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City of La Porte
<br />Medical Historical Experience Analysis - Health Fund $1000 Plan
<br />Data through February 2021
<br />EnrollmentClaims Data
<br />Month
<br />EEEESpEEChFamTotalMedicalRxStop LossTotal PaidRolling PEPM
<br />2019-0166171722122$61,377$30,024$0$91,401$1,145.46
<br />2019-02
<br />65171722121$193,259$30,670$0$223,929$1,217.48
<br />2019-0365171722121$183,132$39,654($9,006)$213,780$1,285.43
<br />2019-04
<br />62171722118$144,657$20,997($37,816)$127,838$1,286.48
<br />2019-0562171622117$125,359$21,169($51,337)$95,191$1,273.08
<br />2019-06
<br />62171523117$161,863$45,981($102,287)$105,557$1,283.58
<br />2019-0762171523117$186,753$28,153($96,577)$118,329$1,264.11
<br />2019-08
<br />61171522115$183,330$19,627($167,203)$35,754$1,154.88
<br />2019-0960161522113$400,895$32,858($295,533)$138,220$1,157.48
<br />2019-10
<br />59171521112$109,183$31,616($23,869)$116,930$1,111.43
<br />2019-1159171521112$160,086$38,154($46,921)$151,320$1,130.63
<br />2019-12
<br />60161521112$92,803$28,816($4,884)$116,735$1,098.77
<br />2020-0157171421109$100,731$17,217$0$117,948$1,128.27
<br />2020-02
<br />56171421108$167,747$27,027$0$194,774$1,117.71
<br />2020-0355151420104$101,285$20,012$0$121,297$1,063.44
<br />2020-04
<br />55151420104$138,011$23,172$0$161,184$1,099.43
<br />2020-0554151420103$55,611$23,220$0$78,832$1,098.70
<br />2020-06
<br />53151420102$74,647$27,112$0$101,759$1,108.38
<br />2020-075114142099$177,956$21,850$0$199,806$1,186.82
<br />2020-08
<br />5014142098$52,927$24,603$0$77,529$1,235.37
<br />2020-095014132097$171,143$21,121$0$192,264$1,293.95
<br />2020-10
<br />4814122094$96,548$24,683$0$121,231$1,316.17
<br />2020-114915121995$78,215$23,344$0$101,559$1,293.81
<br />2020-12
<br />4915112095$61,165$24,931($2,828)$83,269$1,284.31
<br />2021-015112112094$33,174$18,629$0$51,802$1,245.02
<br />2021-02
<br />5013111993$59,636$22,626$0$82,263$1,165.36
<br />EnrollmentClaims Data
<br />BeginEndEEEESpEEChFamTotalMedicalRxStop LossTotal PaidPeriod PEPM
<br />Experience Periods - March 2019 through February 2021
<br />Mar-20Feb-216151711542381,178$1,100,317$275,304($2,828)$1,372,794$1,165.36
<br />Mar-19Feb-207252021832611,371$2,016,539$351,270($835,432)$1,532,377$1,117.71
<br />Plan Year - January through December
<br />Jan-20Dec-206271801602411,208$1,275,985$278,293($2,828)$1,551,451$1,284.31
<br />Jan-19Dec-197432021892631,397$2,002,697$367,720($835,432)$1,534,985$1,098.77
<br />Year-to-Date - January through February
<br />Jan-21Feb-21101252239187$92,810$41,255$0$134,065$716.92
<br />Jan-20Feb-20113342842217$268,478$44,244$0$312,722$1,441.11
<br />Jan-19Feb-19131343444243$254,636$60,694$0$315,330$1,297.65
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