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The Ionic Group, a provider group with 10,000 plan members, purchased for its hospital risk...

The Ionic Group, a provider group with 10,000 plan members, purchased for its hospital risk pool aggregate stop-loss insurance with a threshold of 110% of projected costs and a 10% coinsurance provision. Ionic funds the hospital risk pool at $40 per member per month (PMPM).

If Ionic’s actual hospital costs are $5,580,000 for the year, then, under the aggregate stop-loss agreement, the stop-loss insurer is responsible for reimbursing Ionic in the amount of

A.

$30,000

B.

$270,000

C.

$300,000

D.

$702,000

AHIP AHM-530 Summary

  • Vendor: AHIP
  • Product: AHM-530
  • Update on: Oct 14, 2025
  • Questions: 202
Price: $52.5  $149.99
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