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Home My WebLink About05) May 2003City of Jeffersonville C=9486 CLAIMS PAID REPORT Aggregate Factors: $332.65 $931.37 r Single Family Month ~3rticipan~ participan~ Ap>02 89 164 Ma~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 De~02 80 167 Jam03 75 171 Feb-03 77 171 Ma~03 77 175 Bigible for Aggregate Step-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 t,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 Specific Stop-Loss Reimbursements MonBly Claims Paid Paid *pendino $171,496.34 $0.00 $0.00 t84,510.76 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 0.00 126,149.57 0.00 0.00 136,187.18 7,326.37 0.00 142,603.96 3,021.94 0.00 198,773.42 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) I By MonB yTD To~ $171,496.34 $171,496.34 184,510.76 356,007.10 85,017.07 441,024.17 350,619.79 791,643.96 199,261.15 990,995.11 200,445.57 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 $2,2'12,209o57 $2,179,505.82 (includes pending specific reimbursements) According to the Aggregate contract all Medical and Prescription Dina 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.