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.
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Premium Calculations. 4 24 1. For Kaiser Plans, the premium charges shall be the amount charged by 5 25 Kaiser to the County. For the Moda plans, the premium charges shall be calculated, using 6 44 1 sound actuarial principles, and include projected claim costs based on plan experience as 7 2 required by state regulations, IBNR expenses, federal and state Insurance Pool assessments, 8 3 pharmaceutical claim expenses, stop-loss premiums, third-party benefit plan administration 9 4 costs, and an appropriate trend factor selected to limit County contributions and employee cost 10 5 shares while providing adequate funding for plan operations.
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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 State Insurance Pool assessments, 8 pharmaceutical claim expenses, stop-loss premiums, third-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.
Appears in 1 contract
Samples: Multnomah County Employees
Premium Calculations. 4 1. 11 For Kaiser Plans, the premium charges shall be the amount charged by 5 12 Kaiser to the County. For the Moda plans, the premium charges shall be calculated, using 6 13 sound actuarial principles, and include projected claim costs based on plan experience 14 as 7 required by state regulations, IBNR expenses, federal and state Insurance Pool 15 assessments, 8 pharmaceutical claim expenses, stop-loss premiums, third-party benefit 16 plan administration 9 costs, and an appropriate trend factor selected to limit County 17 contributions and employee cost 10 shares while providing adequate funding for plan 18 operations.
Appears in 1 contract
Samples: Agreement