 description | A role played by a person or an organization. It is the party that
1. accepts fiscal responsibility for insurance plans and the policies created under those plans;
2. administers and accepts fiscal responsibility for a program that provides coverage for services to eligible individuals; and/or
3. has the responsibility to assess the merits of each risk and decide a suitable premium for accepting all or part of the risk. If played by an organization, this role may be further specified by an appropriate RoleCode.
*Example:*
1. A health insurer;
2. Medicaid Program;
3. Lloyd's of London | |