N� 0
<br />13
<br />■
<br />HSA Plan
<br />Date
<br />Subs
<br />Mbrs
<br />Premium
<br />Medical
<br />Pharmacy
<br />Capitation
<br />Combined
<br />Claims
<br />Claims Per Sub
<br />Per Month
<br />Loss Ratio
<br />January -12
<br />195
<br />375
<br />$142,356.71
<br />$12,037.78
<br />$2
<br />$3,845.63
<br />$15,884.91
<br />$81.46
<br />11.16%
<br />February-12
<br />196
<br />373
<br />$141,405.73
<br />$21,599.49
<br />$699
<br />$3,814.70
<br />$26,113.07
<br />$133.23
<br />18.47%
<br />March -12
<br />191
<br />362
<br />$139,684.00
<br />$30,321.00
<br />$1,091.00
<br />$3,732.00
<br />$35,144.00
<br />$184.00
<br />25.16%
<br />April -12
<br />191
<br />364
<br />$140,868.00
<br />$43,011.00
<br />$1,695.00
<br />$3,753.00
<br />$48,459.00
<br />$253.71
<br />34.40%
<br />May -12
<br />192
<br />364
<br />$140,688.00
<br />$35,127.00
<br />$2,641.00
<br />$3,753.00
<br />$41,521.00
<br />$216.26
<br />29.51%
<br />June-12
<br />196
<br />371
<br />$143,540.68
<br />$24,769.27
<br />$2,544.50
<br />$3,825
<br />$31,138.78
<br />$158.87
<br />21.69%
<br />July-12
<br />205
<br />380
<br />$148,181.47
<br />$25,229.21
<br />$5,333.99
<br />$3,918
<br />$34,481.00
<br />$168.20
<br />23.27%
<br />August -12
<br />207
<br />385
<br />$150,507.00
<br />$127,044.00
<br />$4,992.00
<br />$3,969.00
<br />$136,005.00
<br />$657.03
<br />90.36%
<br />September -12
<br />206
<br />385
<br />$150,145.00
<br />$54,506.00
<br />$5,373.00
<br />$3,969.00
<br />$63,848.00
<br />$309.94
<br />42.52%
<br />October -12
<br />208
<br />384
<br />$149,798.00
<br />$25,270.00
<br />$7,335.00
<br />$3,959.00
<br />$36,564.00
<br />$175.79
<br />24.41%
<br />November -12
<br />217
<br />397
<br />$154,425.00
<br />$69,224.00
<br />$8,584.00
<br />$4,083.00
<br />$81,891.00
<br />$377.38
<br />53.03%
<br />December -12
<br />220
<br />401
<br />$155,851.00
<br />$80,748.00
<br />$11,558.00
<br />$4,103.00
<br />$96,409.00
<br />$438.22
<br />61.86%
<br />Total
<br />2,424
<br />4,541
<br />$1,757,450.59
<br />$548,886.74
<br />$51,847.89
<br />$46,724.14
<br />$647,458.76
<br />$267.10
<br />36.84%
<br />PPO Plan
<br />Date
<br />Subs
<br />Mbrs
<br />Premium
<br />Medical
<br />Pharmacy
<br />Capitation
<br />Combined
<br />Claims
<br />Claims Per Sub
<br />Per Month
<br />Loss Ratio
<br />January -12
<br />755
<br />1,258
<br />$601,086.67
<br />$503,372.10
<br />$72,164.17
<br />$12,887.50
<br />$588,423.77
<br />$779.37
<br />97.89%
<br />February -12
<br />750
<br />1,254
<br />$602,793.53
<br />$443,530.37
<br />$86,572.58
<br />$12,928.74
<br />$543,031.69
<br />$724.04
<br />90.09%
<br />March -12
<br />746
<br />1,246
<br />$599,131.00
<br />$424,785.00
<br />$105,977.00
<br />$12,867.00
<br />$543,629.00
<br />$728.73
<br />90.74%
<br />April -12
<br />745
<br />1245
<br />$593,015.00
<br />$573,611.00
<br />$102,468.00
<br />$12,763.78
<br />$688,842.78
<br />$924.62
<br />116.16%
<br />May -12
<br />753
<br />1,252
<br />$596,579.00
<br />$417,265.00
<br />$112,812.00
<br />$12,867.00
<br />$542,944.00
<br />$721.04
<br />91.01%
<br />June -12
<br />752
<br />1246
<br />$592,685.50
<br />$335,871.46
<br />$82,049.64
<br />$12,784.40
<br />$430,705.50
<br />$572.75
<br />72.67%
<br />July -12
<br />790
<br />1286
<br />$615,389.38
<br />$376,251.09
<br />$115,307.99
<br />$13,268.97
<br />$504,828.05
<br />$639.02
<br />82.03%
<br />August -12
<br />784
<br />1,272
<br />$610,263.00
<br />$408,789.00
<br />$107,816.00
<br />$13,125.00
<br />$529,730.00
<br />$675.68
<br />86.80%
<br />September -12
<br />777
<br />1,264
<br />$604,558.00
<br />$451,349.00
<br />$100,731.00
<br />$12,991.00
<br />$565,071.00
<br />$727.25
<br />93.47%
<br />October -12
<br />779
<br />1,260
<br />$603,476.00
<br />$363,443.00
<br />$109,365.00
<br />$12,980.00
<br />$485,788.00
<br />$623.60
<br />80.50%
<br />November -12
<br />777
<br />1,259
<br />$604,066.00
<br />$409,725.00
<br />$119,655.00
<br />$13,001.00
<br />$542,381.00
<br />$698.05
<br />89.79%
<br />December -12
<br />775
<br />1,252
<br />$601,173.00
<br />$426,124.00
<br />$103,265.00
<br />$12,918.00
<br />$542,307.00
<br />$699.75
<br />90.21%
<br />Total
<br />9,183
<br />15,094
<br />$7,224,216.08
<br />$5,134,116.02
<br />$1,218,183.38
<br />$155,382.39
<br />$6,507,681.79
<br />$708.67
<br />90.08%
<br />Combined Plans
<br />Date
<br />Subs
<br />Mbrs
<br />Premium
<br />Medical
<br />Pharmacy
<br />Capitation
<br />Combined
<br />Claims
<br />Claims Per Sub
<br />Per Month
<br />Loss Ratio
<br />January -12
<br />950
<br />1,633
<br />$743,443.38
<br />$515,409.87
<br />$72,165.67
<br />$16,733.13
<br />$604,308.68
<br />$636.11
<br />81.29%
<br />February -12
<br />946
<br />1,627
<br />$744,199.26
<br />$465,129.86
<br />$87,271.47
<br />$16,743.44
<br />$569,144.77
<br />$601.63
<br />76.48%
<br />March -12
<br />937
<br />1,608
<br />$738,815.00
<br />$455,106.00
<br />$107,068.00
<br />$16,599.00
<br />$578,773.00
<br />$617.69
<br />78.34%
<br />April -12
<br />936
<br />1,609
<br />$733,883.00
<br />$616,622.00
<br />$104,163.00
<br />$16,516.78
<br />$737,301.78
<br />$787.72
<br />100.47%
<br />May -12
<br />945
<br />1,616
<br />$737,267.00
<br />$452,392.00
<br />$115,453.00
<br />$16,620.00
<br />$567,845.00
<br />$600.89
<br />77.02%
<br />June -12
<br />948
<br />1,617
<br />$736,226.18
<br />$360,640.73
<br />$84,594.14
<br />$16,609.41
<br />$445,234.87
<br />$469.66
<br />60.48%
<br />July -12
<br />995
<br />1,666
<br />$763,570.85
<br />$401,480.30
<br />$120,641.98
<br />$17,186.77
<br />$522,122.29
<br />$524.75
<br />68.38%
<br />August -12
<br />991
<br />1,657
<br />$760,770.00
<br />$535,833.00
<br />$112,808.00
<br />$17,094.00
<br />$648,641.00
<br />$654.53
<br />85.26%
<br />September -12
<br />983
<br />1,649
<br />$754,703.00
<br />$505,855.00
<br />$106,104.00
<br />$16,960.00
<br />$611,959.00
<br />$622.54
<br />81.09%
<br />October -12
<br />987
<br />1,644
<br />$753,274.00
<br />$388,713.00
<br />$116,700.00
<br />$16,939.00
<br />$505,413.00
<br />$512.07
<br />67.10%
<br />November -12
<br />994
<br />1,656
<br />$758,491.00
<br />$478,949.00
<br />$128,239.00
<br />$17,084.00
<br />$607,188.00
<br />$610.85
<br />80.05%
<br />December -12
<br />995
<br />1,653
<br />$757,024.00
<br />$506,872.00
<br />$114,823.00
<br />$17,021.00
<br />$621,695.00
<br />$624.82
<br />82.12%
<br />Total
<br />11,607
<br />19,635
<br />$8,981,666.67
<br />$5,683,002.76
<br />$1,270,031.27
<br />$202,106.53
<br />$7,019,626.38
<br />$604.78
<br />78.16%
<br />Trend
<br />69.44%
<br />
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