Reinsurance cap definition

Reinsurance cap means the threshold dollar amount, adopted by the department by rule, for claims costs incurred by a reinsurance eligible health benefit plan for an insured individual’s covered benefits in a benefit year, after which threshold the claims costs for the benefits are no longer eligible for state reinsurance payments.
Reinsurance cap means the amount set by the Commission for claims costs incurred by an eligible
Reinsurance cap means the maximum amount of each claim incurred by an eligible health insurer

Examples of Reinsurance cap in a sentence

  • Reinsurance cap means the threshold dollar amount for claims costs incurred by a health insurance issuer for an enrolled individual's covered benefits, after which threshold, the claims costs for such benefits are no longer eligible for reinsurance payments.

  • Health benefits plan” means the same as that term is defined in 16 section 2 of P.L.1997, c.192 (26:2S-2).17 "Payment parameters" means the attachment point, reinsurance18 cap, and coinsurance rate for the plan.19 “Plan” means the Health Insurance Premium Security Plan20 established pursuant to section 4 of this act.21 "Reinsurance cap" means the threshold amount as provided in22 subsection j.

  • Reinsurance cap may be further defined by any federal or California-specific benefits and payment parameters or regulation.


More Definitions of Reinsurance cap

Reinsurance cap means the threshold amount for claims
Reinsurance cap means the threshold amount set under
Reinsurance cap means the amount set by the
Reinsurance cap means the threshold amount as provided in
Reinsurance cap means the threshold amount as provided in subsection D of § 38.2-3465.
Reinsurance cap means the upper limit amount for claims costs incurred by an eligible health
Reinsurance cap means the threshold dollar amount for total claims costs paid by a health insurance issuer for an enrolled individual’s covered benefits, after which, the claims costs for such benefits are no longer eligible for reinsurance payments.