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Home My WebLink About04) April 2003City of Jeffersonville C-9486 CLAIMS PAID REPORT Aggregate Factors: $332.65 $931.37 Eligible for Aggregate Stop-Loss Coverage Attachment Point Claims Paid YTD Total YTD Totals $182,350.53 $171,496.34 366,231.15 356,007.10 549,513.05 441,024.17 734,990.34 791,643.96 916,476.08 990,905.11 1,094,901.39 1,191,350.68 1,273,725.93 1,317,500.25 1,449,822.94 1,453,687.43 1,631,973.73 1,596,291.39 1,816,186.75 1,795,064.81 2,001,065.07 1,931,465.07 2,189,668.87 2,302,797.70 Single Family Month Participants Participants Apr-02 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 Now02 87 158 Dec-02 80 167 Jan-03 75 171 Feb-03 77 171 Mar-03 77 175 Specific Stop-Loss Reimbursements Monthly Claims Paid Paid *Pending $171,496.34 $0.00 $0.00 184,510.76 0.00 0.00 85,017.07 0.00 0.00 350,619,79 72,971.85 0.00 199,261.15 3,389.34 0.00 200,445,57 883.21 0.90 126,149.57 0,00 0.00 136,187.18 7,326.37 0.00 142,603.96 0.00 3,021.94 198,773.42 0.00 0.00 136,400,26 2,995.42 0.00 371,332.63 0.00 32,703,75 Gross Claims Pd. (includes ALL Claims Pd) [ _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 1,795,064.81 136,400.26 1,931,465.07 371,332.63 2,302,797.70 NET CLAIMS PAID - Toward Aggregate *ESTIMATED NET CLAIMS PAID ~ Toward Aggregate $2,215,23t .51 $2,179,505.82 (includes pending specific reimbursements) According to the Aggregate contract all Medical and Prescription Druo claims go toward the aggregate attachment point. All inquiries should be directed to the Administrator's Office. Stewart C. Miller & Co., Inc. Benefit Administrators Attn: Julie Swathwood P.O. Box 5769 Lafayette, IN 47903-5769 (765) 447-8803 (800) 552-6550 Preliminary Report Prepared by Stewart C. Miller & Co., Inc.