18-J-4 Vision Claims.pdf
PDF 8 KB Posted
- Attached to
- District Wide Employee Benefit Services.
- Solicitation number
- RFP 099-2026
- Issued by
- St. Louis County, Missouri
About this file
This is a Contract Status Report for vision claims coverage provided to the Board of Education, City of St. Louis through Rebecca Anderson, agency contact at 801 North 11th Street, St. Louis, MO 63101. The contract covers employee benefit services for the Saint Louis Public School (SLPS) District, with a contract period running from January 1, 2024 through December 31, 2026. The report documents monthly premium receipts, claims data, and enrollment figures across multiple coverage categories including employee-only, employee/family, employee/spouse or two-party, and employee/dependent plans. The status report spans 25 months of activity from January 2024 through January 2026, with the most recent data showing 48 claims totaling $3,085.95 in gross claims for the current reporting period.
The document presents detailed financial and administrative data including total premiums received of $96,962.97, gross claims totaling $68,826.04, and an administrative risk fee of $9,920.00. The report shows employee enrollment numbers fluctuating between approximately 2,100 and 2,200 covered individuals across reporting periods, with copay amounts ranging from $220 to $610 per claim. Monthly premium rates are itemized by coverage type, with single rates averaging approximately $620-$680, family rates at $116-$128, and employee/spouse rates at approximately $1.38 to $3.48. The vision plan operates as part of a comprehensive benefit package that includes medical and prescription drug coverage, employee assistance plans, wellness programs, dental coverage, basic life and accidental death and dismemberment insurance, voluntary life insurance, long-term disability, and short-term disability coverage for both active and retired SLPS District employees.
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Text version
CONTRACT STATUS REPORT - CURRENT Page 1
ContractStatus_GrpCurrent.rdf
03-MAR-26 08:05:00
670GROUP ID:
REBECCA ANDERSONAGENCY
801 NORTH 11TH STREETADDR 1
ST LOUIS MO 63101-0000
01-JAN-24
31-DEC-26
Premiums ReceivedPeriod
ADDR 2
CITY-ST-ZIP
CURRENT ST DATE
CURRENT END DATE
BOARD OF EDUCATION CITY OF ST LOUISCLIENT NAME:
48,469.68
48,489.15
3,879.94
4,036.85
4,087.53
4,080.45
4,075.41
4,070.07
4,070.28
4,061.07
4,164.57
3,858.63
4,026.96
4,057.92
3,988.89
4,013.94
4,007.28
4,013.73
4,048.41
4,092.00
4,103.46
4,088.91
4,248.54
4,294.23
3,590.31
3,999.45
4.14
202401
202402
202403
202404
202405
202406
202407
202408
202409
202410
202411
202412
202501
202502
202503
202504
202505
202506
202507
202508
202509
202510
202511
202512
202601
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
2,982.50
2,849.93
3,987.00
2,267.75
1,779.50
3,151.59
4,130.45
3,663.25
2,200.75
1,969.25
2,175.25
3,081.99
2,661.75
1,485.20
2,890.75
2,339.25
2,109.48
4,303.48
3,451.49
2,606.98
1,692.75
2,244.50
3,055.75
2,659.50
3,085.95
Commission Num
Claims Gross Claims
0.00
0.00
34,239.21
31,500.88
BENEFITS COORD./HRADMIN TITLE :
INSURANCECONTRACT TYPE $ 1.38
$ 4.95
$ .00
RATE SINGLE
RATE FAMILY
RATE EMP/CHILD
620.79
645.90
654.00
652.87
652.07
651.21
651.24
649.77
666.33
617.38
644.31
649.27
638.22
642.23
641.16
642.20
647.75
654.72
656.55
654.23
679.77
687.08
574.45
639.91
0.66
7,755.14
7,758.27
116.40
121.11
122.63
122.41
122.26
122.10
122.11
121.83
124.94
115.76
120.81
121.74
119.67
120.42
120.22
120.41
121.45
122.76
123.10
122.67
127.46
128.83
107.71
119.98
0.12
1,454.10
1,454.68
Admin Risk
4,830.00
4,680.00
Copay
400.00
430.00
520.00
270.00
250.00
440.00
600.00
490.00
300.00
320.00
340.00
470.00
360.00
220.00
460.00
370.00
340.00
610.00
520.00
430.00
250.00
350.00
440.00
330.00
410.00
2,129
2,160
2,156
2,153
2,158
2,162
2,128
2,178
2,182
2,150
2,153
2,175
2,114
2,134
2,135
2,143
2,167
2,175
2,183
2,190
2,216
2,205
2,192
2,203
2,153
Employee Only
Emp/ Family
Emp/Spouse OR 2 Party
Emp/ Dep
RATE EMP/SPOUSE
RATE 2 PARTY
$ .00
$ 3.48
25,884
26,057
1,530
1,518
1,647
1,524
Total:
Total:
NAIC STATE: MO 26
CONTRACT STATUS REPORT - CURRENT Page 2
ContractStatus_GrpCurrent.rdf
03-MAR-26 08:05:00
670GROUP ID:
REBECCA ANDERSONAGENCY
801 NORTH 11TH STREETADDR 1
ST LOUIS MO 63101-0000
01-JAN-24
31-DEC-26
Premiums ReceivedPeriod
ADDR 2
CITY-ST-ZIP
CURRENT ST DATE
CURRENT END DATE
4.14
Commission Num
Claims Gross Claims
0.00 48 3,085.95
CONTRACT TYPE
0.66 0.12
Admin Risk
410.00
Copay Employee
Only Emp/
Family Emp/Spouse
OR 2 Party Emp/ Dep
2,153 118 124 0
96,962.97 54,094 3,166 3,295 0 0.00 15,514.07 2,908.90 1,085 68,826.04 9,920.00
Total:
Grand Total:
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