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RFP Financial Summary
<br />MEDICAL PLAN SERVICES & STOP LOSS INSURANCECURRENT PY 2020PROPOSED PY 2021PROPOSED PY 2021
<br />TPA:AetnaAetnaAetna
<br />STOP LOSS CARRIER:Vista UWVista UWAetna
<br />MGU:SABSSABSAetna
<br />PBM:RxBenefits / CVSRxBenefits / CVSRxBenefits / CVS
<br />PPO:AetnaAetnaAetna
<br />SPECIFIC STOP LOSS DEDUCTIBLE:$165,000$165,000$170,000
<br />SPECIFIC STOP LOSS LIFETIME MAXIMUM:UnlimitedUnlimitedUnlimited
<br />SPECIFIC CONTRACT :24/12 (M/Rx)24/12 (M/Rx)24/12 (M/Rx)
<br />SPECIFIC PREMIUM: Composite PEPM$107.54$128.07$155.83
<br />MONTHLY TOTAL$42,693$50,844$61,865
<br />ANNUAL TOTAL$512,321$610,125$742,374
<br />AGGREGATE STOP LOSS ANNUAL MAXIMUM:$2,000,000$2,000,000$2,000,000
<br />AGGREGATE PREMIUM: Composite PEPM$7.25$7.40$14.63
<br />MONTHLY TOTAL$2,878$2,938$5,808
<br />ANNUAL TOTAL$34,539$35,254$69,697
<br />ANNUAL TOTAL - STOP LOSS PREMIUM$546,860$645,379$812,071
<br />$75,176$98,520$340,388
<br />15.94%18.02%62.24%
<br />(A) ADDITIONAL LASER LIABILITY$680,000$185,000$0
<br />PROPOSED ENROLLMENT:
<br />SINGLE163
<br />FAMILY234
<br />TOTAL397
<br />AGGREGATE STOP LOSS FACTOR:
<br /> COMPOSITE FACTOR - SINGLE/FAMILY$1,962.36$1,827.86$1,788.92
<br />MONTHLY AGGREGATE ACCUMULATION$779,056.92$725,660.42$710,201.24
<br />ANNUAL AGGREGATE ACCUMULATION$9,348,683$8,707,925$8,522,415
<br />EXPECTED CLAIMS CARRIER$7,478,946$6,966,340$6,817,932
<br />$351,850-$512,606-$661,015
<br />4.94%-7.19%-8.84%
<br />CLAIMS/STOPLOSS/ADMIN AT EXPECTED CLAIMS$8,884,456$7,975,369$7,808,653
<br />CLAIMS/STOPLOSS/ADMIN AT MAX CLAIMS$10,754,193$9,716,954$9,513,136
<br />NA-$1,037,238-$1,241,056
<br />NA-10.85%-11.54%
<br />Firm & Final thru 11/13
<br />1) 350k
<br />ADDITIONAL LASER LIABILITY:1) 350k 2) 265k 3) 375k 4) 350kFirm & Final
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