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Blue Cross I~, " <br />Blue Shield <br /> <br />July 31, 1991 LETTER OF NOTIFICATION <br /> <br />Mr. Michael Ruffin <br />County Manager <br />Cabarlais County Employees <br />Post Office Box 707 <br />Concord, North Carolina 28025 <br /> <br />Dear Mr. Ruffin: <br /> <br />Re: Group Name: CABARRUS COUNTY EMPLOYEES <br /> Group Number: B13269-000 <br /> <br />This letter is to confirm the renewal retention and stop loss provisions for <br />your Group for the benefits selected. Any change in the benefits, rates, or <br />rating agreement could result in a change in these provisions. Any change in <br />the number of Members covered under any of your benefit programs resulting from <br />transfers, terminations or additions of Members may also result in a change in <br />these provisions. <br /> <br />Rating Agreement: Modified Minimum Premium <br /> <br />Retention: <br /> Effective period: July 1, 1990 to July 1, 1991 <br /> Retention : 41.65% of billed rates <br /> <br />Specific Stov-Loss: <br /> Effective Period of Coverage: July 1, 1990 to July 1, 1991 <br /> Stop-Loss Level : $40,000 per covered employee/dependent <br /> Stop-Less Charge <br /> Effective 7-90 to 7-91 : 50.23% of billed rates <br /> <br />A~reza~e Stov-Loss: <br /> Effective Period of Coverage: July 1, 1990 to July 1, 1991 <br /> Stop-Less Attachment Point : 120~ of expected net paid claims <br /> Stop-Loss Charge <br /> Effective 7-90 to 7-91 : 8.12% of billed rates <br /> <br /> <br />