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Per Employee Per Month Costs by Plan & Plan Year
<br />PPO $500
<br />EnrollmentClaims Data
<br />BeginEndEEEESpEEChFamTotalMedicalRxStop LossTotal PaidPeriod PEPM
<br />Experience Periods - January 2018 through December 2020
<br />Jan-20Dec-205313342477831,895$2,525,390$869,108($74,975)$3,319,523$1,751.73
<br />Jan-19Dec-194994132507821,944$3,242,350$898,876($686,017)$3,455,208$1,777.37
<br />Plan Year - January through December
<br />Jan-20Dec-205313342477831,895$2,525,390$869,108($74,975)$3,319,523$1,751.73
<br />Jan-19Dec-194994132507821,944$3,242,350$898,876($686,017)$3,455,208$1,777.37
<br />Year-to-Date - January through December
<br />Jan-20Dec-205313342477831,895$2,525,390$869,108($74,975)$3,319,523$1,751.73
<br />Jan-19Dec-194994132507821,944$3,242,350$898,876($686,017)$3,455,208$1,777.37
<br />Jan-18Dec-185654332948482,140$2,202,152$1,024,748($80,804)$3,146,097$1,470.14
<br />AHF $1000
<br />EnrollmentClaims Data
<br />BeginEndEEEESpEEChFamTotalMedicalRxStop LossTotal PaidPeriod PEPM
<br />Experience Periods - January 2018 through December 2020
<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 />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 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 />Jan-18Dec-188962382292861,649$1,042,353$433,703($254,715)$1,221,342$740.66
<br />AHF $1500
<br />EnrollmentClaims Data
<br />BeginEndEEEESpEEChFamTotalMedicalRxStop LossTotal PaidPeriod PEPM
<br />Experience Periods - January 2018 through December 2020
<br />Jan-20Dec-208212462013871655$2,097,134$302,876($1,197,020)$1,202,989$726.88
<br />Jan-19Dec-196572061663931422$1,876,951$304,810($792,624)$1,389,136$976.89
<br />Plan Year - January through December
<br />Jan-20Dec-208212462013871655$2,097,134$302,876($1,197,020)$1,202,989$726.88
<br />Jan-19Dec-196572061663931422$1,876,951$304,810($792,624)$1,389,136$976.89
<br />Year-to-Date - January through December
<br />Jan-20Dec-208212462013871655$2,097,134$302,876($1,197,020)$1,202,989$726.88
<br />Jan-19Dec-196572061663931422$1,876,951$304,810($792,624)$1,389,136$976.89
<br />Jan-18Dec-183931441523371026$1,239,719$375,107$0$1,614,826$1,573.90
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