Renewal Expectation
<br />10
<br />Orange County Government
<br />Subscribers
<br />Total
<br />Claims
<br />Stop Loss
<br />Credits
<br />Net
<br />Claims
<br />HSA
<br />August -13
<br />1,012
<br />$609,311.64
<br />$0
<br />$609,311.64
<br />$21,341.70
<br />September -13
<br />1,006
<br />$494,158.67
<br />$0
<br />$494,158.67
<br />$21,341.70
<br />October -13
<br />1,013
<br />$636,751.28
<br />$0
<br />$636,751.28
<br />$21,754.10
<br />November -13
<br />1,016
<br />$946,271.22
<br />$0
<br />$946,271.22
<br />$21,857.20
<br />December -13
<br />1,015
<br />$631,855.00
<br />$0
<br />$631,855.00
<br />$21,857.20
<br />January -14
<br />979
<br />$614,054.44
<br />$0
<br />$614,054.44
<br />$23,718.00
<br />February -14
<br />980
<br />$685,672.00
<br />$0
<br />$685,672.00
<br />$24,072.00
<br />March -14
<br />974
<br />$995,490.59
<br />$134,831
<br />$860,659.59
<br />$23,364.00
<br />April -14
<br />985
<br />$607,744.02
<br />$125,351
<br />$482,393.02
<br />$24,544.00
<br />May -14
<br />985
<br />$635,821.26
<br />$13,128
<br />$622,693.26
<br />$24,308.00
<br />June -14
<br />984
<br />$651,854.42
<br />$44,024
<br />$607,830.42
<br />$24,072.00
<br />July -14
<br />981
<br />$908,800.00
<br />$10,944
<br />$897,856.00
<br />$24,190.00
<br />Total
<br />11,930
<br />$8,417,784.53
<br />$328,278.00
<br />$8,089,506.53
<br />$252,229.90
<br />Self- funded Calculation
<br />Of the 13% increase,
<br />Care Reform
<br />5 %.
<br />Health
<br />is responsible for
<br />Current PPO Plan Design
<br />2015 Renewal
<br />Claims - Without Benefit Change
<br />$8,089,507
<br />Trend 2015 -8%
<br />111.30%
<br />Trended 2015 Claims
<br />$9,003,621
<br />Administration
<br />$495,095
<br />Stop Loss Insurance
<br />$1,276,868
<br />PPACA - Fee for Comparative Effectiveness Research Agency
<br />$3,188.00
<br />PPACA - Transitional Reinsurance Fee - 2014 - 2016
<br />$72,621.96
<br />Copays Accumulate to Out of Pocket Maximum - 5%
<br />$450,181.04
<br />HSA Cost - $1,416
<br />$288,864.00
<br />Clinic Costs
<br />$0.00
<br />2015 Cost
<br />$11,590,439
<br />Current Contribution
<br />$9,938,644
<br />HSA Contribution Budget - $1,416
<br />$288,864
<br />Total Contribution for 2014
<br />$10,227,508
<br />Percentage Change over 2014
<br />113.33%
<br />U.,
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