12-Exhibit 2. Fort Bend ISD Stop Loss Policy.pdf

PDF 536 KB Posted

Attached to
Stop Loss Insurance
Solicitation number
RFP 26-023KB
Issued by
Fort Bend County, Texas

About this file

This document is an Excess Loss Insurance Policy issued by United HealthCare Insurance Company for Fort Bend Independent School District, effective from 01/01/2020 through 01/01/2021. The policy provides specific excess loss insurance coverage for medical and stand-alone prescription drug programs, with a specific deductible of $450,000 per covered person and 100% specific percentage reimbursable. The policy covers 7,091 employees, with a monthly composite premium rate of $24.03, and includes provisions for specific and aggregate excess loss insurance.

The policy details include key financial terms such as a grace period of 31 days for premium payments, provisions for premium rate adjustments based on claims experience, and termination conditions. The coverage allows for reimbursement of covered medical expenses exceeding the specific deductible, with the company reserving the right to adjust premium rates retroactively if there is more than a 10% variance in monthly paid claim costs. The policy also includes comprehensive provisions for third-party recovery, record-keeping requirements, and conditions for potential policy modifications or termination, providing a comprehensive risk management approach for the school district's health insurance needs.

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