Premium Calculations. 13 For Kaiser Plans, the premium charges shall be the amount 14 charged by Kaiser to the County. For the ODS plans, the premium charges shall 15 be calculated, using sound actuarial principles, and include projected claim costs 16 based on plan experience as required by state regulations, IBNR expenses, 17 Oregon Medical Insurance Pool assessments, pharmaceutical claim expenses, 18 stop-loss premiums, third-party benefit plan administration costs, and an 19 appropriate trend factor selected to limit County contributions and employee cost 20 shares while providing adequate funding for plan operations. 21 Other than the High Cost Employer Sponsored Health Coverage 22 Excise Tax (“Excise Tax”), if a government agency or other taxing authority 23 imposes or increases a tax or other charge upon the County’s Medical and/or 24 Dental benefit plan(s) or any activity of the plan(s), the County may increase the 25 appropriate premium(s) to include the new or increased tax or charge.
Appears in 2 contracts
Sources: Labor Agreement, Labor Agreement