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Orange County Government
<br />Subscribers
<br />Premium
<br />Total
<br />Claims
<br />Loss
<br />Ratio
<br />Net
<br />Claims
<br />February -12
<br />945
<br />$742,978.43
<br />$501,190.30
<br />67.46%
<br />$501,190.30
<br />March -12
<br />936
<br />$737,878.18
<br />$505,078.91
<br />68.45%
<br />$505,078.91
<br />April -12
<br />935
<br />$732,946.43
<br />$633,298.56
<br />86.40%
<br />$633,298.56
<br />May -12
<br />944
<br />$736,329.84
<br />$511,843.90
<br />69.51%
<br />$511,843.90
<br />June -12
<br />947
<br />$735,005.35
<br />$430,666.60
<br />58.59%
<br />$430,666.60
<br />July -12
<br />995
<br />$762,928.61
<br />$499,640.83
<br />65.49%
<br />$499,640.83
<br />August -12
<br />990
<br />$760,191.09
<br />$586,067.78
<br />77.09%
<br />$586,067.78
<br />September -12
<br />984
<br />$754,703.39
<br />$597,897.17
<br />79.22%
<br />$597,897.17
<br />October -12
<br />987
<br />$753,274.33
<br />$554,237.84
<br />73.58%
<br />$554,237.84
<br />November -12
<br />994
<br />$758,491.00
<br />$561,559.75
<br />74.04%
<br />$561,559.75
<br />December -12
<br />994
<br />$755,867.34
<br />$609,873.76
<br />80.69%
<br />$609,873.76
<br />January -13
<br />1,005
<br />$820,823.13
<br />$614,054.44
<br />74.81%
<br />$614,054.44
<br />Total
<br />11,656
<br />$9,051,417.12
<br />$6,605,409.85
<br />72.98%
<br />$6,605,409.85
<br />Fully Insured Calculation
<br />C
<br />J
<br />Current PPO Plan Design
<br />2014 Renewal
<br />Premium - 1/13 - 12/13
<br />$9,849,878
<br />Claims
<br />$6,605,410
<br />Claims - With Benefit Change
<br />$6,605,410
<br />Trend 2014- 8 % -23 Months
<br />115.30%
<br />Trended 2014 Claims
<br />$7,616,038
<br />PPACA - Fee for Comparative Effectiveness Research Agency
<br />$1,649.00
<br />PPACA - Transitional Reinsurance Fee - 2014 - 2016
<br />$103,887.00
<br />PPACA - Health Insurance Industry Fee
<br />$246,246.94
<br />2014 Expected Cost
<br />$7,967,820
<br />Premium - 1/13 - 12/13
<br />$9,849,878
<br />Loss Ratio
<br />80.89%
<br />Target Loss Ratio
<br />85.00%
<br />Rate Action
<br />95.17%
<br />Self- funded Calculation
<br />Current PPO Plan Design
<br />2014 Renewal
<br />Claims - Without Benefit Change
<br />$6,605,410
<br />Trend 2014 - 8 % -23 Months
<br />115.30%
<br />Trended 2014 Claims
<br />$7,616,038
<br />Administration
<br />$1,454,436
<br />PPACA - Fee for Comparative Effectiveness Research Agency
<br />$1,649.00
<br />PPACA - Transitional Reinsurance Fee - 2014 - 2016
<br />$103,887.00
<br />PPACA - Health Insurance Industry Fee
<br />$0
<br />Total Cost
<br />$9,176,009
<br />Current Contribution
<br />$9,849,878
<br />Percentage Change over 2014
<br />93.16%
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