Graduated Experience Rebate Sharing Method Sample Clauses
Graduated Experience Rebate Sharing Method. Pre-tax Income as a % of Revenues MCO Share HHSC Share
Graduated Experience Rebate Sharing Method. For the limited period beginning September 1, 2021, through August 31, 2023, the following Graduated Experience Rebate Sharing Method will be utilized to calculate the Experience Rebate: Pre-tax Income as a % of Revenues MCO Share HHSC Share 100% 0% 80% 20% 0% 100% 0% 100% > 0% 100% > 12% 0% 100% HHSC and the MCO will share the consolidated Net Income Before Taxes for its HHSC Programs as follows:
(1) The MCO will retain all the Net Income Before Taxes that is equal to or less than 3% of the total Revenues received by the MCO;
(2) HHSC and the MCO will share that portion of the Net Income Before Taxes that is over 3% and less than or equal to 5% of the total Revenues received, with 80% to the MCO and 20% to HHSC.
(3) HHSC will be paid the entire portion of the Net Income Before Taxes that exceeds 5% of the total Revenues. Beginning September 1, 2023, the Graduated Experience Rebate Sharing Method will revert to the following: Graduated Experience Rebate Sharing Method. Pre-tax Income as a Percentage of Revenues MCO Share HHSC Share 100% 0% 80% 20% 60% 40% 40% 60% 20% 80% > 12% 0% 100% HHSC and the MCO will share the consolidated Net Income Before Taxes for its HHSC Programs as follows:
(1) The MCO will retain all the Net Income Before Taxes that is equal to or less than 3% of the total Revenues received by the MCO;
(2) HHSC and the MCO will share that portion of the Net Income Before Taxes that is over 3% and less than or equal to 5% of the total Revenues received, with 80% to the MCO and 20% to HHSC.
(3) HHSC and the MCO will share that portion of the Net Income Before Taxes that is over 5% and less than or equal to 7% of the total Revenues received, with 60% to the MCO and 40% to HHSC.
(4) HHSC and the MCO will share that portion of the Net Income Before Taxes that is over 7% and less than or equal to 9% of the total Revenues received, with 40% to the MCO and 60% to HHSC.
(5) HHSC and the MCO will share that portion of the Net Income Before Taxes that is over 9% and less than or equal to 12% of the total Revenues received, with 20% to the MCO and 80% to HHSC.
(6) HHSC will be paid the entire portion of the Net Income Before Taxes that exceeds 12% of the total Revenues.
Graduated Experience Rebate Sharing Method. Experience Rebate as a % of Revenues
(1) The HMO will retain all Net Income before Taxes that is equal to or less than 3% of the total Revenues received by the HMO.
(2) HHSC and the HMO will share that portion of the Net Income before Taxes that is over 3% but less than or equal to 7% of the total Revenues received with 75% to the HMO and 25% to HHSC.
(3) HHSC and the HMO will share that portion of the Net Income before Taxes that is over 7% but less than or equal to 10% of the total Revenues received with 50% to the HMO and 50% to HHSC.
(4) HHSC and the HMO will share that portion of the Net Income before Taxes that is over 10% but less than or equal to 15% of the total Revenues received with 25% to the HMO and 75% to HHSC.
(5) HHSC will be paid the entire portion of the Net Income before Taxes that exceeds 15% of the total Revenues.
Graduated Experience Rebate Sharing Method. For the limited period beginning September 1, 2021, through August 31, 2023, the following Graduated Experience Rebate Sharing Method will be utilized to calculate the Experience Rebate: Pre-tax Income as a % of Revenues MCO Share HHSC Share 100% 0% 80% 20% 0% 100% 0% 100% 0% 100% > 12% 0% 100% status or program type is changed, corrected as a result of error, or is retroactively adjusted;