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City of La Porte
<br />Medical Historical Experience Analysis - PPO Plan
<br />Data through February 2021
<br />EnrollmentClaims Data
<br />Month
<br />EEEESpEEChFamTotalMedicalRxStop LossTotal PaidRolling PEPM
<br />2019-0142372467170$214,112$80,974$0$295,086$1,438.59
<br />2019-02
<br />42362367168$143,094$86,518$0$229,612$1,410.85
<br />2019-0341362265164$297,023$61,477$0$358,500$1,473.87
<br />2019-04
<br />43352265165$265,258$95,570$0$360,828$1,499.84
<br />2019-0543352165164$225,883$69,475$0$295,358$1,518.64
<br />2019-06
<br />43342165163$317,878$83,086($39,108)$361,856$1,540.65
<br />2019-0743342164162$348,705$60,221($60,991)$347,935$1,595.31
<br />2019-08
<br />42331965159$191,532$60,563($52,632)$199,463$1,593.78
<br />2019-0941331965158$288,890$73,956($34,499)$328,347$1,664.21
<br />2019-10
<br />40331965157$222,339$65,969($105,364)$182,944$1,696.70
<br />2019-1140331965157$216,945$77,941($49,959)$244,927$1,725.45
<br />2019-12
<br />39342064157$510,691$83,126($343,465)$250,351$1,777.37
<br />2020-0145302166162$276,001$116,811$0$392,812$1,835.19
<br />2020-02
<br />44292167161$270,066$55,736$0$325,802$1,891.72
<br />2020-0345302164160$279,167$72,860$0$352,027$1,892.29
<br />2020-04
<br />44282166159$232,750$60,990$0$293,740$1,863.24
<br />2020-0544282166159$109,054$54,511$0$163,565$1,799.25
<br />2020-06
<br />44282165158$195,609$75,180$0$270,789$1,756.26
<br />2020-0743282165157$163,521$70,481$0$234,002$1,701.03
<br />2020-08
<br />43282165157$205,790$66,735$0$272,525$1,741.24
<br />2020-0944262165156$148,389$71,213($6,686)$212,916$1,682.32
<br />2020-10
<br />45262065156$128,012$72,446($14,147)$186,311$1,684.97
<br />2020-1146261965156$239,682$78,060($20,405)$297,337$1,713.48
<br />2020-12
<br />44271964154$277,348$74,086($33,736)$317,697$1,751.73
<br />2021-0142282361154$151,452$63,548$0$215,000$1,664.92
<br />2021-02
<br />41272362153$220,541$69,027$0$289,568$1,652.73
<br />EnrollmentClaims Data
<br />BeginEndEEEESpEEChFamTotalMedicalRxStop LossTotal PaidPeriod PEPM
<br />Experience Periods - March 2019 through February 2021
<br />Mar-20Feb-215253302517731,879$2,351,315$829,137($74,975)$3,105,477$1,652.73
<br />Mar-19Feb-205043992457811,929$3,431,211$903,930($686,017)$3,649,124$1,891.72
<br />Plan Year - January through December
<br />Jan-20Dec-205313342477831,895$2,525,390$869,108($74,975)$3,319,523$1,751.73
<br />Jan-19Dec-194994132507821,944$3,242,350$898,876($686,017)$3,455,208$1,777.37
<br />Year-to-Date - January through February
<br />Jan-21Feb-21835546123307$371,993$132,576$0$504,568$1,643.54
<br />Jan-20Feb-20895942133323$546,067$172,547$0$718,614$2,224.81
<br />Jan-19Feb-19847347134338$357,206$167,492$0$524,698$1,552.36
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