employer will receive a written notice of the reissued rates for the Stop Loss Policy and all associated administrative expenses with that reissue within prior to the end of the contract year.

• The Administrator will remit claim payments out of the funds provided by the Employer or from reimbursements received from the Stop Loss Policy issued by the Stop Loss Insurance Company.

• There is no guaranteed renewal for the Stop Loss Policy and this Agreement.

• The Stop Loss Policy will reimburse Employer for claims paid under the Plan if they exceed a predetermined level.

• The amount of contributions will be determined based on Employer’s maximum liability for expected claims (at the attachment point), administrative expenses and the premium for the Stop Loss Policy.

• The Stop Loss Policy and the Stop Loss Insurance Company are described more fully in Section 4.Employer shall enter into a contract with the Administrator, if required, pursuant to which the Administrator will provide administrative services with respect to the Employer’s Plan.

• If Employer is approved for coverage under the Stop Loss Policy, the Stop Loss Policy will be issued to Employer.

• The Plan is a self-funded employee health plan, and although the Stop Loss Policy will reimburse Employer for claims that exceed a certain amount, the Employer remains obligated to pay benefits under the Plan (including the obligation to fund the payment of claims), subject to Employer’s right to terminate the Plan on a prospective basis.

• Individual Plan participants are not covered by the Stop Loss Policy.

More Definitions of Stop Loss Policy

Stop Loss Policy has the meaning set forth in Section 5.17(f).

Stop Loss Policy has the meaning set forth in Section 7.9.

Stop Loss Policy means that certain Excess Loss Indemnity ---------------- Policy between MLSLP and AIG Life Insurance Company (Policy No. 316-7359) relating to the health care benefits provided to employees of the Xxxxx Entities.

Stop Loss Policy means the Stop Loss Policy in a form acceptable to both Parties to be entered into between PXRE Reinsurance Ltd and Syndicate 1224;

Stop Loss Policy means the insurance policy issued by Ohio National Life Insurance Company in favor of the Seller pursuant to which claims in excess of $75,000 per covered incident are paid by the insurance carrier.

Stop Loss Policy means the stop-loss policy between Seller Parent and Community Insurance Company d/b/a Anthem Blue Cross and Blue Shield, effective as of January 1, 2014, and renewed as of January 1, 2015, with a specific stop-loss limit of $450,000 per covered individual.