19GE5026Q0035-Attachment-2-Employee-Statistics.pdf
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- 19GE5026Q0035
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This is an employee health insurance claims report from Allianz covering the period of July 1, 2025 to June 30, 2026, with comparative data from three prior fiscal years.
The report tracks 214 ensured personnel (comprising 92 employees, 48 spouses, and 74 children) with total claims of €708,981.19 against premiums of €403,355.82, yielding a loss ratio of 175.77%. Hospitalization represents the largest cost category at €193,924.25 (27.4% of total claims), followed by outpatient care at €192,722.78 (27.2%), dental/oral medicine at €91,895.91 (13.0%), and medication at €24,220.48 (3.4%). Network utilization rates vary by service type, ranging from 0.5% for medication to 100% for birth coverage. The top 10 highest-cost medical procedures include hospitalization and surgery (€2,870.37 average cost), normal birth and second pregnancy (€2,710.91), and chemotherapy/radiotherapy (€2,032.27). Personnel utilization of online services stands at 93.5%, with medical orientation consultations accounting for 64.04% of online service usage. General and family medicine represents the most frequently accessed specialty at 66.67%, followed by dermatology at 16.67%. The report shows a declining trend in ensured personnel from 278 in 2023-2024 to 214 in the current period.
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EMPLOYEE STATISTICS AND CLAIMS REPORTS
Data provided by Allianz claims report processed until June 2026
07/01/2025 to 06/30/2026 07/01/2024 to 06/30/2025 07/01/2023 to 06/30/2024 07/01/2022 to 06/30/2023
Nº of ensured personnel 214 251 278 254 Employee 92 107 122 113 Spouse 48 58 64 57 Children 74 86 92 84 Other 0 0 0 0
07/01/2025 to 06/30/2026 07/01/2024 to 06/30/2025 07/01/2023 to 06/30/2024 07/01/2022 to 06/30/2023
Cost | % Network | %Cob Cost | % Network | %Cob Cost | % Network | %Cob Cost | % Network | %Cob Hospitalization 193,924.25€ | 97.4% | 27,4% Birth 2,710.91€ | 100% | 0.4% Outpatient Care 192,722.78€ | 79,6% | 27.2% Medication 24,220.48€ | 0.5% | 3.4% Prosthetics & Orthotics 24,013.49€ | 61.0% | 3.4% Dental/Oral Medicine 91,895.91€ | 61.3% | 13.0% Assistance & Subsidies - | - | 0.0% Consultation & Diagnostic Tests - | - | 0.0% Authorization 179,492.37 € Total 708,981.19 € Premium 403,355.82 € Racio* 175.77%
*Estimated profitability considering management costs.
Claims Historical Per Coverage
Distribuition of Personnel by Relation
# SBU - HEALTH
07/01/2025 to 06/30/2026 07/01/2024 to 06/30/2025 07/01/2023 to 06/30/2024 07/01/2022 to 06/30/2023
Cost | % Network | %Cob Cost | % Network | %Cob Cost | % Network | %Cob Cost | % Network | %Cob E Hospitalization 51,296.53€ | 97.9% | 22.9%60,711.51€ | 99.2% | 30.5% M Birth - | - | 0.0% P Outpatient Care 99,334.44€ | 84.5% | 44.3% L Medication 9,327.44€ | 1.4% |4.2% O Prosthetics & Orthotics 10,487.41€ | 66.0% | 4.7% Y Dental/Oral Medicine 53,746.74€ | 51.1% |24.0% E Assistance & Subsidies - | - | 0.0% 24.73 E Consultation & Diagnostic Tests - | - | 0.0% - | - | 0.0% - | - | 0.0%
Hospitalization S Birth P Outpatient Care O Medication U Prosthetics & Orthotics S Dental/Oral Medicine E Assistance & Subsidies - | - | 0.0% - | - | 0.0%
Consultation & Diagnostic Tests - | - | 0.0% - | - | 0.0% - | - | 0.0%
C Hospitalization H Birth - | - | 0.0% - | - | 0.0% - | - | 0.0% I Outpatient Care L Medication D Prosthetics & Orthotics R Dental/Oral Medicine E Assistance & Subsidies - | - | 0.0% - | - | 0.0% N Consultation & Diagnostic Tests - | - | 0.0% - | - | 0.0% - | - | 0.0%
Claims History Per Coverage and Relationship
Count € Cost Designation Average Cost
Hospitalization and Surgery Normal Birth and second pregnancy
Quimiotherapy / Radiotherapy EAD / Nuclear Medicine
EAD / Endoscopic Gastro. with anestesia Dental prosthetics
EAD - MRI
Ocular Lenses
EAD - CAT Scan Dental
Count € Cost Designation Top 10 Average Cost per Sub-Coverage: Previous year
Average Cost
Top 10 Average Cost per Sub-Coverage: Current year
Count € Cost Designation
Hospitalization and Surgery Normal Birth and second pregnancy
Count € Cost Quimiotherapy / Radiotherapy Average Cost EAD / Nuclear Medicine
EAD / Endoscopic Gastro. with anestesia Dental prosthetics
EAD - MRI
Ocular Lenses
EAD - CAT Scan Dental
Count € Cost Designation
Catheter ablation for atrial fibrillation Foraminectomy + Ext.
Hospital consumables
Unilateral Cataract Inter-surgical Prosthetics
Floor of room of 251 Dystocic delivery - CO
AMBU floor of room Floor of room of 101
LAP Surgical KIT
Average Cost Top 10 Average Cost per Medical act: Current year
Top 10 Average Cost per Sub-Coverage: Previous year Average Cost
Count € Cost Designation
Catheter ablation for atrial fibrillation Foraminectomy + Ext.
Hospital consumables Unilateral Cataract
Inter-surgical Prosthetics Floor of room of 251
Dystocic delivery - CO AMBU floor of room
Floor of room of 101 LAP Surgical KIT
Online Usage No Usage
Average Cost
Service Indicators
Top 10 Average Cost per Medical act: Previous year
Medical Orientation Travelers Consultation
House Consultations Pediatrics
General & Family Medicine Dermatology Ophthalmology Pulmonology Urologie
Top 5 Specialities
Percentage of Usage - Online Services
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