CityofLaPorte
<br />MedicalHistoricalExperienceAnalysisHealthFund$1500Plan
<br />DatathroughFebruary2017
<br />EnrollmentClaimsData
<br />MonthEEEESpEEChFamTotalMedicalRxStopLossTotalPaidRollingPEPM
<br />20160121491347$114,947$8,784$0$123,730$2,632.56
<br />20160220491346$39,807$6,843$0$46,650$1,213.52
<br />201603194101346$24,461$7,637$0$32,098$1,204.85
<br />201604205111248$20,383$5,824$0$26,207$1,211.05
<br />201605205101348$20,829$6,940$0$27,769$1,238.87
<br />201606204101549$5,610$6,832$0$12,443$1,232.78
<br />201607
<br />204101549$4,410$8,460$0$12,870$1,180.37
<br />20160817391544$11,140$14,293$0$25,434$1,120.22
<br />20160918391545$12,673$9,313$0$21,986$1,083.58
<br />20161019391748$18,940$10,825$0$29,765$920.22
<br />20161120391749$5,909$7,750$0$13,659$907.23
<br />20161221391750$28,279$9,622$0$37,901$721.46
<br />20170123381751$14,977$6,037$0$21,013$537.16
<br />20170224381752$12,794$5,125$0$17,919$481.98
<br />EnrollmentClaimsData
<br />BeginEndEEEESpEEChFamTotalMedicalRxStopLossTotalPaidPeriodPEPM
<br />ExperiencePeriodsMarch2015throughFebruary2017
<br />Mar16Feb1724143112183579$180,406$98,658$0$279,064$481.98
<br />Mar15Feb1621484109153560$582,484$97,086$0$679,569$1,213.52
<br />PlanYearJanuarythroughDecember
<br />Jan16Dec1623545114175569$307,388$103,123$0$410,511$721.46
<br />Jan15Dec1520992108151560$448,212$98,921$0$547,133$977.02
<br />YeartoDateJanuarythroughFebruary
<br />Jan17Feb174761634103$27,771$11,162$0$38,933$377.99
<br />Jan16Feb16418182693$154,754$15,627$0$170,380$1,832.05
<br />Jan15Feb153616172493$20,482$17,462$0$37,943$407.99
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