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Home My WebLink About01) January 2003City of Jeffersonville C-9486 CLAIMS PAID REPORT Aggregate Factors: $332.65 $931.37 Single Family Month pa~cinants pa~iciDants ApP02 89 164 May-02 88 166 Jun-02 89 165 Jul-02 90 167 Aug-02 92 162 Sep-02 80 163 Oct-02 84 162 ~-Nov-02 87 158 Dec-02 80 167 Jano03 75 171 Feb-03 Ma~03 Eligible for Aggregate Stop-Loss Coverage Specific Stop-Loss Reimbursements AffachmentPoint Claims Paid Monthly YTDTotal yTpTotals Claims Paid Paid *pendino $182,350.53 $171,496.34 $171,496.34 $0.00 $0.00 366,231.15 356,007.10 184,510.76 0.00 0.00 549,513.05 441,024.17 85,017.07 9.00 0.00 734,990.34 791,643.96 350,619.79 72,971.85 0.00 916,476.08 990,905.11 199,261.15 3,389.34 0.00 1,094,901.39 1,191,350.68 200,445.57 883.21 0.00 1,273,725.93 1,317,500.25 126,149.57 0.00 0.00 1,449,822.94 1,453,687.43 136,187.18 0.00 7,326.37 1,631,973.73 1,596,291.39 142,603.96 0.00 3,021.94 1,816,186.75 1,795,064.81 198,773.42 0.00 0.00 Gross Claims Pd. (includes ALL Claims Pd) I By Month YTD Totals $171,496.34 $171,496.34 184,510.76 356,007.10 85,017.07 441,024.17 350,619.79 791,643.96 199,261.15 990,905.11 200,445.57 1,191,350.68 126,149.57 1,317,500.25 136,187.18 1,453,687.43 142,603.96 1,596;291.39 198,773.42 1,795,064.81 NET CLAIMS PAID - Toward Aggregate $1,717,820.41 *ESTIMATED NET CLAIMS PAID - Toward Aggregate $1,707,472.10 (includes pending specific reimbursements) According to the Aggregate contract a Medical and Prescription Druo ctaims go toward the aggregate attachment point. All inquiries should be directed to the Administrator's Office. Stewart C. Miller & Co., Inc. Benefit Administrators At[n: Julie Swathwood P.O. Box 5769 Lafayette, IN 47903-5769 (765) 447-8803 (800) 552-6550 ~.~,=~, .... ~,~,,, Prepared by Stewart C. Miller & Co., Inc.