19-V4 - City of Burleson 906435 - OVMCR-20A - Vision Membership by Tier - Membership YTD thru 2025-12.pdf
PDF 77 KB Posted
- Attached to
- RFP 2026-015 Dental & Vision Insurance Benefits
- Solicitation number
- RFP 2026-015
- Issued by
- Johnson County, Texas
About this file
This document is a membership tier report for vision insurance coverage provided to the City of Burleson, Texas under Policy Number 0906435, with an effective date of January 1, 2016 and renewal date of January 1, 2027. The report tracks enrollment data across multiple membership tier categories—including subscriber only, subscriber with spouse, subscriber with child, subscriber with children, subscriber with spouse and child, and subscriber with spouse and children—for the calendar year 2025. The data is presented on a monthly basis from January through December 2025, showing subscriber counts, member counts, total dependents, and stand-alone member counts for each tier classification.
The report indicates relatively stable enrollment throughout 2025, with total membership ranging from 774 to 807 members across the reporting period. Total stand-alone members for the year reached 9,470, with 4,068 subscribers, 4,079 dependents, and 5,391 stand-alone participants. The highest enrollment occurred in May 2025 with 807 total members, while the lowest occurred in September 2025 with 774 total members. This data appears to support the City of Burleson's dental and vision insurance benefits program for eligible full-time employees, retirees, and their dependents, as referenced in the related RFP 2026-015.
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Text version
Membership Tiers by Month
Client Effective Date: 1/1/2016
Client Renewal Month Day:
1/1/2027
Client Policy Number: 0906435
Selection Parameters
Incurred Date Range: 1/1/2025 to 12/31/2025
Group ID: -1
Client ID: 336654
Values on Report
1/1/2025 to 12/1/2025
Product ID: -1 City of Burleson
Incurred Date Subscribers Count by Tier Members Count by Tier Total
Subscriber Only w/ Spouse w/ Child w/ Children w/ Spouse & Child w/ Spouse & Children Subscriber Only w/ Spouse w/ Child w/ Children w/ Spouse & Child w/ Spouse & Children Subscribers Dependents Members
Stand Alone January 2025 155 33 18 17 41 77 155 66 36 62 123 354 341 455 796
February 2025 157 32 18 17 42 75 157 64 36 62 126 342 341 446 787
March 2025 158 32 19 16 44 74 158 64 38 59 132 339 343 447 790
April 2025 156 32 19 17 45 76 156 64 38 63 135 347 345 458 803
May 2025 155 31 19 17 46 77 155 62 38 63 138 351 345 462 807
June 2025 151 32 19 17 45 72 151 64 38 63 135 328 336 443 779
July 2025 154 33 18 19 43 73 154 66 36 70 129 332 340 447 787
August 2025 153 34 17 19 42 72 153 68 34 68 126 328 337 440 777
September 2025 152 35 17 21 40 71 152 70 34 75 120 323 336 438 774
October 2025 152 36 17 21 39 76 152 72 34 75 117 350 341 459 800
November 2025 152 36 18 21 37 72 152 72 36 75 111 334 336 444 780
December 2025 154 33 18 22 38 73 154 66 36 80 114 340 338 452 790
Stand Alone Total
1,849 399 217 224 502 888 1,849 798 434 815 1,506 4,068 4,079 5,391 9,470
Run Date Time: 1/16/2026OVMCR-20A
File details come from the government source that posted it. Updated .