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City of La Porte
<br />Medical Historical Experience Analysis - PPO, AHF 1000 & AHF 1500 Plans, Combined
<br />Data through February 2021
<br />ENROLLMENT CLAIMS DATA
<br />Month
<br />EEEESpEEChFamTotalMedicalRxStop LossTotal PaidRolling PEPM
<br />2019-011586853123402$320,663$136,418$0$457,081$1,167.72
<br />2019-02
<br />1566652123397$403,459$137,688$0$541,147$1,185.96
<br />2019-031556852121396$555,591$134,287($9,006)$680,872$1,242.12
<br />2019-04
<br />1556953119396$479,212$141,272($37,816)$582,668$1,258.95
<br />2019-051586950121398$426,795$142,204($51,337)$517,662$1,273.13
<br />2019-06
<br />1586850121397$580,296$152,769($141,395)$591,670$1,297.60
<br />2019-071596851120398$710,349$96,752($162,207)$644,894$1,334.93
<br />2019-08
<br />1616748120396$527,005$112,056($227,315)$411,746$1,312.85
<br />2019-091636948118398$851,293$118,491($327,863)$641,921$1,351.64
<br />2019-10
<br />1617048118397$364,506$126,318($137,984)$352,840$1,330.60
<br />2019-111597050118397$416,991$147,221($101,087)$463,124$1,339.30
<br />2019-12
<br />1566950116391$1,485,838$125,930($1,118,064)$493,704$1,339.35
<br />2020-011646753119403$1,333,465$152,410($732,425)$753,450$1,401.28
<br />2020-02
<br />1626552119398$525,820$98,614($44,321)$580,113$1,409.16
<br />2020-031626553115395$381,370$118,855$0$500,226$1,371.54
<br />2020-04
<br />1636352117395$397,404$102,491$0$499,895$1,354.45
<br />2020-051636451117395$184,719$98,626$0$283,345$1,306.08
<br />2020-06
<br />1656451116396$313,519$138,807$0$452,326$1,277.07
<br />2020-071626351116392$423,402$122,590$0$545,993$1,257.88
<br />2020-08
<br />1656351117396$321,526$118,255$0$439,781$1,263.77
<br />2020-091656149118393$378,940$130,170($6,748)$502,362$1,235.71
<br />2020-10
<br />1686049118395$266,546$131,719($14,147)$384,117$1,242.82
<br />2020-111716248119400$443,631$118,530($20,405)$541,756$1,258.59
<br />2020-12
<br />1696348120400$928,166$119,210($456,776)$590,600$1,276.58
<br />2021-011736455115407$222,116$96,792$0$318,908$1,184.25
<br />2021-02
<br />1736456116409$334,887$109,610$0$444,497$1,153.11
<br />EnrollmentClaims Data
<br />BeginEndEEEESpEEChFamTotalMedicalRxStop LossTotal PaidPeriod PEPM
<br />Experience Periods - March 2019 through February 2021
<br />Mar-20Feb-211,9997566141,4044,773$4,596,227$1,405,655($498,077)$5,503,805$1,153.11
<br />Mar-19Feb-201,9118196051,4304,765$8,257,160$1,548,323($3,090,819)$6,714,664$1,409.16
<br />Plan Year - January through December
<br />Jan-20Dec-201,9797606081,4114,758$5,898,508$1,450,277($1,274,823)$6,073,963$1,276.58
<br />Jan-19Dec-191,8998216051,4384,763$7,121,998$1,571,405($2,314,073)$6,379,329$1,339.35
<br />Year-to-Date - January through February
<br />Jan-21Feb-21346128111231816$557,003$206,402$0$763,405$935.55
<br />Jan-20Feb-20326132105238801$1,859,285$251,024($776,746)$1,333,563$1,664.87
<br />Jan-19Feb-19314134105246799$724,122$274,106$0$998,228$1,249.35
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