Reinsurance Program. Claims under the Reinsurance Program shall be valued at the Cost of Care as defined in this Agreement. The Reinsurance Deductible, Reinsurance Premium and Reinsurance Coinsurance for the Secure Horizons Plan shall initially be: (i) Reinsurance Deductible shall be *** per Secure Horizons Member per calendar year. (ii) Reinsurance Premium shall be *** of the Secure Horizons Revenue. (iii) Reinsurance Coinsurance shall be *** of the Cost of Care for amounts in excess of the Reinsurance Deductible but less than *** and *** of the Cost of Care for amounts in excess of ***.
Appears in 1 contract
Sources: Medical Group Services Agreement (Prospect Medical Holdings Inc)
Reinsurance Program. Claims under the Reinsurance Program shall be valued at the Cost of Care as defined in this Agreement. The Reinsurance Deductible, Reinsurance Premium and Reinsurance Coinsurance for the Secure Horizons Plan shall initially be:
(i) Reinsurance Deductible shall be *** ( ) per Secure Horizons Member per calendar year.
(ii) Reinsurance Premium shall be *** percent ( %) of the Secure Horizons Revenue.
(iii) Reinsurance Coinsurance shall be *** of the Cost of Care for amounts in excess of the Reinsurance Deductible but less than *** and *** of the Cost of Care for amounts in excess of ***.
Appears in 1 contract
Sources: Pacificare Medical Group/Ipa Services Agreement (Prospect Medical Holdings Inc)
Reinsurance Program. Claims under the Reinsurance Program shall be valued at the Cost of Care as defined in this Agreement. The Reinsurance Deductible, Reinsurance Premium and Reinsurance Coinsurance for the Secure Horizons Plan shall initially be:
(i) Reinsurance Deductible shall be *** ($ ) per Secure Horizons Member per calendar year.
(ii) Reinsurance Premium shall be *** percent ( %) of the Secure Horizons Revenue.
(iii) Reinsurance Coinsurance shall be *** of the Cost of Care for amounts in excess of the Reinsurance Deductible but less than *** and *** *%) of the Cost of Care for amounts in excess of ***.
Appears in 1 contract
Sources: Medical Group/Ipa Services Agreement (Prospect Medical Holdings Inc)