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City of La Porte
<br />Medical Historical Experience Analysis - Health Fund $1500 Plan
<br />Data through February 2021
<br />EnrollmentClaims Data
<br />Month
<br />EEEESpEEChFamTotalMedicalRxStop LossTotal PaidRolling PEPM
<br />2019-0150141234110$45,174$25,420$0$70,594$661.89
<br />2019-02
<br />49131234108$67,106$20,500$0$87,606$709.90
<br />2019-0349151334111$75,436$33,156$0$108,592$754.44
<br />2019-04
<br />50171432113$69,297$24,705$0$94,002$793.98
<br />2019-0553171334117$75,553$51,560$0$127,113$853.57
<br />2019-06
<br />53171433117$100,555$23,702$0$124,257$913.52
<br />2019-0754171533119$174,891$8,378($4,639)$178,630$1,002.09
<br />2019-08
<br />58171433122$152,143$31,866($7,480)$176,529$1,057.36
<br />2019-0962201431127$161,508$11,677$2,169$175,354$1,097.11
<br />2019-10
<br />62201432128$32,983$28,733($8,751)$52,965$1,032.41
<br />2019-1160201632128$39,959$31,125($4,208)$66,877$1,009.93
<br />2019-12
<br />57191531122$882,345$13,988($769,715)$126,618$976.89
<br />2020-0162201832132$956,733$18,383($732,425)$242,691$1,081.19
<br />2020-02
<br />62191731129$88,006$15,851($44,321)$59,537$1,046.53
<br />2020-0362201831131$918$25,984$0$26,902$977.42
<br />2020-04
<br />64201731132$26,643$18,329$0$44,972$932.48
<br />2020-0565211631133$20,054$20,895$0$40,949$865.97
<br />2020-06
<br />68211631136$43,263$36,515$0$79,778$826.38
<br />2020-0768211631136$81,926$30,259$0$112,185$774.65
<br />2020-08
<br />72211632141$62,810$26,916$0$89,726$710.19
<br />2020-0971211533140$59,409$37,836($62)$97,183$655.15
<br />2020-10
<br />75201733145$41,986$34,590$0$76,575$662.92
<br />2020-1176211735149$125,734$17,126$0$142,860$701.09
<br />2020-12
<br />76211836151$589,654$20,193($420,212)$189,634$726.88
<br />2021-0180242134159$37,490$14,615$0$52,105$601.90
<br />2021-02
<br />82242235163$54,710$17,957$0$72,667$597.63
<br />EnrollmentClaims Data
<br />BeginEndEEEESpEEChFamTotalMedicalRxStop LossTotal PaidPeriod PEPM
<br />Experience Periods - March 2019 through February 2021
<br />Mar-20Feb-218592552093931716$1,144,595$301,214($420,274)$1,025,534$597.63
<br />Mar-19Feb-206822181773881465$2,809,410$293,124($1,569,370)$1,533,164$1,046.53
<br />Plan Year - January through December
<br />Jan-20Dec-208212462013871655$2,097,134$302,876($1,197,020)$1,202,989$726.88
<br />Jan-19Dec-196572061663931422$1,876,951$304,810($792,624)$1,389,136$976.89
<br />Year-to-Date - January through February
<br />Jan-21Feb-21162484369322$92,200$32,571$0$124,772$387.49
<br />Jan-20Feb-20124393563261$1,044,740$34,234($776,746)$302,227$1,157.96
<br />Jan-19Feb-1999272468218$112,280$45,920$0$158,200$725.69
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