HEALTH & WELFARE POOL

GENERAL ASSESSMENT FORMULA

FOR THE

PURMS JOINT SELF-INSURANCE AGREEMENT

Amended and Restated as of December 7, 2001

 

TABLE OF CONTENTS

 

1.����� Definitions For H&W General Assessment Formula� 2

1.1.�� Allowed H&W Claim�� 2

1.2.�� Alternate ISL Method� 2

1.3.�� Assessment Formula� 2

1.4.�� Average Claims Frequency Ratio� 2

1.5.�� Benefits Check� 2

1.6.�� Claims Experience� 2

1.7.�� Claims Frequency Factor 2

1.8.�� Claims Frequency Ratio� 3

1.9.�� Covered H&W Claim�� 3

1.10. Date of Membership� 3

1.11. Debatable H&W Claims� 3

1.12. Dependent Coverage� 3

1.13. Dependents� 3

1.14. Direct H&W Claims Costs� 3

1.15.