[Code of Federal Regulations]

[Title 42, Volume 2]

[Revised as of October 1, 2005]

From the U.S. Government Printing Office via GPO Access

[CITE: 42CFR403.251]



[Page 41-42]

 

                         TITLE 42--PUBLIC HEALTH

 

                    CHAPTER IV--CENTERS FOR MEDICARE

                          & MEDICAID SERVICES,

                        DEPARTMENT OF HEALTH AND

                             HUMAN SERVICES

 

PART 403_SPECIAL PROGRAMS AND PROJECTS--Table of Contents

 

                Subpart B_Medicare Supplemental Policies

 

Sec. 403.251  Loss ratio date and time frame provisions.



    (a) Initial calculation date means the first date of the period that 

the insuring organization uses to calculate the policy's expected loss 

ratio.

    (1) The initial calculation date may be before, the same as, or 

after the date the insuring organization sends the policy to CMS for 

review, except--

    (2) The initial calculation date must not be earlier than January 1 

of the calendar year in which the policy is sent to CMS.

    (b) Loss ratio calculation period means the period beginning with 

the initial calculation date and ending with the



[[Page 42]]



last day of the period for which the insuring organization calculates 

the policy's scale of premiums.

    (c) To calculate ``present values'', the insuring organization may 

ignore discounting (an actuarial procedure that provides for the impact 

of a variety of factors, such as lapse of policies) for loss ratio 

calculation periods not exceeding 12 months.