Attachment9_Claims Data_2015.07.01 through 2020.05.31.xlsx
XLSX spreadsheet 49 KB Posted
- Attached to
- Disabilitly STD/LTD Program Federal contract opportunity
- Solicitation number
- 2031JW20Q00067
About this file
This document contains claims data and premium versus claims reports for short term and long term disability programs administered for the Office of the Comptroller of the Currency and the Office of Financial Research from 2015 through 2020. The data includes details on individual disability claims such as claimant demographics, benefit amounts, offsets from other income sources, and total benefits paid. The premium versus claims reports provide a monthly breakdown of billed premiums and paid claims for both short term and long term disability coverage, showing claims experience for both the OCC and OFR employee groups over the period.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 2031JW20Q00067 Disability RFQ.pdf | ||
| OCC DISABILITY QUESTIONS AND ANSWERS RESPONSES.pdf | ||
| Attachment 3 - Claim_Detail.xlsx | XLSX spreadsheet | |
| Attachment 2 - TechnicalQuestionnaire.docx | DOCX document | |
| Attachment 1 - Non-Disclosure Agreement.doc | DOC document | |
| Attachment 7 - VPAT.docx | DOCX document | |
| Attachment 4 - LTD_Certificate.pdf | ||
| Attachment 5 - STD_Certificate.pdf | ||
| Attachment 6 - STD_LTD_Prem_History.xlsx | XLSX spreadsheet | |
| Attachment 8 - Census.xlsx | XLSX spreadsheet | |
| 2031JW20Q00067 RFQ.pdf |
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Text version
LTD
| Report: | LTD Detail Report | ||||||||||||||||||||||||||||
| Customer: | Office of the Comptroller of the Currency | ||||||||||||||||||||||||||||
| Report Duration: | 7/1/2015 to 5/31/2020 | ||||||||||||||||||||||||||||
| Data as of: | 5/31/20 | ||||||||||||||||||||||||||||
| * Reflects cumulative amounts for offset | |||||||||||||||||||||||||||||
| Coverage Type | EE Structure Type 1 Code | Claim Status | Gender | Claimant Age - Years | Offset 1 Amount* | Offset 1 Description | Offset 2 Amount* | Offset 2 Description | Offset 3 Amount* | Offset 3 Description | Offset 4 Amount* | Offset 4 Description | Offset 5 Amount* | Offset 5 Description | Offset 6 Amount* | Offset 6 Description | Offset 7 Amount* | Offset 7 Description | Offset 8 Amount* | Offset 8 Description | Offset 9 Amount* | Offset 9 Description | Date of Disability | Benefit Start Date | Claim End Date | Monthly Gross Benefit | Regular Monthly Benefit | Total Benefit Paid to Date | Reserve |
| Long Term Disability | OCC | Closed | F | 56 | $ - 0 | $ - 0 | $ 1,395 | Accident & Sickness | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | 12/11/15 | 03/10/16 | 04/03/16 | $ 3,806 | $ - 0 | $ 2,411 | $ - 0 | ||||||||
| Long Term Disability | OCC | Closed | F | 64 | $ 20,669 | Social Security Disability | $ - 0 | $ 738 | Accident & Sickness | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | 01/05/16 | 04/04/16 | 02/03/18 | $ 3,163 | $ - 0 | $ 39,611 | $ - 0 | |||||||
| Long Term Disability | OCC | Closed | M | 40 | $ - 0 | $ - 0 | $ 892 | Accident & Sickness | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | 03/28/16 | 06/26/16 | 11/27/16 | $ 3,827 | $ - 0 | $ 18,497 | $ - 0 | ||||||||
| Long Term Disability | OCC | Closed | F | 64 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | 10/07/16 | 01/05/17 | 04/19/17 | $ 8,079 | $ - 0 | $ - 0 | $ - 0 | |||||||||
| Long Term Disability | OCC | Closed | F | 56 | $ - 0 | $ 1,124 | Salary Continuance | $ - 0 | $ - 0 | $ - 0 | $ 5,821 | Federal Tax | $ - 0 | $ - 0 | $ - 0 | 12/14/16 | 03/14/17 | 09/17/17 | $ 4,048 | $ - 0 | $ 23,704 | $ - 0 | |||||||
| Long Term Disability | OCC | Closed | M | 59 | $ - 0 | $ - 0 | $ 1,362 | Accident & Sickness | $ 1,644 | Rehabilitation Employment | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ 798 | Rehabilitation Incentive | 02/20/17 | 05/21/17 | 10/15/17 | $ 5,842 | $ - 0 | $ 26,027 | $ - 0 | ||||||
| Long Term Disability | OCC | Denied | M | 59 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | 03/29/17 | 06/27/17 | 03/29/17 | $ 10,416 | $ - 0 | $ - 0 | $ - 0 | |||||||||
| Long Term Disability | OCC | Closed | F | 60 | $ - 0 | $ - 0 | $ 1,129 | Accident & Sickness | $ 1,935 | Rehabilitation Employment | $ - 0 | $ 3,000 | Federal Tax | $ - 0 | $ - 0 | $ - 0 | 07/24/17 | 10/22/17 | 01/21/18 | $ 4,841 | $ - 0 | $ 11,458 | $ - 0 | ||||||
| Long Term Disability | OCC | Denied | F | 64 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | 09/06/17 | 12/05/17 | 09/06/17 | $ 3,734 | $ - 0 | $ - 0 | $ - 0 | |||||||||
| Long Term Disability | OCC | Closed | F | 51 | $ 33,138 | Social Security Disability | $ - 0 | $ 911 | Accident & Sickness | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ 38 | Minimum Monthly | $ - 0 | 09/30/17 | 12/29/17 | 12/28/19 | $ 3,906 | $ - 0 | $ 39,885 | $ - 0 | ||||||
| Long Term Disability | OCC | Closed | F | 62 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | 11/10/17 | 02/08/18 | 10/31/18 | $ 10,497 | $ - 0 | $ 36,390 | $ - 0 | |||||||||
| Long Term Disability | OCC | Closed | F | 38 | $ - 0 | $ - 0 | $ 2,790 | Accident & Sickness | $ - 0 | $ 1,552 | Vacation Pay | $ - 0 | $ - 0 | $ - 0 | $ - 0 | 01/17/18 | 04/17/18 | 01/01/19 | $ 5,979 | $ - 0 | $ 46,678 | $ - 0 | |||||||
| Long Term Disability | OCC | Closed | M | 55 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ 11,150 | Federal Tax | $ 23,273 | Government Pension/ Retirement | $ - 0 | 01/22/18 | 04/22/18 | 05/30/19 | $ 6,884 | $ - 0 | $ 52,041 | $ - 0 | ||||||||
| Long Term Disability | OCC | Denied | M | 62 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | 03/02/18 | 05/31/18 | 03/02/18 | $ 6,404 | $ - 0 | $ - 0 | $ - 0 | |||||||||
| Long Term Disability | OCC | Closed | F | 35 | $ - 0 | $ 1,061 | Salary Continuance | $ 1,650 | Accident & Sickness | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ 106 | Minimum Monthly | $ - 0 | 03/14/18 | 06/12/18 | 03/15/19 | $ 3,537 | $ - 0 | $ 18,990 | $ - 0 | ||||||
| Long Term Disability | OCC | Denied | F | 66 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | 04/13/18 | 07/12/18 | 04/13/18 | $ 2,706 | $ - 0 | $ - 0 | $ - 0 | |||||||||
| Long Term Disability | OCC | Closed | F | 31 | $ - 0 | $ - 0 | $ 791 | Accident & Sickness | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | 07/18/18 | 10/16/18 | 11/09/18 | $ 3,395 | $ - 0 | $ 2,037 | $ - 0 | ||||||||
| Long Term Disability | OCC | Denied | M | 46 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | 07/21/18 | 10/19/18 | 07/21/18 | $ 7,452 | $ - 0 | $ - 0 | $ - 0 | |||||||||
| Long Term Disability | OCC | Active | F | 62 | $ 14,241 | Social Security Disability | $ - 0 | $ 6,993 | Accident & Sickness | $ - 0 | $ - 0 | $ 14,000 | Federal Tax | $ - 0 | $ 699 | Minimum Monthly | $ - 0 | 09/06/18 | 12/05/18 | 12/04/20 | $ 6,993 | $ 3,958 | $ 74,869 | $ 197,908 | |||||
| Long Term Disability | OCC | Closed | F | 61 | $ - 0 | $ - 0 | $ 12,532 | Accident & Sickness | $ 13,721 | Rehabilitation Employment | $ - 0 | $ - 0 | $ - 0 | $ 942 | Minimum Monthly | $ - 0 | 11/01/18 | 01/30/19 | 06/30/19 | $ 9,418 | $ 45,379 | $ - 0 | |||||||
| Long Term Disability | OCC | Denied | F | 36 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | 11/02/18 | 01/31/19 | 11/02/18 | $ 2,484 | $ - 0 | $ - 0 | $ - 0 | |||||||||
| Long Term Disability | OCC | Closed | F | 37 | $ - 0 | $ - 0 | $ 2,100 | Accident & Sickness | $ - 0 | $ - 0 | $ 2,000 | Federal Tax | $ - 0 | $ - 0 | $ - 0 | 01/07/19 | 04/07/19 | 04/06/21 | $ 7,879 | $ 68,974 | $ - 0 | ||||||||
| Long Term Disability | OCC | Active | M | 40 | $ - 0 | $ - 0 | $ 747 | Accident & Sickness | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ 21 | Minimum Monthly | $ - 0 | 01/29/19 | 04/29/19 | 04/28/21 | $ 3,202 | $ 3,202 | $ 23,519 | $ 43,402 | |||||||
| Long Term Disability | OCC | Active | F | 53 | $ - 0 | $ - 0 | $ 1,560 | Accident & Sickness | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | 06/29/19 | 09/27/19 | 02/17/33 | $ 6,685 | $ 6,685 | $ 58,605 | $ 658,872 | ||||||||
| Long Term Disability | OCC | Active | F | 61 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ 11,569 | Government Pension/ Retirement | $ - 0 | $ - 0 | 08/02/19 | 10/31/19 | 10/30/21 | $ 4,111 | $ 2,458 | $ 21,454 | $ 65,354 | ||||||||
| Long Term Disability | OCC | Denied | F | 52 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | 09/17/19 | 12/16/19 | 09/20/19 | $ 4,014 | $ - 0 | $ - 0 | - |
STD
| Report: | STD Detail Report |
| Customer: | Office of the Comptroller of the Currency |
| Report Duration: | 7/1/2015 to 5/31/2020 |
| Data as of: | 5/31/20 |
* Reflects cumulative amounts for offset
| Coverage Type | EE Type 1 Structure Code | Claim Status | Gender | Claimant Age - Years | Offset 1 Amount * | Offset 1 Description | Offset 2 Amount * | Offset 2 Description | Offset 3 Amount * | Offset 3 Description | Offset 4 Amount * | Offset 4 Description | Disability Date | Benefit Start Date | Claim End Date | Base Benefit | Cumulative Gross Benefit |
| Short Term Disability | OFR | Closed | F | 30 | $ 2,002 | Salary Continuance | 08/29/15 | 08/08/15 | 9/21/2015 | $ 1,557 | $ 8,971 | ||||||
| Short Term Disability | OCC | Denied | M | 57 | 08/07/15 | 08/28/15 | 8/7/2015 | $ 1,650 | $ - 0 | ||||||||
| Short Term Disability | OCC | Closed | F | 32 | $ 5,904 | Salary Continuance | 11/02/15 | 08/28/15 | 10/9/2015 | $ 1,323 | $ 2,223 | ||||||
| Short Term Disability | OCC | Denied | F | 32 | 08/21/15 | 08/28/15 | 8/21/2015 | $ 1,323 | $ - 0 | ||||||||
| Short Term Disability | OFR | Closed | F | 33 | $ 3,522 | Salary Continuance | 12/14/15 | 09/05/15 | 10/9/2015 | $ 1,785 | $ 5,403 | ||||||
| Short Term Disability | OCC | Closed | F | 58 | 12/10/15 | 09/07/15 | 9/27/2015 | $ 1,983 | $ 5,949 | ||||||||
| Short Term Disability | OCC | Closed | M | 47 | 12/22/15 | 09/18/15 | 10/18/2015 | $ 1,084 | $ 4,801 | ||||||||
| Short Term Disability | OCC | Closed | F | 30 | 12/31/15 | 09/21/15 | 10/18/2015 | $ 674 | $ 2,600 | ||||||||
| Short Term Disability | OCC | Closed | F | 34 | 12/23/15 | 12/02/15 | 12/28/2015 | $ 1,248 | $ 4,813 | ||||||||
| Short Term Disability | OCC | Closed | F | 31 | $ 2,083 | Salary Continuance | 02/08/16 | 12/17/15 | 1/20/2016 | $ 1,326 | $ 4,546 | ||||||
| Short Term Disability | OCC | Closed | F | 34 | 02/16/16 | 12/21/15 | 2/20/2016 | $ 989 | $ 7,630 | ||||||||
| Short Term Disability | OFR | Closed | F | 52 | 01/05/16 | 12/22/15 | 3/20/2016 | $ 878 | $ 11,289 | ||||||||
| Short Term Disability | OCC | Closed | F | 24 | 02/17/16 | 12/29/15 | 2/14/2016 | $ 738 | $ 2,928 | ||||||||
| Short Term Disability | OCC | Closed | F | 36 | 03/28/16 | 12/30/15 | 2/21/2016 | $ 1,523 | $ 11,749 | ||||||||
| Short Term Disability | OCC | Closed | F | 49 | $ 1,853 | Salary Continuance | 06/29/16 | 01/07/16 | 2/25/2016 | $ 1,497 | $ 8,839 | ||||||
| Short Term Disability | OCC | Closed | F | 60 | $ 3,841 | Salary Continuance | 04/12/16 | 01/12/16 | 4/10/2016 | $ 730 | $ 5,627 | ||||||
| Short Term Disability | OCC | Closed | F | 32 | $ 2,637 | Salary Continuance | 06/27/16 | 02/15/16 | 3/29/2016 | $ 543 | $ 776 | ||||||
| Short Term Disability | OCC | Denied | F | 30 | 02/16/16 | 02/23/16 | 2/21/2016 | $ 693 | $ - 0 | ||||||||
| Short Term Disability | OCC | Closed | F | 55 | 08/01/16 | 02/24/16 | 4/30/2016 | $ 2,234 | $ 21,383 | ||||||||
| Short Term Disability | OCC | Closed | M | 36 | 09/26/16 | 04/04/16 | 7/2/2016 | $ 883 | $ 11,353 | ||||||||
| Short Term Disability | OCC | Closed | F | 33 | $ 6,161 | Salary Continuance | 10/20/16 | 04/27/16 | 7/10/2016 | $ 707 | $ 1,414 | ||||||
| Short Term Disability | OFR | Closed | F | 26 | $ 2,873 | Salary Continuance | $ 100 | Minimum Weekly | 10/12/16 | 07/04/16 | 8/7/2016 | $ - 0 | $ 797 | ||||
| Short Term Disability | OCC | Closed | F | 63 | 10/11/16 | 07/06/16 | 8/14/2016 | $ 775 | $ 627 | ||||||||
| Short Term Disability | OCC | Denied | F | 52 | 07/25/16 | 08/01/16 | 7/25/2016 | $ - 0 | $ - 0 | ||||||||
| Short Term Disability | OCC | Closed | M | 48 | 08/01/16 | 08/08/16 | 8/14/2016 | $ 1,701 | $ 1,701 | ||||||||
| Short Term Disability | OCC | Closed | F | 36 | $ 829 | Salary Continuance | 02/25/17 | 10/03/16 | 11/20/2016 | $ 1,106 | $ 6,912 | ||||||
| Short Term Disability | OCC | Denied | F | 61 | 10/08/16 | 10/15/16 | 10/8/2016 | $ 1,864 | $ - 0 | ||||||||
| Short Term Disability | OCC | Closed | F | 31 | 03/14/17 | 10/18/16 | 12/1/2016 | $ 1,173 | $ 7,540 | ||||||||
| Short Term Disability | OCC | Closed | M | 28 | $ 6,613 | Salary Continuance | $ - 0 | $ 146 | Minimum Weekly | 10/12/16 | 10/19/16 | 12/19/2016 | $ 1,111 | $ 3,373 | |||
| Short Term Disability | OCC | Closed | F | 57 | $ 1,237 | Salary Continuance | $ 21 | Minimum Weekly | 05/01/17 | 10/27/16 | 1/11/2017 | $ 1,181 | $ 11,775 | ||||
| Short Term Disability | OCC | Denied | F | 32 | 01/03/17 | 01/10/17 | 1/3/2017 | $ 730 | $ - 0 | ||||||||
| Short Term Disability | OCC | Closed | M | 56 | $ 1,348 | Salary Continuance | $ 25 | Minimum Weekly | 05/29/17 | 02/27/17 | 5/27/2017 | $ 1,348 | $ 16,008 | ||||
| Short Term Disability | OFR | Closed | F | 40 | 07/10/17 | 03/04/17 | 3/19/2017 | $ 2,092 | $ 4,782 | ||||||||
| Short Term Disability | OCC | Closed | F | 28 | 08/05/17 | 03/21/17 | 5/17/2017 | $ 783 | $ 6,488 | ||||||||
| Short Term Disability | OCC | Closed | M | 56 | 09/06/18 | 04/05/17 | 7/3/2017 | $ 2,404 | $ 9,959 | ||||||||
| Short Term Disability | OFR | Closed | F | 32 | 08/12/17 | 05/31/17 | 6/14/2017 | $ 798 | $ 1,710 | ||||||||
| Short Term Disability | OCC | Closed | F | 34 | $ 1,663 | Salary Continuance | $ 25 | Minimum Weekly | 05/29/17 | 06/05/17 | 7/23/2017 | $ 1,663 | $ 10,003 | ||||
| Short Term Disability | OCC | Closed | F | 56 | 08/25/17 | 06/12/17 | 7/9/2017 | $ 1,605 | $ 6,420 | ||||||||
| Short Term Disability | OCC | Closed | F | 27 | $ 673 | Salary Continuance | 08/23/17 | 07/17/17 | 8/28/2017 | $ 673 | $ 3,301 | ||||||
| Short Term Disability | OFR | Denied | F | 51 | 07/21/17 | 07/28/17 | 9/15/2017 | $ 1,511 | $ - 0 | ||||||||
| Short Term Disability | OCC | Closed | F | 60 | 07/24/17 | 07/31/17 | 10/28/2017 | $ 1,117 | $ 12,604 | ||||||||
| Short Term Disability | OCC | Closed | F | 35 | 09/12/17 | 08/12/17 | 10/1/2017 | $ 1,627 | $ 11,854 | ||||||||
| Short Term Disability | OCC | Closed | F | 30 | $ 2,326 | Salary Continuance | $ 50 | Minimum Weekly | 09/06/17 | 08/19/17 | 10/14/2017 | $ 997 | $ 5,843 | ||||
| Short Term Disability | OCC | Closed | F | 56 | $ 2,209 | Salary Continuance | $ 32 | Minimum Weekly | 10/13/17 | 08/24/17 | 10/29/2017 | $ 1,406 | $ 11,280 | ||||
| Short Term Disability | OCC | Closed | F | 26 | 08/23/17 | 08/30/17 | 10/11/2017 | $ 760 | $ 4,669 | ||||||||
| Short Term Disability | OFR | Closed | F | 47 | 09/05/17 | 09/01/17 | 10/24/2017 | $ 743 | $ 5,731 | ||||||||
| Short Term Disability | OCC | Closed | F | 65 | $ 1,673 | Salary Continuance | $ 46 | Minimum Weekly | 01/06/18 | 09/12/17 | 9/24/2017 | $ 901 | $ 46 | ||||
| Short Term Disability | OCC | Closed | F | 61 | 09/30/17 | 09/13/17 | 12/10/2017 | $ 862 | $ 10,344 | ||||||||
| Short Term Disability | OCC | Closed | F | 34 | $ 320 | Salary Continuance | $ 14 | Minimum Weekly | $ 307 | Extended Sick Pay | 12/02/17 | 09/19/17 | 10/1/2017 | $ 561 | $ 1,042 | ||
| Short Term Disability | OCC | Closed | F | 49 | $ 10,383 | Salary Continuance | $ 282 | Minimum Weekly | 02/06/18 | 10/07/17 | 1/4/2018 | $ 901 | $ 1,483 | ||||
| Short Term Disability | OCC | Closed | F | 40 | $ 9,398 | Salary Continuance | $ 160 | Minimum Weekly | $ 3,361 | Extended Sick Pay | 01/04/18 | 10/20/17 | 12/17/2017 | $ 1,462 | $ 6,446 | ||
| Short Term Disability | OCC | Closed | F | 36 | $ 991 | Salary Continuance | $ 28 | Minimum Weekly | 01/17/18 | 11/29/17 | 12/11/2017 | $ 694 | $ 326 | ||||
| Short Term Disability | OCC | Denied | F | 51 | $ 5,532 | Salary Continuance | $ 57 | Minimum Weekly | 11/29/17 | 12/06/17 | 11/29/2017 | $ 1,733 | $ - 0 | ||||
| Short Term Disability | OCC | Closed | F | 32 | $ 5,532 | Salary Continuance | $ 57 | Minimum Weekly | 01/16/18 | 12/09/17 | 1/12/2018 | $ 2,278 | $ 5,915 | ||||
| Short Term Disability | OFR | Denied | F | 39 | 12/26/17 | 01/02/18 | 12/26/2017 | $ 868 | $ - 0 | ||||||||
| Short Term Disability | OFR | Closed | F | 39 | $ 5,762 | Salary Continuance | $ 85 | Minimum Weekly | $ 1,176 | Extended Sick Pay | 02/28/18 | 01/11/18 | 2/14/2018 | $ 1,391 | $ 3,249 | ||
| Short Term Disability | OCC | Closed | F | 31 | $ 5,010 | Salary Continuance | $ 3,024 | Extended Sick Pay | 03/15/18 | 01/13/18 | 2/16/2018 | $ 1,002 | $ 3,149 | ||||
| Short Term Disability | OCC | Denied | F | 61 | 01/09/18 | 01/16/18 | 1/9/2018 | $ 1,117 | $ - 0 | ||||||||
| Short Term Disability | OCC | Closed | F | 33 | $ 3,817 | Salary Continuance | $ 46 | Minimum Weekly | $ 286 | Extended Sick Pay | 01/16/18 | 02/06/18 | 3/13/2018 | $ 1,743 | $ 8,964 | ||
| Short Term Disability | OCC | Closed | F | 36 | $ 2,907 | Salary Continuance | 01/17/18 | 01/31/18 | 4/30/2018 | $ 1,380 | $ 14,697 | ||||||
| Short Term Disability | OFR | Denied | M | 53 | 01/17/18 | 01/31/18 | 1/24/2018 | $ 1,846 | $ - 0 | ||||||||
| Short Term Disability | OCC | Closed | F | 35 | 02/06/18 | 02/18/18 | 4/3/2018 | $ 737 | $ 4,738 | ||||||||
| Short Term Disability | OCC | Denied | M | 40 | 02/16/18 | 03/18/18 | 2/16/2018 | $ 1,913 | $ - 0 | ||||||||
| Short Term Disability | OCC | Denied | M | 40 | 02/16/18 | 03/18/18 | 2/16/2018 | $ 1,913 | $ - 0 | ||||||||
| Short Term Disability | OCC | Closed | M | 57 | 03/14/18 | 03/07/18 | 3/18/2018 | $ 1,378 | $ 2,362 | ||||||||
| Short Term Disability | OCC | Closed | F | 33 | 04/16/18 | 03/31/18 | 4/19/2018 | $ 1,477 | $ 4,220 | ||||||||
| Short Term Disability | OFR | Closed | F | 33 | 07/18/18 | 03/21/18 | 6/27/2018 | $ 816 | $ 10,492 | ||||||||
| Short Term Disability | OCC | Closed | F | 36 | 03/30/18 | 03/22/18 | 4/29/2018 | $ 846 | $ 4,713 | ||||||||
| Short Term Disability | OCC | Denied | F | 38 | 03/15/18 | 04/04/18 | 3/18/2018 | $ 571 | $ - 0 | ||||||||
| Short Term Disability | OCC | Closed | F | 38 | $ 10,261 | Salary Continuance | $ 110 | Minimum Weekly | 03/30/18 | 04/06/18 | 5/24/2018 | $ 2,082 | $ 4,424 | ||||
| Short Term Disability | OCC | Closed | F | 64 | $ 10,608 | Salary Continuance | 10/06/18 | 06/05/18 | 8/21/2018 | $ 624 | $ 6,953 | ||||||
| Short Term Disability | OCC | Closed | F | 49 | $ 499 | Salary Continuance | 11/02/18 | 06/21/18 | 7/30/2018 | $ 1,499 | $ 8,066 | ||||||
| Short Term Disability | OFR | Closed | F | 29 | 11/01/18 | 07/25/18 | 10/22/2018 | $ 783 | $ 8,277 | ||||||||
| Short Term Disability | OFR | Denied | M | 44 | 07/28/18 | 08/27/18 | 7/28/2018 | $ 1,846 | $ - 0 | ||||||||
| Short Term Disability | OCC | Closed | F | 61 | 12/11/18 | 01/05/19 | 1/3/2019 | $ 1,614 | $ 20,752 | ||||||||
| Short Term Disability | OCC | Closed | F | 31 | 02/25/19 | 10/06/18 | 10/31/2018 | $ 794 | $ 2,609 | ||||||||
| Short Term Disability | OCC | Closed | F | 62 | $ 879 | Salary Continuance | $ 25 | Minimum Weekly | $ 854 | Extended Sick Pay | 10/06/18 | 10/13/18 | 1/10/2019 | $ 879 | $ 11,301 | ||
| Short Term Disability | OCC | Closed | F | 60 | $ 2,168.00 | Rehabilitation Employment | 01/07/19 | 11/08/18 | 4/5/2019 | $ 2,169 | $ 22,309 | ||||||
| Short Term Disability | OFR | Closed | F | 35 | 04/05/19 | 11/09/18 | 1/24/2019 | $ 573 | $ 5,811 | ||||||||
| Short Term Disability | OCC | Closed | F | 41 | $ 4,769 | Salary Continuance | $ 92 | Minimum Weekly | 05/11/19 | 12/09/18 | 1/3/2019 | $ 1,284 | $ 93 | ||||
| Short Term Disability | OCC | Closed | F | 25 | 01/29/19 | 12/18/18 | 1/29/2019 | $ 606 | $ 3,723 | ||||||||
| Short Term Disability | OCC | Closed | F | 35 | 01/07/19 | 01/15/19 | 4/14/2019 | $ 1,818 | $ 23,374 | ||||||||
| Short Term Disability | OFR | Denied | M | 61 | 01/14/19 | 02/13/19 | 1/12/2019 | $ 1,511 | $ - 0 | ||||||||
| Short Term Disability | OFR | Denied | F | 30 | 01/22/19 | 01/29/19 | 7/18/2018 | $ 783 | $ - 0 | ||||||||
| Short Term Disability | OCC | Closed | M | 38 | $ 584 | Salary Continuance | 07/04/19 | 02/05/19 | 5/5/2019 | $ 739 | $ 5,221 | ||||||
| Short Term Disability | OCC | Closed | F | 30 | $ 1,853 | Salary Continuance | 06/10/19 | 03/27/19 | 4/7/2019 | $ 1,084 | $ 1,858 | ||||||
| Short Term Disability | OCC | Closed | F | 34 | 04/05/19 | 04/12/19 | 5/29/2019 | $ 1,428 | $ 9,792 | ||||||||
| Short Term Disability | OCC | Closed | F | 34 | $ 5,810 | Salary Continuance | $ 125 | Minimum Weekly | $ 2,318 | 07/25/19 | 05/13/19 | 6/30/2019 | $ 1,162 | $ 4,767 | |||
| Short Term Disability | OCC | Closed | F | 35 | 06/29/19 | 05/18/19 | 6/22/2019 | $ 705 | $ 3,625 | ||||||||
| Short Term Disability | OCC | Closed | F | 29 | $ 281 | Salary Continuance | 06/10/19 | 06/17/19 | 7/30/2019 | $ 739 | $ 3,097 | ||||||
| Short Term Disability | OCC | Closed | F | 56 | 06/24/19 | 07/03/19 | 9/30/2019 | $ 959 | $ - 0 | ||||||||
| Short Term Disability | OCC | Closed | F | 53 | 06/29/19 | 07/06/19 | 10/3/2019 | $ 1,543 | $ 19,839 | ||||||||
| Short Term Disability | OCC | Closed | F | 32 | 07/04/19 | 07/11/19 | 8/27/2019 | $ 1,037 | $ 7,111 | ||||||||
| Short Term Disability | OCC | Closed | F | 34 | 07/25/19 | 08/01/19 | 9/4/2019 | $ 2,452 | $ 12,260 | ||||||||
| Short Term Disability | OCC | Denied | M | 61 | 08/02/19 | 08/09/19 | 8/2/2019 | $ 240 | $ - 0 | ||||||||
| Short Term Disability | OCC | Closed | M | 47 | 09/18/19 | 10/17/19 | 11/11/2019 | $ 2,718 | $ 10,095 | ||||||||
| Short Term Disability | OCC | Denied | F | 52 | 09/21/19 | 09/28/19 | 9/21/2019 | $ 24 | $ - 0 | ||||||||
| Short Term Disability | OCC | Closed | F | 36 | $ 7,646 | Salary Continuance | $ 100 | Minimum Weekly | 12/09/19 | 12/16/19 | 1/19/2020 | $ 918 | $ 100 | ||||
| Short Term Disability | OCC | Closed | F | 36 | 12/24/19 | 02/21/20 | 2/28/2020 | $ 1,118 | $ 1,278 | ||||||||
| Short Term Disability | OCC | Closed | M | 31 | 01/01/20 | 01/22/20 | 3/31/2020 | $ 707 | $ 7,070 | ||||||||
| Short Term Disability | OCC | Closed | F | 42 | 01/27/20 | 02/03/20 | 3/29/2020 | $ 712 | $ 5,798 | ||||||||
| Short Term Disability | OCC | Denied | M | 47 | 02/04/20 | 02/11/20 | 2/4/2020 | $ 24 | $ - 0 | ||||||||
| Short Term Disability | OCC | Closed | F | 40 | 02/05/20 | 02/12/20 | 4/2/2020 | $ 1,139 | $ 7,648 |
STD Prem vs. Claims
| OCC Short Term Disability |
| 2018 - 2020 Premium vs. Claims |
| 2018 Premium vs. Claims | ||||
| Premium Billed | Claims Paid | |||
| Month | OCC Employees | OFR Employees | Total Claims Paid | |
| January | $ 20,139 | $ 5,915 | $ 64 | $ 5,979 |
| February | $ 13,765 | $ 11,371 | $ 3,185 | $ 14,556 |
| March | $ 13,754 | $ 19,646 | $ - | $ 19,646 |
| April | $ 20,498 | $ 8,613 | $ - | $ 8,613 |
| May | $ 13,620 | $ 5,209 | $ 7,694 | $ 12,903 |
| June | $ 13,560 | $ - | $ 2,798 | $ 2,798 |
| July | $ 13,708 | $ 16,823 | $ - | $ 16,823 |
| August | $ 13,581 | $ 2,050 | $ 3,691 | $ 5,741 |
| September | $ 20,343 | $ 9,959 | $ 3,132 | $ 13,091 |
| October | $ 13,440 | $ 25 | $ - | $ 25 |
| November | $ 13,316 | $ 19,198 | $ 900 | $ 20,098 |
| December | $ 13,313 | $ 22,561 | $ 1,555 | $ 24,116 |
| 2019 Premium vs. Claims | ||||
| Premium Billed | Claims Paid | |||
| Month | OCC Employees | OFR Employees | Total Claims Paid | |
| January | $ 13,536 | $ 2,886 | $ 3,356 | $ 6,242 |
| February | $ 13,612 | $ - | $ 1,454 | $ 1,454 |
| March | $ 13,513 | $ 5,892 | $ - | $ 5,892 |
| April | $ 20,199 | $ 37,497 | $ - | $ 37,497 |
| May | $ 13,406 | $ 7,190 | $ - | $ 7,190 |
| June | $ 13,391 | $ 13,013 | $ - | $ 13,013 |
| July | $ 13,462 | $ 11,996 | $ - | $ 11,996 |
| August | $ 13,378 | $ 19,373 | $ - | $ 19,373 |
| September | $ 13,315 | $ 22,279 | $ - | $ 22,279 |
| October | $ 13,301 | $ 2,425 | $ - | $ 2,425 |
| November | $ 19,872 | $ 10,095 | $ - | $ 10,095 |
| December | $ 13,230 | $ - | $ - | $ - |
| 2020 Premium vs. Claims | ||||
| Premium Billed | Claims Paid | |||
| Month | OCC Employees | OFR Employees | Total Claims Paid | |
| January | $ 13,554 | $ - | $ - | $ - |
| February | $ 13,776 | $ 3,538 | $ - | $ 3,538 |
| March | $ 13,706 | $ 9,821 | $ - | $ 9,821 |
LTD Prem vs. Claims
| OCC Long Term Disability |
| 2018 - 2020 Premium vs. Claims |
| 2018 | OCC Employees | OFR Employees | Total | |||
| Month | Premium Billed | Claims | ||||
| Paid | Premium Billed | Claims | ||||
| Paid | Premium Billed | Claims |
Paid
| January | $ 82,184 | $ - | $ 4,857 | $ - | $ 87,041 | $ - | ||
| February | $ 55,549 | $ 7,330 | $ 3,241 | $ - | $ 58,790 | $ 7,330 | ||
| March | $ 55,417 | $ 3,906 | $ 3,210 | $ - | $ 58,626 | $ 3,906 | ||
| April | $ 55,119 | $ 3,906 | $ 3,118 | $ - | $ 58,237 | $ 3,906 | ||
| May | $ 82,380 | $ 10,790 | $ 4,527 | $ - | $ 86,906 | $ 10,790 | ||
| June | $ 54,848 | $ 12,426 | $ 2,859 | $ - | $ 57,707 | $ 12,426 | ||
| July | $ 54,925 | $ 22,268 | $ 2,717 | $ - | $ 57,642 | $ 22,268 | ||
| August | $ 54,733 | $ 17,026 | $ 2,633 | $ - | $ 57,366 | $ 17,026 | ||
| September | $ 54,815 | $ 28,436 | $ 2,550 | $ - | $ 57,365 | $ 28,436 | ||
| October | $ 54,739 | $ 28,436 | $ 2,397 | $ - | $ 57,137 | $ 28,436 | ||
| November | $ 54,570 | $ 26,337 | $ 1,940 | $ - | $ 56,510 | $ 26,337 | ||
| December | $ 54,539 | $ 17,939 | $ 1,925 | $ - | $ 56,464 | $ 17,939 | ||
| 2019 | OCC Employees | OFR Employees | Total | |||||
| Month | Premium Billed | Claims | ||||||
| Paid | Premium Billed | Claims | ||||||
| Paid | Premium Billed | Claims |
Paid
| January | $ 81,714 | $ 7,881 | $ 2,787 | $ - | $ 84,501 | $ 7,881 | ||
| February | $ 54,660 | $ (3,221) | $ 1,864 | $ - | $ 56,524 | $ (3,221) | ||
| March | $ 54,452 | $ 10,324 | $ 1,864 | $ - | $ 56,316 | $ 10,324 | ||
| April | $ 54,030 | $ 8,664 | $ 1,844 | $ - | $ 55,875 | $ 8,664 | ||
| May | $ 80,760 | $ 19,113 | $ 2,716 | $ - | $ 83,476 | $ 19,113 | ||
| June | $ 53,729 | $ 10,369 | $ 1,792 | $ - | $ 55,521 | $ 10,369 | ||
| July | $ 53,610 | $ 3,519 | $ 1,817 | $ - | $ 55,427 | $ 3,519 | ||
| August | $ 53,340 | $ 30,198 | $ 1,793 | $ - | $ 55,133 | $ 30,198 | ||
| September | $ 53,257 | $ 24,125 | $ 1,718 | $ - | $ 54,975 | $ 24,125 | ||
| October | $ 53,127 | $ 19,914 | $ 1,719 | $ - | $ 54,846 | $ 19,914 | ||
| November | $ 53,007 | $ 18,673 | $ 1,724 | $ - | $ 54,731 | $ 18,673 | ||
| December | $ 52,855 | $ 15,698 | $ 1,789 | $ - | $ 54,644 | $ 15,698 | ||
| 2020 | OCC Employees | OFR Employees | Total | |||||
| Month | Premium Billed | Claims | ||||||
| Paid | Premium Billed | Claims | ||||||
| Paid | Premium Billed | Claims |
Paid
| January | $ 79,662 | $ 25,432 | $ 2,783 | $ - | $ 82,445 | $ 25,432 |
| February | $ 54,209 | $ 35,361 | $ 1,916 | $ - | $ 56,125 | $ 35,361 |
| March | $ 53,927 | $ 23,407 | $ 1,901 | $ - | $ 55,828 | $ 23,407 |
File details come from the government source that posted it. Updated .