GVHR » Topics » E. Example of Calculation of the Groups Maximum Annual Liability

This excerpt taken from the GVHR 10-Q filed Nov 10, 2008.

E.     Example of Calculation of the Group’s Maximum Annual Liability

 

Plan Type

 

Avg No. of
Insureds

 

Annual Individual
Excess Liability Limit

 

Aggregate Liability
per Plan Type

 

Group’s
Maximum
Annual Liability

 

HMO

 

[*]

 

[*]

 

[*]

 

 

 

PPO

 

[*]

 

[*]

 

[*]

 

 

 

Blue Options

 

[*]

 

[*]

 

[*]

 

 

 

 

 

[*]

 

 

 

[*]

 

[*]

 

 

Based on the calculations above, if Actual Incurred Claims exceed [*], BCBSF/HOI will pay a settlement amount equal to such excess to the Group.  If Actual Incurred Claims are less than or equal to [*] no settlement payment shall be due.

 

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