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January 1, 2014-October 31, 2014January 1, 2013-December 31, 2013January 1, 2012-December 31, 2012 <br />Over Specific Over Specific Over Specific <br /> 32,157 1,189$ 100,761$ 201,566$ 283,950 <br />$ 67,415 82,383 <br />($165,000)($165,000)($165,000) <br /> - - - - - -$ - - -$ - - - - <br /> $ $ <br /> <br /> <br />$ <br />$ $ <br />$ <br />1ActiveHRA 1000EnrolleeOpen fracture of tibia (lower leg)232,415.272ActivePPOSpouseSepticemia (blood poisoning)197,156.883ActivePPOSpouseDegenerative joint disease in lower leg166,188.774Ret <br /> <65PPOEnrolleeMalnutrition related to diabetes128,634.557Ret <65PPOEnrolleeDegenerative disc in lower back81,166.268Ret <65PPOSpouseMechanical loosening of prosthetic joint76,568.699ActivePPOSpouseA <br />neurysm in blood vessel in chest76,255.231ActiveHRA 1000EnrolleeSkin infection of foot164,7403ActivePPOSpouseIntense pain in lower limb (reflex sympathetic dystrophy)121,80094,3615ActiveHRA <br /> 1000SpousePoisoning by drugs or medicinal substances80,760 <br />87,285.4183,505.541,129,177139,875426,415366,566247,383164,173953,243 <br />ClassPlanRelationshipDiagnosisAmountClassPlanRelationshipDiagnosisAmountClassPlanRelationshipDiagnosisAmount <br />TotalTotalTotal <br />High Dollar Claimant Report - 2014 <br />City of La Porte <br />Claimants > $72,500Claimants > $72,500Claimants > $72,500 <br />1 <br />1ActiveHRA 1000EnrolleePancreatic cancer <br />2Ret <65PPOEnrolleeRespiratory failure <br />5ActiveHRA 1000SpouseKidney stone(s)2ActivePPOEnrolleeKidney stone(s)4ActiveHRA 1000SpouseKidney stone(s) <br />6ActiveHRA 1000DependentPremature birth <br />3Ret <65PPOEnrolleeBrain aneurysm <br />12/1/2014 <br /> <br />