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CityofLaPorte
<br />MedicalHistoricalExperienceAnalysisPPOPlan
<br />DatathroughFebruary2017
<br />EnrollmentClaimsData
<br />Month
<br />EEEESpEEChFamTotalMedicalRxStopLossTotalPaidRollingPEPM
<br />20160159482781215$175,864$131,864$0$307,727$1,217.62
<br />57482781213$198,995$126,522$0$325,517$1,177.06
<br />201602
<br />20160357472781212$218,598$159,918$0$378,516$1,238.24
<br />20160458472781213$212,154$117,663$0$329,817$1,285.98
<br />20160557462781211$114,661$114,466$0$229,127$1,293.04
<br />20160657462781211$201,837$88,772$0$290,609$1,331.84
<br />20160757452782211$159,763$110,396$0$270,160$1,331.68
<br />20160856442777204$204,556$97,970$0$302,526$1,360.41
<br />20160952452577199$100,943$106,797$0$207,740$1,348.26
<br />20161050452575195$229,334$88,516$0$317,850$1,392.33
<br />20161149442575193$241,924$91,635$0$333,559$1,443.81
<br />20161249452575194$136,992$121,901$0$258,893$1,437.49
<br />20170150432779199$222,184$104,388$0$326,572$1,454.54
<br />20170249432779198$245,530$76,216$0$321,747$1,461.93
<br />EnrollmentClaimsData
<br />BeginEndEEEESpEEChFamTotalMedicalRxStopLossTotalPaidPeriodPEPM
<br />ExperiencePeriodsMarch2015throughFebruary2017
<br />Mar16Feb176415403169432,440$2,288,476$1,278,637$0$3,567,114$1,461.93
<br />Mar15Feb166094852939532,340$1,682,353$1,071,961$0$2,754,314$1,177.06
<br />PlanYearJanuarythroughDecember
<br />Jan16Dec166585503169472,471$2,195,621$1,356,419$0$3,552,040$1,437.49
<br />Jan15Dec155864722869482,292$1,754,767$938,293$0$2,693,060$1,174.98
<br />YeartoDateJanuarythroughFebruary
<br />Jan17Feb17998654158397$467,714$180,604$0$648,318$1,633.04
<br />Jan16Feb161169654162428$374,859$258,385$0$633,244$1,479.54
<br />Jan15Feb15938347157380$447,273$124,718$0$571,991$1,505.24
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