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2020 Large Claimant Report <br />Over/ <br />ClaimantTotal PaidPrimary Diagnosis2019 LC#RelationshipPlan <br />UnderISL <br />1$941,808 $776,808 Extreme Immaturity of Newborn6ChildAHF 1500 <br />2$585,212 $420,212 Respiratory distress of NewbornChildAHF 1500 <br />3*$449,975 $74,975 Myelodysplastic Syndrome, Unspecified3SpousePPO 500 <br />4*$332,741 ($17,259)End Stage Renal Disease4EmployeePPO 500 <br />5$167,828 $2,828 End Stage Renal DiseaseEmployeeAHF 1000 <br />6$143,239 ($21,761)10EmployeeAHF 1500 <br />Parkinson's Disease <br />7$120,499 ($44,501)ChildPPO 500 <br />Heart Transplant Rejection <br />8$117,061 ($47,939)ChildPPO 500 <br />RA with Rheumatoid Factor Of Multiple Sites Without Organ Or Systems Involvement <br />9$115,307 ($49,693)EmployeeAHF 1000 <br />Unspecified Acute Appendicitis <br />St Elevation (stemi) Myocardial Infarction Involving Other Coronary Artery Of Inferior <br />10$92,165 ($72,835)EmployeeAHF 1000 <br />Wall <br />11$85,453 ($79,547)EmployeeAHF 1000 <br />Thrombosis Due To Vascular Prosthetic Devices, Implants And Grafts, Initial Encounter <br />Total$3,151,287 43%of all paid medical & rxclaims <br />Claimants > $62,500 <br />Claims paid January 1, 2020 December 31, 2020 <br />*Large Claimant #3 is a laser with a $375K Specific Deductible. Large Claimant #4 is a laser with a $350K Specific Deductible. <br />© 2018 HUB International Limited. <br />10 <br /> <br />