Common use of Premium Calculations Clause in Contracts

Premium Calculations. 1 For Kaiser Plans, the premium charges shall be the amount 2 charged by Kaiser to the County. For the ODS plans, the premium charges shall 3 be calculated, using sound actuarial principles, and include projected claim costs 4 based on plan experience as required by state regulations, IBNR expenses, 5 Oregon Medical Insurance Pool assessments, pharmaceutical claim expenses, 6 stop-loss premiums, third-party benefit plan administration costs, and an 7 appropriate trend factor selected to limit County contributions and employee cost 8 shares while providing adequate funding for plan operations.

Premium Calculations. 1 For Kaiser Plans, the premium charges shall be the amount 2 charged by Kaiser to the County. For the ODS plans, the premium charges shall 3 be calculated, using sound actuarial principles, and include projected claim costs 4 based on plan experience as required by state regulations, IBNR expenses, 5 Oregon Medical Insurance Pool assessments, pharmaceutical claim expenses, 6 stop-loss premiums, third-party benefit plan administration costs, and an 7 appropriate trend factor selected to limit County contributions and employee cost 8 shares while providing adequate funding for plan operations.

Premium Calculations. 1 For Kaiser Plans, the premium charges shall be 20 the amount 2 charged by Kaiser to the County. For the ODS plans, the premium charges 21 shall 3 be calculated, using sound actuarial principles, and include projected claim costs 4 22 based on plan experience as required by state regulations, IBNR expenses, 5 Oregon 23 Medical Insurance Pool assessments, pharmaceutical claim expenses, 6 stop-loss 24 premiums, third-party benefit plan administration costs, and an 7 appropriate trend factor 25 selected to limit County contributions and employee cost 8 shares while providing 26 adequate funding for plan operations.