Coverage Year. The coverage year shall be the calendar year. The MLR calculation shall be prepared using all data available from the coverage year, including incurred but not paid (IBNP) and six (6) months of run-out for benefit expense (excluding sub-capitation paid during the run-out months.
Appears in 4 contracts
Samples: www.cms.gov, www.health.ny.gov, www.cms.gov
Coverage Year. The coverage year shall be the calendar year. The MLR calculation shall be prepared using all data available from the coverage year, including incurred but not paid and nine (IBNP) and six (69) months of run-out for benefit expense (excluding sub-capitation paid during the run-out months).
Appears in 2 contracts
Samples: www.cms.gov, www.cms.gov
Coverage Year. The coverage year shall be the calendar year. The MLR calculation shall be prepared using all data available from the coverage year, including incurred but not paid (IBNP) IBNP and six (6) months of run-out for benefit expense (excluding sub-capitation paid during the run-out months).
Appears in 1 contract
Samples: clpc.ucsf.edu
Coverage Year. The coverage year Coverage Year shall be the calendar year. The MLR calculation shall be prepared using all data available from the coverage yearCoverage Year, including incurred but not paid (IBNP) and six (6) months of IBNP expenses during the run-out months for benefit expense (excluding sub-capitation paid during the run-out months).
Appears in 1 contract
Samples: www.illinois.gov
Coverage Year. The coverage year shall be the calendar year. The MLR calculation shall be prepared using all data available from the coverage year, including incurred but not paid (IBNP) and six (6) months of run-out for benefit expense (excluding sub-capitation paid during the run-out months).
Appears in 1 contract
Samples: clpc.ucsf.edu
