21-Membership Managed Ad Hoc 1224.xlsx

XLSX spreadsheet 12 KB Posted

Attached to
Stop Loss Insurance
Solicitation number
RFP 26-023KB
Issued by
Fort Bend County, Texas

About this file

The document is a Membership Managed Ad Hoc report from UnitedHealthcare, detailing medical insurance membership data for Policy Number 000902915 across different subscriber tiers from January 2024 to December 2024. The report breaks down membership statistics for two categories (AC and AF) across four subscriber types: Subscriber Only, Subscriber + Spouse, Subscriber + Child or Children, and Subscriber + Family, tracking subscriber and dependent months for each period.

The data reveals total membership of 48,003 subscriber months and 36,662 dependent months across the year, with consistent patterns of enrollment. Notably, the document contains confidential and proprietary business information, emphasizing the sensitive nature of the membership data. The report is directly related to a stop loss insurance solicitation by Fort Bend Independent School District in Texas, suggesting this membership data may be relevant to the district's insurance procurement process.

View the file

Other files

File Type Posted
20-Membership Managed Ad Hoc 1223.xlsx XLSX spreadsheet
25-Fort Bend ISD 2025 Stop Loss RFP 26-023KB Data Exhibits.pdf PDF
6-General Provisions for Purchasing Solicitations and Contracts (3.3.25).pdf PDF
10-PRE-EMPLOYMENT OR PRE-SERVICE AFFIDAVIT FOR EDUCATIONAL ENTITIES.pdf PDF
15-Exhibit 5. Fort Bend ISD Kelsey UHC Charter Plan SBC 2025.pdf PDF
16-Exhibit 6. Fort Bend ISD Choice HSA Plan SBC 2025.pdf PDF
18-Exhibit 8. Fort Bend ISD Kelsey UHC Charter Plan SPD 2025.pdf PDF
22-Payments by Month 0825.xlsx XLSX spreadsheet
23-Payments By Month 1223.xlsx XLSX spreadsheet
24-Payments By Month 1224.xlsx XLSX spreadsheet
8-Vendor Acknowledgement Form.pdf PDF
9-CIQ Forms-Updated 8.14.25.pdf PDF
12-Exhibit 2. Fort Bend ISD Stop Loss Policy.pdf PDF
13-Exhibit 3. Fort Bend ISD Stop Loss Policy Amendment.pdf PDF
17-Exhibit 7. Fort Bend ISD Choice HSA Plan SPD 2025.pdf PDF
2-Suspension and Debarment Certification.pdf PDF
7-Sample FBISD Agreement for Services FBISD (6.2.25).pdf PDF
1-Insurance Requirements.pdf PDF
11-Exhibit 1. Fort Bend ISD Stop Loss RFP Workbook RFP 26-023KB.xlsx XLSX spreadsheet
14-Exhibit 4. Fort Bend ISD Surest Plan SBC 2025.pdf PDF
19-Membership Managed Ad Hoc 0825.xlsx XLSX spreadsheet
26-RFP 26-023KB Stop Loss Scope of Work.pdf PDF
3-Form 1295 Instructions - How to Complete the Form.pdf PDF
4-EDGAR Certifications (2 CFR Section 200 REQUIRED PROVISIONS).pdf PDF
5-Sample DPA - Data Protection Agreement Addendum (v4.1).pdf PDF
Show all 25

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

Membership Managed Ad Hoc

Membership Managed Ad Hoc
Report Filter:
({Membership Year/Month} = 2024-12, 2024-11, 2024-10, 2024-09, 2024-08, 2024-07, 2024-06, 2024-05, 2024-04, 2024-03, 2024-02, 2024-01) And ({-Policy Number} = 000902915) And ({Type of Coverage} = Medical)
SuffixMembership Year/MonthMembership Tier 4Subscriber MonthsPositively Enrolled Dependent Months
AC2024-12Subscriber Only1,5990
AC2024-12Subscriber + Spouse113113
AC2024-12Subscriber + Child or Children388685
AC2024-12Subscriber + Family211653
AC2024-11Subscriber Only1,6000
AC2024-11Subscriber + Spouse112112
AC2024-11Subscriber + Child or Children386682
AC2024-11Subscriber + Family212655
AC2024-10Subscriber Only1,5980
AC2024-10Subscriber + Spouse109109
AC2024-10Subscriber + Child or Children388680
AC2024-10Subscriber + Family214661
AC2024-09Subscriber Only1,5920
AC2024-09Subscriber + Spouse109109
AC2024-09Subscriber + Child or Children384677
AC2024-09Subscriber + Family214666
AC2024-08Subscriber Only1,5640
AC2024-08Subscriber + Spouse103103
AC2024-08Subscriber + Child or Children377665
AC2024-08Subscriber + Family216671
AC2024-07Subscriber Only1,5060
AC2024-07Subscriber + Spouse9797
AC2024-07Subscriber + Child or Children357635
AC2024-07Subscriber + Family211661
AC2024-06Subscriber Only1,5500
AC2024-06Subscriber + Spouse9999
AC2024-06Subscriber + Child or Children365651
AC2024-06Subscriber + Family216681
AC2024-05Subscriber Only1,5540
AC2024-05Subscriber + Spouse101101
AC2024-05Subscriber + Child or Children362643
AC2024-05Subscriber + Family216680
AC2024-04Subscriber Only1,5590
AC2024-04Subscriber + Spouse100100
AC2024-04Subscriber + Child or Children358637
AC2024-04Subscriber + Family217682
AC2024-03Subscriber Only1,5610
AC2024-03Subscriber + Spouse101101
AC2024-03Subscriber + Child or Children359640
AC2024-03Subscriber + Family214673
AC2024-02Subscriber Only1,5560
AC2024-02Subscriber + Spouse101101
AC2024-02Subscriber + Child or Children359636
AC2024-02Subscriber + Family212670
AC2024-01Subscriber Only1,5620
AC2024-01Subscriber + Spouse101101
AC2024-01Subscriber + Child or Children359634
AC2024-01Subscriber + Family215683
AF2024-12Subscriber Only1,0280
AF2024-12Subscriber + Spouse7272
AF2024-12Subscriber + Child or Children392700
AF2024-12Subscriber + Family272850
AF2024-11Subscriber Only1,0300
AF2024-11Subscriber + Spouse7272
AF2024-11Subscriber + Child or Children393702
AF2024-11Subscriber + Family274857
AF2024-10Subscriber Only1,0220
AF2024-10Subscriber + Spouse7272
AF2024-10Subscriber + Child or Children397701
AF2024-10Subscriber + Family275858
AF2024-09Subscriber Only1,0170
AF2024-09Subscriber + Spouse7171
AF2024-09Subscriber + Child or Children397707
AF2024-09Subscriber + Family274853
AF2024-08Subscriber Only1,0010
AF2024-08Subscriber + Spouse6767
AF2024-08Subscriber + Child or Children402710
AF2024-08Subscriber + Family274854
AF2024-07Subscriber Only9590
AF2024-07Subscriber + Spouse6969
AF2024-07Subscriber + Child or Children392690
AF2024-07Subscriber + Family274851
AF2024-06Subscriber Only9850
AF2024-06Subscriber + Spouse7272
AF2024-06Subscriber + Child or Children400702
AF2024-06Subscriber + Family277863
AF2024-05Subscriber Only9900
AF2024-05Subscriber + Spouse7272
AF2024-05Subscriber + Child or Children397696
AF2024-05Subscriber + Family276859
AF2024-04Subscriber Only9930
AF2024-04Subscriber + Spouse7474
AF2024-04Subscriber + Child or Children398696
AF2024-04Subscriber + Family278865
AF2024-03Subscriber Only1,0010
AF2024-03Subscriber + Spouse7575
AF2024-03Subscriber + Child or Children397697
AF2024-03Subscriber + Family275858
AF2024-02Subscriber Only1,0030
AF2024-02Subscriber + Spouse7676
AF2024-02Subscriber + Child or Children400697
AF2024-02Subscriber + Family269847
AF2024-01Subscriber Only9990
AF2024-01Subscriber + Spouse7777
AF2024-01Subscriber + Child or Children398692
AF2024-01Subscriber + Family268841
Total48,00336,662
This document contains UnitedHealthcare’s confidential and/or proprietary business information (PBI). PBI may only be used by
the recipient person/entity to which it is addressed. Recipient is liable for using and protecting UnitedHealthcare’s PBI from
further disclosure or misuse, consistent with recipient’s contractual obligations under any applicable administrative services
agreement, group policy contract, non-disclosure agreement or other applicable contract or law, including but not limited to the
U.S. Freedom of Information Act and state freedom of information law exemptions for “trade secrets”. The document may also
contain protected health information (PHI) and must be handled according to applicable state and federal law, including, but not
limited to HIPAA. Recipients who misuse information may be subject to both civil and criminal penalties.

File details come from the government source that posted it. Updated .