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AG19900904
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AG19900904
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Last modified
3/28/2003 9:14:33 AM
Creation date
11/27/2017 12:05:35 PM
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Template:
Meeting Minutes
Doc Type
Agenda
Meeting Minutes - Date
9/4/1990
Board
Board of Commissioners
Meeting Type
Regular
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MODIFIED HINI2iUH Plll~fr~d RATING ACR~EHENT <br /> <br /> 1. The Plan agrees to ad~inister the pro§ram of benefits referred to in the <br /> Haster Group Contract under a Hodified Hinlmum RatinE Agreement as <br /> indicated below. <br /> <br /> 2. The Plan will bill the Group each month at rates calculated to cover <br /> charges for retention (as defined) and Ag§regate Stop Loss and Specific <br /> Stop Loss. <br /> <br /> 3. a. The Plan will draft the Group each month for Paid Claims (as defined) <br /> according to the terms of the Estimated Drafting Schedule provided by <br /> the Plan. <br /> <br /> b. A cumulative report will be provided to the Group each month, to show <br /> the amounts paid by the Plan, the amounts reimbursed or due from the <br /> Group, and the amounts paid by the Plan but not reimbursed from the <br /> Group, if any. due to the cumulative maximum. <br /> <br /> 4. The Plan will maintain a separate accountinE for this Group and report to <br /> the Group on a quarterly basis. The accountinE will be as follows: <br /> <br /> a. Earned income from Gzoup fees paid to the Plan and Paid Claims <br /> amounts reimbursed by the Group will be credited; <br /> <br /> b. Paid Claims will be debited for a continuinE Group and Incurred <br /> Claims (es defined) will be debited for a terminated Group; <br /> <br /> c. Charges for Retention (as defined) will be debited; <br /> <br /> d. Charges for stop loss coverage, if any, will be debited; <br /> <br /> e. Claims pooled, if any, because of stop loss coverage will be credited. <br /> <br /> 5. losses in one contract period are not carried fo~ard to future contract <br /> periods, <br /> <br /> 6. The Plan will provide Aggregete Stop Loss covera§e which will limit the <br /> Croup's liability for actual Paid Claims equal to 120% of expected claims <br /> during a single contract period. Aggregate Stop Loss is not accumulative <br /> from contract period to contract period. <br /> <br /> 7. Claim payments made prior to retroactive membership changes that are not <br /> eligible expenses under the terms of this Contract will remain the <br /> liability of the Group under the terms of this AGreement to the extent <br /> that payments are not recovered. <br /> <br />H126A-RA-HHP1 <br /> <br /> <br />
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