Note X – Risk Pools – Risk Financing Limits
This guidance applies to stand-alone risk pools and governments that manage risk pools.
The following table reflects the risk financing limits on coverage policies issued and retained by (pool) at _____ __, 20__. 
Instructions to preparer:
 Additional information should be provided for the following:
Discuss the details of minimum deductibles for applicable types of coverage as needed in footnotes to the tables.
Disclose any requirements for participant co-pays after deductibles are met.
If options exist for participants to elect for higher deductibles they should be discussed.