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CityofLaPorte
<br />MedicalHistoricalExperienceAnalysisHealthFund$1000Plan
<br />DatathroughFebruary2017
<br />EnrollmentClaimsData
<br />Month
<br />EEEESpEEChFamTotalMedicalRxStopLossTotalPaidRollingPEPM
<br />20160168222135146$8,536$31,577$0$40,113$891.28
<br />68212135145$139,092$43,132$0$182,224$936.59
<br />201602
<br />20160368222135146$158,915$38,478$0$197,393$973.93
<br />20160471222135149$52,286$38,191$0$90,477$918.81
<br />20160571222136150$85,624$38,440$0$124,064$888.72
<br />20160670242136151$140,405$42,520$0$182,925$871.72
<br />20160771242235152$173,157$52,379$0$225,535$924.63
<br />20160867242133145$195,245$52,436$0$247,681$1,011.74
<br />20160966242135146$129,923$46,182($63,341)$112,764$1,038.98
<br />20161065242036145$202,151$35,261($48,434)$188,978$1,065.48
<br />20161165241937145$117,588$48,279($21,390)$144,477$1,101.18
<br />20161265252038148$121,645$40,653($36,955)$125,344$1,053.15
<br />20170171242037152$95,327$32,398$0$127,724$1,098.98
<br />20170269242138152$86,568$36,169$0$122,737$1,061.26
<br />EnrollmentClaimsData
<br />BeginEndEEEESpEEChFamTotalMedicalRxStopLossTotalPaidPeriodPEPM
<br />ExperiencePeriodsMarch2015throughFebruary2017
<br />Mar16Feb178192832484311,781$1,558,834$501,387($170,120)$1,890,100$1,061.26
<br />Mar15Feb168402762764661,858$1,220,585$519,600$0$1,740,185$936.59
<br />PlanYearJanuarythroughDecember
<br />Jan16Dec168152782494261,768$1,524,567$507,529($170,120)$1,861,976$1,053.15
<br />Jan15Dec158462822844791,891$1,247,444$524,193$0$1,771,637$936.88
<br />YeartoDateJanuarythroughFebruary
<br />Jan17Feb17140484175304$181,895$68,567$0$250,462$823.89
<br />Jan16Feb16136434270291$147,628$74,709$0$222,337$764.04
<br />Jan15Feb15142495083324$174,488$79,302$0$253,789$783.30
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