Common use of Stop Loss Clause in Contracts

Stop Loss. The STATE agrees to make payment to the MCO for seventy-five percent (75%) of allowable medical expenses in excess of one million dollars ($1,000,000) for Contract Year 2017 for Outlier Enrollees under this Contract, as described in this section. The MCO shall retain responsibility for Care Management and prompt payment to providers for services provided to all potential Outlier Enrollees.

Stop Loss. The STATE agrees to make payment to the MCO for seventy-five percent (75%) of allowable medical expenses in excess of one million dollars ($1,000,000) for Contract Year 2017 for Outlier Enrollees under this Contract, as described in this section. The MCO shall retain responsibility for Care Management and prompt payment to providers for services provided to all potential Outlier Enrollees.Enrollees.‌