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Contract Types

Our Stop Loss Contract has six (6) standard contract types for specific and aggregate coverage.

Incurred and Paid Basis Contracts

1. 12/12
a. Incurred during the policy period AND
b. Paid during the policy period

2. 12/15 (Note A)
a. Incurred during the policy period AND
b. Paid during the policy period or within three months thereafter

3. 12/18 (Note B)

a. Incurred during the policy period AND
b. Paid during the policy period or within six months thereafter

4. 15/12
a. Incurred during the policy period or within three months prior to the beginning of the policy period AND
b. Paid during the policy period

5. 18/12
a. Incurred during the policy period or within six months prior to the beginning of the policy period AND
b. Paid during the policy period

6. 24/12
a. Incurred during the policy period or within twelve months prior to the beginning of the policy period AND
b. Paid during the policy period

Notes
A. A 12/15 aggregate must be accompanied with a 12/15 specific.
B. A 12/18 aggregate must be accompanied with a 12/18 specific.

 

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