Medical Stop Loss Accrued Excess Layer Reconciliation Report Details

Effective

Policy effective date.

Contract

Contract number.

Policyholder

Policyholder name.

Policyholder state.

Report Period

Period of time covered by the report.

Gross Premium

Gross premium amount.

Percent of premium due to excess layer.

Excess Layer Accrued

Accrued excess layer premium. Product of Gross Premium and %.

Disbursed

Net premium amount paid out.

Closed

Documentation pending.

Due

Net premium amounts still payable as of the reporting period.