Common use of Reinsurance Program Clause in Contracts

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 zero dollars ($0) per Secure Horizons Member per calendar year. (ii) Reinsurance Premium shall be zero percent (0%) of the Secure Horizons Revenue. (iii) Reinsurance Coinsurance shall be fifty percent (50%) of the Cost of Care for amounts in excess of the Reinsurance Deductible but less than two hundred fifty thousand dollars ($250,000) and twenty percent (20%) of the Cost of Care for amounts in excess of two hundred fifty thousand dollars ($250,000).

Appears in 1 contract

Sources: 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 zero forty thousand dollars and no cents ($040,000) per Secure Horizons Member per calendar year. (ii) Reinsurance Premium shall be zero nine and six tenths percent (09.06%) of the Secure Horizons Revenue. (iii) Reinsurance Coinsurance shall be fifty percent (50%) of the Cost of Care for amounts in excess of the Reinsurance Deductible but less than two hundred fifty thousand dollars ($250,000) and twenty percent (20%) of the Cost of Care for amounts in excess of two hundred fifty thousand dollars ($250,000).

Appears in 1 contract

Sources: Professional Capitation 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 zero dollars ($0( ) per Secure Horizons Member per calendar year. (ii) Reinsurance Premium shall be zero percent (0( %) of the Secure Horizons Revenue. (iii) Reinsurance Coinsurance shall be fifty percent (50%) of the Cost of Care for amounts in excess of the Reinsurance Deductible but less than two hundred fifty thousand dollars ($250,000) and twenty percent (20%) of the Cost of Care for amounts in excess of two hundred fifty thousand dollars ($250,000).

Appears in 1 contract

Sources: Pacificare Medical Group/Ipa Services Agreement (Prospect Medical Holdings Inc)