Expected claims means the amount of claims that, in the absence of stop-loss insurance or other insurance, are projected to be incurred by an insured group through its health plan.
Expected claims means the most accurate actuarial esti- mate of aggregate claims during a benefit period.
Expected claims means the amount of claims that, in the absence of a stop loss policy or other insurance or evidence of coverage, are projected to be incurred by an employer-sponsored plan covering health care expenses.
Examples of Expected claims in a sentence
Expected claims are calculated for each calendar year based on the in-force at the beginning of the calendar year.
Expected claims shall be calculated based on the original filing assumptions assumed until new assumptions are filed as part of a rate increase.
Expected claims methodUsing the expected claims method, ultimate claims projections are based upon prior measures of the anticipated claims.
Expected claims have never been used in the calculation of insurance in the CSNA and our hesitation remains.
Expected claims in the absence of the stop loss insurance coverage.
More Definitions of Expected claims
Expected claims means the amount of claims that, in the absence of medical stop–loss insurance, are projected to be incurred by the insured using reasonable and accepted actuarial principles.
Expected claims means the amount of claims that, in the absence of aggregate stop-loss insurance, are projected to be incurred by a small employer health plan using reasonable and accepted actuarial principles.
Expected claims means the amount of claims that, in the absence of
Expected claims. ’ means the amount of covered claims under the plan that is projected to be incurred by a policyholder under the plan.
Expected claims means the total amount of claims that, in the absence of medical stop-loss insurance, are projected to be incurred by the insured using reasonable and accepted actuarial principles in a policy year.
Expected claims means the amount of claims that, in the absence of an employee benefit aggregate excess insurance policy or other insurance, is projected to be incurred by an insured group through its health plan using reasonable and accepted actuarial principles.
Expected claims means the amount of claims that, in the absence of a health care stop loss policy or other insurance, are projected to be incurred by a group health plan.