Premium Calculations. 4 For Kaiser Plans, the premium charges shall be the amount charged by 5 Kaiser to the County. For the ODS plans, the premium charges shall be calculated, 6 using sound actuarial principles, and include projected claim costs based on plan 7 experience as required by state regulations, IBNR expenses, Oregon Medical 8 Insurance Pool assessments, pharmaceutical claim expenses, stop-loss premiums, 9 third-party benefit plan administration costs, and an appropriate trend factor selected 10 to limit County contributions and employee cost shares while providing adequate 11 funding for plan operations. 12 If a government agency or other taxing authority imposes or increases a tax or 13 other charge upon the County’s Medical and/or Dental benefit plan(s) or any activity 14 of the plan(s), the County may increase the appropriate premium(s) to include the 15 new or increased tax or charge.
Premium Calculations. Premiums for all plans shall be established using standard actuarial principles or actual rates being charged by the carrier or HMO. Covered employees for premium calculation purposes shall include all employees receiving the same benefits.
Premium Calculations. 18 For Kaiser Plans, the premium charges shall be the amount charged by Kaiser
Premium Calculations. 4 1. For Kaiser Plans, the premium charges shall be the amount charged by 5 Kaiser to the County. For the Moda plans, the premium charges shall be calculated, using 6 sound actuarial principles, and include projected claim costs based on plan experience as 7 required by state regulations, IBNR expenses, federal and state Insurance Pool assessments, 8 pharmaceutical claim expenses, stop-loss premiums, third-party benefit plan administration 9 costs, and an appropriate trend factor selected to limit County contributions and employee cost 10 shares while providing adequate funding for plan operations.
Premium Calculations. 1. For Kaiser Plans, the premium charges shall be the amount charged by Kaiser to the County. For the Preferred Provider Organizational Plans (PPO) plans, the premium charges shall be calculated, using sound actuarial principles, and include projected claim costs based on plan experience as required by state regulations, IBNR expenses, federal and state Insurance Pool assessments, pharmaceutical claim expenses, stop-loss premiums, third-party benefit plan administration costs, and an appropriate trend factor selected to limit County contributions and employee cost shares while providing adequate funding for plan operations.
Premium Calculations. 13 For Kaiser Plans, the premium charges shall be the amount 14 charged by Kaiser to the County. For the ODS plans, the premium charges shall 15 be calculated, using sound actuarial principles, and include projected claim costs 16 based on plan experience as required by state regulations, IBNR expenses, 17 Oregon Medical Insurance Pool assessments, pharmaceutical claim expenses, 18 stop-loss premiums, third-party benefit plan administration costs, and an 19 appropriate trend factor selected to limit County contributions and employee cost 20 shares while providing adequate funding for plan operations. 21 Other than the High Cost Employer Sponsored Health Coverage 22 Excise Tax (“Excise Tax”), if a government agency or other taxing authority 23 imposes or increases a tax or other charge upon the County’s Medical and/or 24 Dental benefit plan(s) or any activity of the plan(s), the County may increase the 25 appropriate premium(s) to include the new or increased tax or charge.
Premium Calculations. 8 1. For Kaiser Plans, the premium charges shall be the amount 9 charged by Kaiser to the County. For the Moda plans, the premium charges shall be 10 calculated, using sound actuarial principles, and include projected claim costs based 11 on plan experience as required by state regulations, IBNR expenses, Federal or 12 Oregon state assessments, pharmaceutical claim expenses, stop-loss premiums, 13 third-party benefit plan administration costs, and an appropriate trend factor selected 14 to limit County contributions and employee cost shares while providing adequate 15 funding for plan operations. The Association may challenge the accuracy of the 16 premium calculations through the grievance and arbitration procedure and the 17 arbitrator shall have the authority to award a refund of excess contributions for the 18 calendar year in which the miscalculation was determined to have occurred.
Premium Calculations. 6 For Kaiser Plans, the premium charges shall be the amount charged 7 by Kaiser to the County. For the Moda plans, the premium charges shall be 8 calculated, using sound actuarial principles, and include projected claim costs 9 based on plan experience as required by state regulations, IBNR expenses, 10 pharmaceutical claim expenses, stop-loss premiums, third-party benefit plan 11 administration costs, and an appropriate trend factor selected to limit County 12 contributions and employee cost shares while providing adequate funding for plan 13 operations. 14 Other than the High Cost Employer Sponsored Health Coverage 15 Excise Tax (“Excise Tax”), if a government agency or other taxing authority 16 imposes or increases a tax or other charge upon the County’s Medical and/or 17 Dental benefit plan(s) or any activity of the plan(s), the County may increase the 18 appropriate premium(s) to include the new or increased tax or charge.
Premium Calculations. Insurance premiums will be calculated monthly and deducted from the owner operator’s account. • Premiums will be reviewed annually.
Premium Calculations. For Kaiser and Willamette Dental Plans, the 2 premium charges shall be the amount charged by Kaiser and Willamette Dental to the
