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| HMOs receive a predetermined amount of dollars from employers or individuals in return for providing medical care. Should the frequency of claims or the severity of catastrophic cases exceed expectations, the HMO would suffer an unexpected financial loss. Reinsurance can smooth out the financial downturns by providing protection, on a specific claim by claim basis and against the unexpected extremes. Deductibles are usually at high levels - in the range of $50,000 to $500,000. The HMO reinsurance contract may also include continuation of benefits coverage and a conversion feature. |
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| Coverage is offered for
all types of membership categories including commercial, Medicare,
Medicaid, point of service and others.
In addition to financial protection for the HMO, reinsurance from Standard Security Life also includes access to national transplant and PPO networks, and includes some case management and disease management assistance. |
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Copyright (c) 2000.
Standard Security Life Insurance Company of New York. |