Medical Stop Loss Accrued Override 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.

Override as a percentage of gross premiums.

Override Accrued

Override amounts as of the reporting period. Product of Gross Premium and %.

Disbursed

Override amount paid out.

Closed

Documentation pending.

Due

Override amounts still payable as of the reporting period.