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Orange County Government
<br />Subscribers
<br />Premium
<br />Total
<br />Claims
<br />Loss
<br />Ratio
<br />Net
<br />Claims
<br />HSA
<br />June-12
<br />947
<br />$735,005.35
<br />$430,666.60
<br />58.59%
<br />$430,666.60
<br />$20,207.60
<br />July-12
<br />995
<br />$762,928.61
<br />$499,640.83
<br />65.49%
<br />$499,640.83
<br />$21,135.50
<br />August -12
<br />990
<br />$760,191.09
<br />$586,067.78
<br />77.09%
<br />$586,067.78
<br />$21,341.70
<br />September -12
<br />984
<br />$754,703.39
<br />$597,897.17
<br />79.22%
<br />$597,897.17
<br />$21,341.70
<br />October -12
<br />987
<br />$753,274.33
<br />$554,237.84
<br />73.58%
<br />$554,237.84
<br />$21,444.80
<br />November -12
<br />994
<br />$758,491.00
<br />$561,559.75
<br />74.04%
<br />$561,559.75
<br />$22,372.70
<br />December -12
<br />994
<br />$755,867.34
<br />$609,873.76
<br />80.69%
<br />$609,873.76
<br />$22,682.00
<br />January-13
<br />1,005
<br />$820,823.13
<br />$614,054.44
<br />74.81%
<br />$614,054.44
<br />$21,857.20
<br />February -13
<br />994
<br />$818,221.00
<br />$685,672.00
<br />83.80%
<br />$685,672.00
<br />$21,547.90
<br />March -13
<br />991
<br />$815,966.65
<br />$765,244.19
<br />93.78%
<br />$765,244.19
<br />$21,651.00
<br />April-13
<br />988
<br />$814,079.35
<br />$620,474.22
<br />76.22%
<br />$620,474.22
<br />$21,238.60
<br />May -13
<br />994
<br />$813,672.00
<br />$668,568.00
<br />82.17%
<br />$668,568.00
<br />$21,341.70
<br />Total
<br />1 11,863
<br />$9,363,223.24
<br />$7,193,956.59
<br />76.83%
<br />$7,193,956.59
<br />$258,162.40
<br />Self- funded Calculation
<br />Current PPO Plan Design
<br />2014 Renewal
<br />Claims - Without Benefit Change
<br />$7,193,957
<br />Trend 2014 - 8% -19 Months
<br />112.67%
<br />Trended 2014 Claims
<br />$8,105,431
<br />Administration
<br />$1,567,577
<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 />$0.00
<br />HSA Cost - $1,416
<br />$293,112.00
<br />Total Cost
<br />$10,071,656
<br />Current Contribution
<br />$10,065,433
<br />Percentage Change over 2014
<br />100.06%
<br />If the County transitions to a self- funded arrangement, no
<br />increase in funding is required.
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