Common use of Premium Calculations Clause in Contracts

Premium Calculations. 19 For Kaiser Plans, the premium charges shall be the amount charged by 20 Kaiser to the County. For the MODA plan, the premium charges shall be calculated, 21 using sound actuarial principles, and include projected claim costs based on plan 22 experience as required by state regulations, IBNR expenses, federal or Oregon Pool 23 assessments, pharmaceutical claim expenses, stop-loss premiums, third-party benefit 24 plan administration costs, and an appropriate trend factor selected to limit County 25 contributions and employee cost shares while providing adequate funding for plan 26 operations.

Premium Calculations. 19 For Kaiser Plans, the premium charges shall be the amount charged by 20 Kaiser to the County. For the MODA planModa plans, the premium charges shall be calculated, 21 using sound actuarial principles, and include projected claim costs based on plan 22 experience as required by state regulations, IBNR expenses, federal or Oregon Pool 23 and State Insurance assessments, pharmaceutical claim expenses, stop-loss premiums, third-third- party benefit 24 plan administration costs, and an appropriate trend factor selected to limit County 25 contributions and employee cost shares while providing adequate funding for plan 26 operations.

Premium Calculations. 19 11 For Kaiser Plans, the premium charges shall be the amount charged by 20 12 Kaiser to the County. For the MODA planModa plans, the premium charges shall be calculated, 21 using 13 sound actuarial principles, and include projected claim costs based on plan 22 experience 14 as required by state regulations, IBNR expenses, federal or Oregon and state Insurance Pool 23 15 assessments, pharmaceutical claim expenses, stop-loss premiums, third-party benefit 24 16 plan administration costs, and an appropriate trend factor selected to limit County 25 17 contributions and employee cost shares while providing adequate funding for plan 26 18 operations.

Premium Calculations. 19 For Kaiser Plans, the premium charges shall be the amount charged by 20 5 Kaiser to the County. For the MODA planModa plans, the premium charges shall be calculated, 21 using 6 sound actuarial principles, and include projected claim costs based on plan 22 experience as 7 required by state regulations, IBNR expenses, federal or Oregon and state Insurance Pool 23 assessments, 8 pharmaceutical claim expenses, stop-loss premiums, third-party benefit 24 plan administration 9 costs, and an appropriate trend factor selected to limit County 25 contributions and employee cost 10 shares while providing adequate funding for plan 26 operations.

Premium Calculations. 19 12 For Kaiser Plans, the premium charges shall be the amount charged by 20 13 Kaiser to the County. For the MODA planModa plans, the premium charges shall be calculated, 21 using 14 sound actuarial principles, and include projected claim costs based on plan 22 experience 15 as required by state regulations, IBNR expenses, federal or Oregon and state Insurance Pool 23 16 assessments, pharmaceutical claim expenses, stop-loss premiums, third-party benefit 24 17 plan administration costs, and an appropriate trend factor selected to limit County 25 18 contributions and employee cost shares while providing adequate funding for plan 26 19 operations.