2139 - Addendum No. 3 - Vernon Cumulative FYE 2026 Monthly Report.xlsx
XLSX spreadsheet 429 KB Posted
- Solicitation number
- 2139 – 1-27-2026
- Issued by
- Tolland County, Bridgeport City, Connecticut
About this file
This is an Addendum No. 3 to a custom monthly financial report for a self-funded health insurance plan covering the Town and Public Schools of Vernon, Connecticut for the fiscal year ending June 30, 2026. The report documents medical and prescription drug claims experience for active employees, retirees, and COBRA participants across both entities during the period of July 1, 2025 through June 30, 2026. The report includes detailed monthly claims data through November 2025, with data for December 2025 through June 2026 pending. The plan is administered through Acrisure, LLC, with medical coverage provided through Cigna under an Administrative Services Organization (ASO) funding arrangement.
The plan demonstrates a cumulative loss ratio of 87.2 percent for Vernon Public Schools and 110.7 percent for the Town of Vernon through November 2025, indicating that claims and expenses have exceeded theoretical premiums for the Town entity. Employee contribution rates are differentiated by job classification and family status, ranging from 8 percent to 100 percent of premium costs. Large claims exceeding $50,000 are tracked separately, with notable high-cost cases including malignant neoplasms, multiple sclerosis, subarachnoid hemorrhage, and other serious medical conditions. The report includes pharmacy rebates, stop-loss reimbursements, and administrative fee breakdowns by employee class across 34 distinct payroll branches. As of November 2025, the combined net fund balance for both entities stood at $1,334,009, though the Town of Vernon maintained a deficit position of $66,859 while Vernon Public Schools showed a positive balance of $1,267,150.
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Cover
| Custom Monthly Financial Report |
| Prepared for: The Town and Public Schools of Vernon |
| Plan Year: | 2025/2026 - Fiscal Year End 2026 |
| Claims Period: | July 1, 2025 through June 30, 2026 |
| Copyright © 2024 |
| This report contains confidential information. We are providing this report and the enclosed data for "Internal Use Only". It is not intended to be distributed to any person outside of your company/organization without our authorization. The contents of this report are the property of Acrisure, LLC and have been copyrighted. |
| ACTIVE |
&G &G
346 Shelburne Road Burlington, Vermont 05401 802.488.8728
BOE Total
| VERNON PUBLIC SCHOOLS |
| ACTIVE, RETIRED & COBRA POPULATION |
| July 1, 2025 through June 30, 2026 |
| MEDICAL & PRESCRIPTION DRUG | |||||||||||||||
| Month | Theoretical Premium | H.S.A/HRA Deposits | Administrative Fees | Stop-Loss Premiums | Total Expenses & Stop-Loss Premium | Medical Paid Claims | Drug Paid Claims | Stop-Loss Reimbursements | Drug Plan Rebates* | Total Paid Claims | Expenses & Paid Claims | Loss Ratio | Margin/(Deficit) | Employee Contributions | Net Fund Balance |
| Jul-25 | $710,737 | $26,650 | $82,255 | $108,905 | $440,845 | $118,213 | $0 | $0 | $559,057 | $667,962 | 94.0% | $42,775 | $171,120 | $213,895 | |
| Aug-25 | $698,823 | $26,650 | $82,255 | $108,905 | $469,053 | $69,906 | $0 | ($106,714) | $432,246 | $541,150 | 77.4% | $157,673 | $166,416 | $324,089 | |
| Sep-25 | $688,861 | $26,181 | $80,808 | $106,989 | $333,564 | $124,163 | $0 | $0 | $457,726 | $564,716 | 82.0% | $124,146 | $163,549 | $287,694 | |
| Oct-25 | $687,542 | $26,047 | $80,395 | $106,442 | $431,748 | $131,470 | $0 | $0 | $563,218 | $669,660 | 97.4% | $17,881 | $162,520 | $180,401 | |
| Nov-25 | $681,508 | $25,914 | $79,981 | $105,895 | $355,986 | $117,520 | $0 | $0 | $473,506 | $579,401 | 85.0% | $102,107 | $158,963 | $261,070 | |
| Dec-25 | |||||||||||||||
| Jan-26 | |||||||||||||||
| Feb-26 | |||||||||||||||
| Mar-26 | |||||||||||||||
| Apr-26 | |||||||||||||||
| May-26 | |||||||||||||||
| Jun-26 | |||||||||||||||
| Totals | $3,467,471 | $131,442 | $405,693 | $537,136 | $2,031,195 | $561,271 | $0 | ($106,714) | $2,485,753 | $3,022,889 | 87.2% | $444,582 | $822,568 | $1,267,150 |
ACTIVE
&G &G
Town Total
| TOWN OF VERNON |
| ACTIVE, RETIRED & COBRA POPULATION |
| July 1, 2025 through June 30, 2026 |
| MEDICAL & PRESCRIPTION DRUG | |||||||||||||||
| Month | Theoretical Premium | H.S.A/HRA Deposits | Administrative Fees | Stop-Loss Premiums | Total Expenses & Stop-Loss Premium | Medical Paid Claims | Drug Paid Claims | Stop-Loss Reimbursements | Drug Plan Rebates* | Total Paid Claims | Expenses & Paid Claims | Loss Ratio | Margin/(Deficit) | Employee Contributions | Net Fund Balance |
| Jul-25 | $327,647 | $11,785 | $36,374 | $48,159 | $364,924 | $82,137 | $0 | $0 | $447,061 | $495,220 | 151.1% | ($167,573) | $54,070 | ($113,503) | |
| Aug-25 | $341,760 | $12,655 | $39,061 | $51,716 | $302,731 | $63,675 | $0 | ($97,201) | $269,205 | $320,921 | 93.9% | $20,839 | $50,843 | $71,682 | |
| Sep-25 | $336,439 | $12,522 | $38,647 | $51,169 | $173,227 | $126,083 | $0 | $0 | $299,310 | $350,479 | 104.2% | ($14,040) | $46,907 | $32,867 | |
| Oct-25 | $338,889 | $12,588 | $38,854 | $51,442 | $260,768 | $92,593 | $0 | $0 | $353,361 | $404,803 | 119.5% | ($65,914) | $47,932 | ($17,982) | |
| Nov-25 | $331,873 | $12,455 | $38,441 | $50,895 | $138,445 | $94,790 | $0 | $0 | $233,236 | $284,131 | 85.6% | $47,742 | $46,054 | $93,795 | |
| Dec-25 | |||||||||||||||
| Jan-26 | |||||||||||||||
| Feb-26 | |||||||||||||||
| Mar-26 | |||||||||||||||
| Apr-26 | |||||||||||||||
| May-26 | |||||||||||||||
| Jun-26 | |||||||||||||||
| Totals | $1,676,608 | $62,005 | $191,376 | $253,381 | $1,240,095 | $459,279 | $0 | ($97,201) | $1,602,173 | $1,855,554 | 110.7% | ($178,946) | $245,805 | $66,859 |
ACTIVE
&G &G
Cigna Claims by Branch
| VERNON TOWN AND BOARD OF EDUCATION | |||||||||||||||||
| MONTHLY HEALTHCARE DETAIL EXPERIENCE REPORT | |||||||||||||||||
| July 2025 thru July 2025 | |||||||||||||||||
| Funding Type : SELF-FUNDED (ASO) | |||||||||||||||||
| Reported Premium: Billed Pooled Premium, ASO Fees | |||||||||||||||||
| Reported Claims: All Claims, All HRA, Debit, Clms Fwrd, Check, ATM | |||||||||||||||||
| Paid claim dollars include amounts deducted from your account and paid to vendors for cost containment services. | |||||||||||||||||
| YTD/MONTH | ACCOUNT | PRODUCT TYPE | BRANCH | FIXED CHARGES | IN NETWORK | OUT OF NETWORK | DRUG | GROSS CLAIMS | NET CLAIMS | Total HRA | Total HRA & Claims | Total HSA | Total HSA & CLAIMS | POOLED PREMIUM | TOTAL ASO FEES | TOTAL SUBS | TOTAL MBRS |
| Jul-25 | 3343565-VERNON TOWN AND BOARD OF EDUCATION | OAP1 | 7970-BOE TEACHERS | $34,307 | $207,215 | $2,147 | $72,406 | $316,075 | $316,075 | $0 | $316,075 | $63,374 | $379,449 | $48,557 | $10,026 | 242 | 613 |
| 7971-BOE ADMIN | $2,960 | $48,252 | $0 | $2,586 | $53,798 | $53,798 | $0 | $53,798 | $4,621 | $58,419 | $3,010 | $621 | 15 | 48 | |||
| 7972-BOE SEC/MAIN/CUST | $4,808 | $65,945 | ($1,957) | $4,668 | $73,464 | $73,464 | $0 | $73,464 | $8,516 | $81,980 | $8,026 | $1,657 | 40 | 82 | |||
| 7973-BOE PARAS | $3,280 | $39,607 | $1,407 | $10,009 | $54,302 | $54,302 | $108 | $54,411 | $3,623 | $57,925 | $6,822 | $1,409 | 34 | 58 | |||
| 7974-BOE LIBRARIANS | $331 | $681 | $0 | $0 | $1,012 | $1,012 | $0 | $1,012 | $945 | $1,957 | $201 | $41 | 1 | 5 | |||
| 7975-BOE NURSES | $951 | $2,558 | $0 | $141 | $3,651 | $3,651 | $0 | $3,651 | $26 | $3,677 | $1,405 | $290 | 7 | 17 | |||
| 7976-BOE CAFETERIA | $836 | $3,393 | $0 | $1,408 | $5,637 | $5,637 | $0 | $5,637 | $962 | $6,599 | $2,207 | $456 | 11 | 16 | |||
| 7977-BOE NON-AFFILIATE | $3,410 | $5,520 | $0 | $19,914 | $28,844 | $28,844 | $561 | $29,406 | $5,197 | $34,041 | $5,016 | $1,036 | 25 | 62 | |||
| 7978-BOE SUPERVISORS | $3 | $0 | $0 | $0 | $3 | $3 | $0 | $3 | $0 | $3 | $0 | $0 | 0 | 0 | |||
| 7979-BOE PART-TIME | $97 | $907 | $0 | $0 | $1,004 | $1,004 | $0 | $1,004 | $0 | $1,004 | $201 | $39 | 1 | 1 | |||
| 7980-BOE RETIREES | $687 | $6,483 | $0 | $328 | $7,499 | $7,499 | $0 | $7,499 | $0 | $7,499 | $2,207 | $428 | 11 | 13 | |||
| 7981-BOE RETIREES NON MEDICARE ELIGIBLE | $523 | $6,475 | $0 | $6,752 | $13,750 | $13,750 | $0 | $13,750 | $0 | $13,750 | $2,207 | $428 | 11 | 11 | |||
| 7982-BOE COBRA | $2 | $16 | $0 | $0 | $18 | $18 | $0 | $18 | $0 | $18 | $0 | $0 | 0 | 0 | |||
| 7983-TOWN NON-UNION | $5,282 | $158,615 | $790 | $39,794 | $204,481 | $204,481 | $2,637 | $207,118 | $19,778 | $224,259 | $8,829 | $1,823 | 44 | 88 | |||
| 7984-VERNON TOWN PROFESSIONALS | $1,702 | $20,572 | $240 | $104 | $22,618 | $22,618 | $0 | $22,618 | $3,344 | $25,962 | $2,207 | $456 | 11 | 30 | |||
| 7985-DEPARTMENT HEAD | $824 | $3,700 | $497 | $1,285 | $6,305 | $6,305 | $0 | $6,305 | $3,861 | $10,166 | $1,405 | $290 | 7 | 16 | |||
| 7986-POLICE OFFICERS | $6,120 | $53,524 | $396 | $9,469 | $69,509 | $69,509 | $0 | $69,509 | $10,706 | $80,215 | $7,825 | $1,616 | 39 | 109 | |||
| 7987-POLICE CIVILIANS | $441 | $176 | $0 | $0 | $617 | $617 | $0 | $617 | $1,521 | $2,137 | $1,204 | $249 | 6 | 9 | |||
| 7988-DPW SUPERVISORS | $760 | $3,952 | $278 | $236 | $5,227 | $5,227 | $0 | $5,227 | $2,436 | $7,662 | $602 | $124 | 3 | 13 | |||
| 7989-DPW LINE | $4,107 | $19,369 | $0 | $10,669 | $34,145 | $34,145 | $0 | $34,145 | $14,213 | $48,357 | $8,026 | $1,657 | 40 | 79 | |||
| 7990-WPC NON-UNION | $124 | $67 | $0 | $0 | $191 | $191 | $0 | $191 | $0 | $191 | $201 | $41 | 1 | 2 | |||
| 7991-WPC PROFESSIONALS UNION | $54 | $8 | $0 | $0 | $62 | $62 | $0 | $62 | $0 | $62 | $201 | $41 | 1 | 1 | |||
| 7992-WPC DPW LINE | $1,093 | $2,583 | $0 | $11,384 | $15,061 | $15,061 | $0 | $15,061 | $1,918 | $16,980 | $1,806 | $373 | 9 | 20 | |||
| 7993-WPC SUPERVISORS | $49 | $12 | $0 | $0 | $61 | $61 | $0 | $61 | $0 | $61 | $201 | $41 | 1 | 1 | |||
| 7994-VCC NON-UNION | $312 | $713 | $0 | $30 | $1,055 | $1,055 | $0 | $1,055 | $147 | $1,202 | $401 | $83 | 2 | 5 | |||
| 7995-DP NON-UNION | $115 | $5,308 | $0 | $5 | $5,429 | $5,429 | $0 | $5,429 | $0 | $5,429 | $201 | $41 | 1 | 2 | |||
| 7996-DATA PROFESSIONALS | $402 | $6,058 | $0 | $565 | $7,024 | $7,024 | $2,000 | $9,024 | $1,628 | $8,653 | $803 | $166 | 4 | 8 | |||
| 7997-TOWN RETIREES | $265 | $61,932 | $0 | $223 | $62,420 | $62,420 | $0 | $62,420 | $0 | $62,420 | $602 | $117 | 3 | 3 | |||
| 7998-POLICE RETIREES | $269 | $780 | $0 | $3,164 | $4,213 | $4,213 | $0 | $4,213 | $0 | $4,213 | $803 | $156 | 4 | 5 | |||
| 7999-TOWN COBRA | $49 | $4 | $0 | $0 | $53 | $53 | $0 | $53 | $0 | $53 | $201 | $39 | 1 | 1 | |||
| 8003-AMBULANCE | $956 | $2,425 | $0 | $5,209 | $8,590 | $8,590 | $0 | $8,590 | $4,100 | $12,690 | $2,408 | $497 | 12 | 17 | |||
| PRODUCT TYPE Total | $75,121 | $726,851 | $3,797 | $200,350 | $1,006,118 | $1,006,118 | $5,306 | $1,011,425 | $150,914 | $1,157,033 | $117,782 | $24,242 | 587 | 1,335 |
| Aug-25 | 3343565-VERNON TOWN AND BOARD OF EDUCATION | OAP1 | 7970-BOE TEACHERS | $34,777 | $134,529 | $39,571 | $44,906 | $253,782 | $253,782 | $0 | $253,782 | $69,441 | $323,223 | $48,758 | $10,067 | 243 | 618 |
| 7971-BOE ADMIN | $2,780 | $9,636 | $0 | $2,980 | $15,396 | $15,396 | $0 | $15,396 | $12,628 | $28,024 | $3,010 | $621 | 15 | 48 | |||
| 7972-BOE SEC/MAIN/CUST | $4,614 | $25,569 | $0 | $4,307 | $34,489 | $34,489 | $0 | $34,489 | $7,980 | $42,469 | $7,825 | $1,616 | 39 | 81 | |||
| 7973-BOE PARAS | $3,622 | $61,223 | $217 | $6,383 | $71,445 | $71,445 | $161 | $71,606 | $8,054 | $79,499 | $6,621 | $1,367 | 33 | 57 | |||
| 7974-BOE LIBRARIANS | $280 | $312 | $0 | $0 | $592 | $592 | $0 | $592 | $0 | $592 | $201 | $41 | 1 | 5 | |||
| 7975-BOE NURSES | $965 | $3,757 | $0 | $182 | $4,904 | $4,904 | $0 | $4,904 | $456 | $5,361 | $1,405 | $290 | 7 | 17 | |||
| 7976-BOE CAFETERIA | $874 | $529 | $0 | $1,029 | $2,433 | $2,433 | $0 | $2,433 | $1,065 | $3,497 | $2,207 | $456 | 11 | 15 | |||
| 7977-BOE NON-AFFILIATE | $3,462 | $71,748 | $0 | $6,527 | $81,738 | $81,738 | $1,240 | $82,978 | $7,095 | $88,833 | $5,016 | $1,036 | 25 | 62 | |||
| 7979-BOE PART-TIME | $48 | $0 | $0 | $93 | $142 | $142 | $0 | $142 | $0 | $142 | $201 | $39 | 1 | 1 | |||
| 7980-BOE RETIREES | $689 | $3,246 | $0 | $1,787 | $5,722 | $5,722 | $0 | $5,722 | $0 | $5,722 | $2,207 | $428 | 11 | 13 | |||
| 7981-BOE RETIREES NON MEDICARE ELIGIBLE | $924 | $65,677 | $0 | $1,712 | $68,313 | $68,313 | $0 | $68,313 | $0 | $68,313 | $2,207 | $428 | 11 | 11 | |||
| 7982-BOE COBRA | $4 | $0 | $0 | $0 | $4 | $4 | $0 | $4 | $0 | $4 | $201 | $39 | 1 | 1 | |||
| 7983-TOWN NON-UNION | $4,896 | $244,703 | $0 | $30,838 | $280,438 | $280,438 | $4,490 | $284,927 | $15,134 | $295,572 | $9,029 | $1,864 | 45 | 89 | |||
| 7984-VERNON TOWN PROFESSIONALS | $1,698 | $990 | $1,760 | $220 | $4,667 | $4,667 | $0 | $4,667 | $1,495 | $6,163 | $2,207 | $456 | 11 | 30 | |||
| 7985-DEPARTMENT HEAD | $873 | $1,403 | $0 | $1,053 | $3,329 | $3,329 | $0 | $3,329 | $2,450 | $5,779 | $1,405 | $290 | 7 | 16 | |||
| 7986-POLICE OFFICERS | $6,130 | $12,461 | $0 | $6,848 | $25,440 | $25,440 | $0 | $25,440 | $13,560 | $38,999 | $7,825 | $1,616 | 39 | 110 | |||
| 7987-POLICE CIVILIANS | $486 | $82 | $0 | $0 | $568 | $568 | $0 | $568 | $611 | $1,179 | $1,204 | $249 | 6 | 9 | |||
| 7988-DPW SUPERVISORS | $753 | $1,749 | $0 | $165 | $2,667 | $2,667 | $0 | $2,667 | $309 | $2,976 | $602 | $124 | 3 | 13 | |||
| 7989-DPW LINE | $4,342 | $5,184 | $0 | $2,442 | $11,968 | $11,968 | $0 | $11,968 | $8,068 | $20,036 | $8,026 | $1,657 | 40 | 80 | |||
| 7990-WPC NON-UNION | $109 | $0 | $0 | $0 | $109 | $109 | $0 | $109 | $0 | $109 | $201 | $41 | 1 | 2 | |||
| 7991-WPC PROFESSIONALS UNION | $54 | $0 | $0 | $0 | $54 | $54 | $0 | $54 | $409 | $463 | $201 | $41 | 1 | 1 | |||
| 7992-WPC DPW LINE | $1,139 | $2,896 | $0 | $16,709 | $20,744 | $20,744 | $0 | $20,744 | $6,138 | $26,882 | $1,605 | $331 | 8 | 19 | |||
| 7993-WPC SUPERVISORS | $49 | $0 | $0 | $0 | $49 | $49 | $0 | $49 | $0 | $49 | $201 | $41 | 1 | 1 | |||
| 7994-VCC NON-UNION | $283 | $49 | $0 | $30 | $362 | $362 | $0 | $362 | $293 | $655 | $401 | $83 | 2 | 5 | |||
| 7995-DP NON-UNION | $105 | $526 | $0 | $0 | $630 | $630 | $0 | $630 | $0 | $630 | $201 | $41 | 1 | 2 | |||
| 7996-DATA PROFESSIONALS | $459 | $3,873 | $0 | $40 | $4,371 | $4,371 | $447 | $4,818 | $2 | $4,373 | $1,003 | $207 | 5 | 9 | |||
| 7997-TOWN RETIREES | $157 | $0 | $0 | $0 | $157 | $157 | $0 | $157 | $0 | $157 | $602 | $117 | 3 | 3 | |||
| 7998-POLICE RETIREES | $264 | $780 | $0 | $5,229 | $6,272 | $6,272 | $0 | $6,272 | $0 | $6,272 | $803 | $156 | 4 | 5 | |||
| 7999-TOWN COBRA | $49 | $0 | $0 | $0 | $49 | $49 | $0 | $49 | $0 | $49 | $0 | $0 | 0 | 0 | |||
| 8003-AMBULANCE | $916 | $3,514 | $0 | $101 | $4,531 | $4,531 | $0 | $4,531 | $2,690 | $7,221 | $2,408 | $497 | 12 | 16 | |||
| PRODUCT TYPE Total | $75,802 | $654,435 | $41,548 | $133,581 | $905,366 | $905,366 | $6,338 | $911,703 | $157,878 | $1,063,244 | $117,782 | $24,242 | 587 | 1,339 |
ACCOUNT Total $75,802 $654,435 $41,548 $133,581 $905,366 $905,366 $6,338 $911,703 $157,878 $1,063,244 $117,782 $24,242 587 1,339
Aug-2025 Total $75,802 $654,435 $41,548 $133,581 $905,366 $905,366 $6,338 $911,703 $157,878 $1,063,244 $117,782 $24,242 587 1,339
| Sep-25 | 3343565-VERNON TOWN AND BOARD OF EDUCATION | OAP1 | 7970-BOE TEACHERS | $43,045 | $139,396 | $42,699 | $94,512 | $319,652 | $319,652 | $0 | $319,652 | $89,527 | $409,180 | $47,955 | $9,902 | 239 | 609 |
| 7971-BOE ADMIN | $6,155 | $10,387 | $0 | $4,123 | $20,665 | $20,665 | $0 | $20,665 | $7,338 | $28,003 | $2,809 | $580 | 14 | 46 | |||
| 7972-BOE SEC/MAIN/CUST | $5,671 | $20,456 | $0 | $7,239 | $33,366 | $33,366 | $0 | $33,366 | $6,472 | $39,838 | $8,026 | $1,657 | 40 | 82 | |||
| 7973-BOE PARAS | $3,626 | $37,003 | $0 | $7,779 | $48,409 | $48,409 | $20 | $48,429 | $8,427 | $56,836 | $6,220 | $1,284 | 31 | 56 | |||
| 7974-BOE LIBRARIANS | $280 | $0 | $0 | $0 | $280 | $280 | $0 | $280 | $0 | $280 | $201 | $41 | 1 | 5 | |||
| 7975-BOE NURSES | $984 | $4,076 | $0 | $41 | $5,101 | $5,101 | $0 | $5,101 | $1,154 | $6,255 | $1,605 | $331 | 8 | 18 | |||
| 7976-BOE CAFETERIA | $822 | $1,432 | $0 | $1,081 | $3,335 | $3,335 | $0 | $3,335 | $1,208 | $4,543 | $2,207 | $456 | 11 | 15 | |||
| 7977-BOE NON-AFFILIATE | $3,446 | $3,809 | $0 | $3,307 | $10,562 | $10,562 | $60 | $10,622 | $3,145 | $13,707 | $4,816 | $994 | 24 | 59 | |||
| 7979-BOE PART-TIME | $48 | $0 | $0 | $0 | $48 | $48 | $0 | $48 | $0 | $48 | $201 | $39 | 1 | 1 | |||
| 7980-BOE RETIREES | $677 | $1,400 | $0 | $3,013 | $5,090 | $5,090 | $0 | $5,090 | $0 | $5,090 | $2,207 | $428 | 11 | 12 | |||
| 7981-BOE RETIREES NON MEDICARE ELIGIBLE | $569 | $7,287 | $245 | $3,067 | $11,169 | $11,169 | $0 | $11,169 | $0 | $11,169 | $2,207 | $428 | 11 | 11 | |||
| 7982-BOE COBRA | $49 | $0 | $0 | $0 | $49 | $49 | $0 | $49 | $0 | $49 | $0 | $0 | 0 | 0 | |||
| 7983-TOWN NON-UNION | $7,387 | $40,202 | $160 | $66,862 | $114,611 | $114,611 | $690 | $115,301 | $17,272 | $131,883 | $9,029 | $1,864 | 45 | 88 | |||
| 7984-VERNON TOWN PROFESSIONALS | $1,689 | $1,270 | $0 | $222 | $3,181 | $3,181 | $0 | $3,181 | $3,921 | $7,102 | $2,207 | $456 | 11 | 30 | |||
| 7985-DEPARTMENT HEAD | $1,717 | $1,752 | $0 | $1,059 | $4,529 | $4,529 | $82 | $4,610 | $2,108 | $6,637 | $1,405 | $290 | 7 | 16 | |||
| 7986-POLICE OFFICERS | $7,797 | $65,342 | $0 | $16,211 | $89,350 | $89,350 | $0 | $89,350 | $15,366 | $104,715 | $7,625 | $1,574 | 38 | 109 | |||
| 7987-POLICE CIVILIANS | $486 | $189 | $0 | $287 | $961 | $961 | $0 | $961 | $997 | $1,959 | $1,405 | $290 | 7 | 12 | |||
| 7988-DPW SUPERVISORS | $757 | $828 | $0 | $0 | $1,585 | $1,585 | $0 | $1,585 | $956 | $2,541 | $602 | $124 | 3 | 13 | |||
| 7989-DPW LINE | $4,427 | $6,902 | $0 | $9,056 | $20,385 | $20,385 | $0 | $20,385 | $10,247 | $30,632 | $7,825 | $1,616 | 39 | 79 | |||
| 7990-WPC NON-UNION | $112 | $0 | $0 | $289 | $402 | $402 | $0 | $402 | $172 | $574 | $201 | $41 | 1 | 2 | |||
| 7991-WPC PROFESSIONALS UNION | $54 | $0 | $0 | $13,020 | $13,075 | $13,075 | $0 | $13,075 | $176 | $13,251 | $201 | $41 | 1 | 1 | |||
| 7992-WPC DPW LINE | $1,086 | $2,200 | $0 | ($165) | $3,121 | $3,121 | $0 | $3,121 | $1,626 | $4,747 | $1,605 | $331 | 8 | 19 | |||
| 7993-WPC SUPERVISORS | $49 | $0 | $0 | $0 | $49 | $49 | $0 | $49 | $0 | $49 | $201 | $41 | 1 | 1 | |||
| 7994-VCC NON-UNION | $283 | $15,399 | $0 | $30 | $15,711 | $15,711 | $0 | $15,711 | $224 | $15,935 | $401 | $83 | 2 | 6 | |||
| 7995-DP NON-UNION | $127 | $0 | $0 | $95 | $222 | $222 | $0 | $222 | $0 | $222 | $201 | $41 | 1 | 2 | |||
| 7996-DATA PROFESSIONALS | $503 | $5,007 | $0 | $44 | $5,554 | $5,554 | $534 | $6,088 | $252 | $5,807 | $1,003 | $207 | 5 | 9 | |||
| 7997-TOWN RETIREES | $157 | $736 | $0 | $0 | $893 | $893 | $0 | $893 | $0 | $893 | $602 | $117 | 3 | 3 | |||
| 7998-POLICE RETIREES | $264 | $1,640 | $0 | $5,323 | $7,227 | $7,227 | $0 | $7,227 | $0 | $7,227 | $803 | $156 | 4 | 5 | |||
| ACTIVE | 8003-AMBULANCE | $862 | $3,843 | $0 | $13,750 | $18,454 | $18,454 | $0 | $18,454 | $1,150 | $19,605 | $2,207 | $456 | 11 | 15 | ||
| PRODUCT TYPE Total | $93,129 | $370,558 | $43,104 | $250,245 | $757,036 | $757,036 | $1,387 | $758,423 | $171,738 | $928,775 | $115,976 | $23,872 | 578 | 1,324 |
ACCOUNT Total $93,129 $370,558 $43,104 $250,245 $757,036 $757,036 $1,387 $758,423 $171,738 $928,775 $115,976 $23,872 578 1,324
Sep-2025 Total $93,129 $370,558 $43,104 $250,245 $757,036 $757,036 $1,387 $758,423 $171,738 $928,775 $115,976 $23,872 578 1,324
| Oct-25 | 3343565-VERNON TOWN AND BOARD OF EDUCATION | OAP1 | 7970-BOE TEACHERS | $37,411 | $246,736 | $13,661 | $71,775 | $369,583 | $369,583 | $0 | $369,583 | $79,244 | $448,827 | $47,755 | $9,860 | 238 | 610 |
| 7971-BOE ADMIN | $2,894 | $26,817 | $0 | $4,870 | $34,581 | $34,581 | $0 | $34,581 | $3,933 | $38,514 | $2,809 | $580 | 14 | 46 | |||
| 7972-BOE SEC/MAIN/CUST | $5,052 | $33,047 | $0 | $9,883 | $47,981 | $47,981 | $0 | $47,981 | $6,212 | $54,193 | $7,825 | $1,616 | 39 | 81 | |||
| 7973-BOE PARAS | $3,447 | $23,892 | $96 | $9,983 | $37,418 | $37,418 | $377 | $37,796 | $7,791 | $45,209 | $6,421 | $1,326 | 32 | 57 | |||
| 7974-BOE LIBRARIANS | $310 | $59 | $0 | $0 | $368 | $368 | $0 | $368 | $0 | $368 | $201 | $41 | 1 | 5 | |||
| 7975-BOE NURSES | $1,108 | $6,587 | $0 | $407 | $8,102 | $8,102 | $0 | $8,102 | $2,664 | $10,766 | $1,605 | $331 | 8 | 18 | |||
| 7976-BOE CAFETERIA | $892 | $2,076 | $0 | $1,010 | $3,978 | $3,978 | $0 | $3,978 | $2,016 | $5,994 | $2,007 | $414 | 10 | 14 | |||
| 7977-BOE NON-AFFILIATE | $3,768 | $8,006 | $0 | $25,968 | $37,742 | $37,742 | $206 | $37,949 | $7,896 | $45,638 | $4,816 | $994 | 24 | 59 | |||
| 7979-BOE PART-TIME | $54 | $565 | $0 | $179 | $798 | $798 | $0 | $798 | $0 | $798 | $201 | $39 | 1 | 1 | |||
| 7980-BOE RETIREES | $646 | $4,938 | $0 | $3,881 | $9,465 | $9,465 | $0 | $9,465 | $0 | $9,465 | $2,007 | $389 | 10 | 11 | |||
| 7981-BOE RETIREES NON MEDICARE ELIGIBLE | $581 | $9,107 | $0 | $3,515 | $13,202 | $13,202 | $0 | $13,202 | $0 | $13,202 | $2,207 | $428 | 11 | 11 | |||
| 7982-BOE COBRA | ($4) | $4 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $201 | $39 | 1 | 1 | |||
| 7983-TOWN NON-UNION | $5,398 | $60,376 | $720 | $56,402 | $122,896 | $122,896 | $10 | $122,906 | $16,392 | $139,288 | $9,029 | $1,864 | 45 | 91 | |||
| 7984-VERNON TOWN PROFESSIONALS | $1,857 | $3,049 | $0 | $77 | $4,984 | $4,984 | $0 | $4,984 | $1,006 | $5,989 | $2,408 | $497 | 12 | 31 | |||
| 7985-DEPARTMENT HEAD | $967 | $3,497 | $0 | $2,509 | $6,972 | $6,972 | $83 | $7,055 | $3,605 | $10,577 | $1,405 | $290 | 7 | 15 | |||
| 7986-POLICE OFFICERS | $7,829 | $53,628 | $469 | $2,481 | $64,408 | $64,408 | $0 | $64,408 | $6,475 | $70,883 | $7,424 | $1,533 | 37 | 105 | |||
| 7987-POLICE CIVILIANS | $712 | $35,674 | $0 | $2,024 | $38,410 | $38,410 | $0 | $38,410 | $113 | $38,523 | $1,405 | $290 | 7 | 12 | |||
| 7988-DPW SUPERVISORS | $830 | $1,178 | $0 | $287 | $2,295 | $2,295 | $0 | $2,295 | $1,249 | $3,544 | $602 | $124 | 3 | 13 | |||
| 7989-DPW LINE | $4,813 | $25,475 | $345 | $6,482 | $37,115 | $37,115 | $0 | $37,115 | $13,327 | $50,441 | $7,625 | $1,574 | 38 | 78 | |||
| 7990-WPC NON-UNION | $121 | $190 | $0 | $0 | $310 | $310 | $0 | $310 | $1,371 | $1,682 | $201 | $41 | 1 | 2 | |||
| 7991-WPC PROFESSIONALS UNION | $60 | $551 | $0 | $7,759 | $8,369 | $8,369 | $0 | $8,369 | $93 | $8,462 | $201 | $41 | 1 | 1 | |||
| 7992-WPC DPW LINE | $1,194 | $5,728 | $0 | $371 | $7,293 | $7,293 | $0 | $7,293 | $1,496 | $8,789 | $1,605 | $331 | 8 | 19 | |||
| 7993-WPC SUPERVISORS | $55 | $12 | $0 | $0 | $66 | $66 | $0 | $66 | $0 | $66 | $201 | $41 | 1 | 1 | |||
| 7994-VCC NON-UNION | $371 | $3,317 | $0 | $50 | $3,738 | $3,738 | $0 | $3,738 | $82 | $3,820 | $401 | $83 | 2 | 6 | |||
| 7995-DP NON-UNION | $117 | $3,927 | $0 | $576 | $4,619 | $4,619 | $0 | $4,619 | $0 | $4,619 | $201 | $41 | 1 | 2 | |||
| 7996-DATA PROFESSIONALS | $541 | $3,266 | $0 | $44 | $3,851 | $3,851 | $0 | $3,851 | $1,858 | $5,710 | $1,003 | $207 | 5 | 7 | |||
| 7997-TOWN RETIREES | $173 | $3,318 | $0 | $104 | $3,596 | $3,596 | $0 | $3,596 | $0 | $3,596 | $602 | $117 | 3 | 3 | |||
| 7998-POLICE RETIREES | $293 | $3,615 | $34 | $5,509 | $9,451 | $9,451 | $0 | $9,451 | $0 | $9,451 | $1,003 | $195 | 5 | 6 | |||
| 7999-TOWN COBRA | $0 | $4 | $0 | $0 | $4 | $4 | $0 | $4 | $0 | $4 | $0 | $0 | 0 | 0 | |||
| 8003-AMBULANCE | $894 | $26,172 | $0 | $7,918 | $34,985 | $34,985 | $0 | $34,985 | $2,097 | $37,081 | $2,408 | $497 | 12 | 19 | |||
| PRODUCT TYPE Total | $82,382 | $594,808 | $15,325 | $224,064 | $916,579 | $916,579 | $677 | $917,256 | $158,920 | $1,075,499 | $115,775 | $23,828 | 577 | 1,325 |
ACCOUNT Total $82,382 $594,808 $15,325 $224,064 $916,579 $916,579 $677 $917,256 $158,920 $1,075,499 $115,775 $23,828 577 1,325
Oct-2025 Total $82,382 $594,808 $15,325 $224,064 $916,579 $916,579 $677 $917,256 $158,920 $1,075,499 $115,775 $23,828 577 1,325
| Nov-25 | 3343565-VERNON TOWN AND BOARD OF EDUCATION | OAP1 | 7970-BOE TEACHERS | $38,263 | $171,069 | $11,529 | $75,735 | $296,597 | $296,597 | $0 | $296,597 | $59,503 | $356,099 | $47,755 | $9,860 | 238 | 608 |
| 7971-BOE ADMIN | $2,957 | $9,107 | $0 | $3,827 | $15,891 | $15,891 | $0 | $15,891 | $1,260 | $17,151 | $2,809 | $580 | 14 | 46 | |||
| 7972-BOE SEC/MAIN/CUST | $5,128 | $55,463 | $0 | $10,838 | $71,429 | $71,429 | $0 | $71,429 | $6,925 | $78,354 | $7,825 | $1,616 | 39 | 78 | |||
| 7973-BOE PARAS | $3,731 | $15,388 | $217 | $9,455 | $28,791 | $28,791 | $0 | $28,791 | $5,691 | $34,482 | $6,220 | $1,284 | 31 | 56 | |||
| 7974-BOE LIBRARIANS | $310 | $0 | $0 | $0 | $310 | $310 | $0 | $310 | $0 | $310 | $201 | $41 | 1 | 5 | |||
| 7975-BOE NURSES | $1,123 | $360 | $0 | $138 | $1,621 | $1,621 | $0 | $1,621 | $1,490 | $3,110 | $1,605 | $331 | 8 | 18 | |||
| 7976-BOE CAFETERIA | $835 | $6,365 | $0 | $1,172 | $8,371 | $8,371 | $0 | $8,371 | $1,017 | $9,388 | $2,007 | $414 | 10 | 14 | |||
| 7977-BOE NON-AFFILIATE | $3,698 | $6,407 | $0 | $7,977 | $18,082 | $18,082 | $30 | $18,112 | $6,134 | $24,216 | $5,016 | $1,036 | 25 | 60 | |||
| 7979-BOE PART-TIME | $54 | $3 | $0 | $116 | $172 | $172 | $0 | $172 | $0 | $172 | $201 | $39 | 1 | 1 | |||
| 7980-BOE RETIREES | $635 | $2,783 | $0 | $5,386 | $8,804 | $8,804 | $0 | $8,804 | $0 | $8,804 | $1,806 | $350 | 9 | 9 | |||
| 7981-BOE RETIREES NON MEDICARE ELIGIBLE | $590 | $19,911 | $0 | $2,876 | $23,378 | $23,378 | $0 | $23,378 | $0 | $23,378 | $2,007 | $389 | 10 | 10 | |||
| 7982-BOE COBRA | $60 | $0 | $0 | $0 | $60 | $60 | $0 | $60 | $0 | $60 | $201 | $39 | 1 | 1 | |||
| 7983-TOWN NON-UNION | $7,603 | $35,119 | $1,137 | $49,540 | $93,399 | $93,399 | $78 | $93,476 | $8,924 | $102,322 | $9,230 | $1,906 | 46 | 95 | |||
| 7984-VERNON TOWN PROFESSIONALS | $1,939 | $6,092 | $2,400 | $2,194 | $12,626 | $12,626 | $0 | $12,626 | $3,394 | $16,020 | $2,408 | $497 | 12 | 31 | |||
| 7985-DEPARTMENT HEAD | $908 | $2,682 | $78 | $138 | $3,806 | $3,806 | $0 | $3,806 | $2,483 | $6,289 | $1,405 | $290 | 7 | 15 | |||
| 7986-POLICE OFFICERS | $6,580 | $16,523 | $428 | $16,833 | $40,365 | $40,365 | $0 | $40,365 | $6,875 | $47,240 | $7,223 | $1,491 | 36 | 101 | |||
| 7987-POLICE CIVILIANS | $721 | $1,401 | $0 | $43 | $2,165 | $2,165 | $0 | $2,165 | $775 | $2,940 | $1,405 | $290 | 7 | 12 | |||
| 7988-DPW SUPERVISORS | $830 | $0 | $0 | $236 | $1,066 | $1,066 | $0 | $1,066 | $427 | $1,493 | $602 | $124 | 3 | 13 | |||
| 7989-DPW LINE | $4,737 | $4,715 | $277 | $4,747 | $14,476 | $14,476 | $0 | $14,476 | $4,113 | $18,589 | $7,625 | $1,574 | 38 | 78 | |||
| 7990-WPC NON-UNION | $124 | $760 | $0 | $0 | $884 | $884 | $0 | $884 | $247 | $1,131 | $201 | $41 | 1 | 2 | |||
| 7991-WPC PROFESSIONALS UNION | $60 | $3,289 | $0 | $7,747 | $11,095 | $11,095 | $0 | $11,095 | $19 | $11,114 | $201 | $41 | 1 | 1 | |||
| 7992-WPC DPW LINE | $1,200 | $5,468 | $0 | $345 | $7,013 | $7,013 | $0 | $7,013 | $2,338 | $9,351 | $1,806 | $373 | 9 | 19 | |||
| 7993-WPC SUPERVISORS | $55 | $0 | $0 | $0 | $55 | $55 | $0 | $55 | $0 | $55 | $201 | $41 | 1 | 1 | |||
| 7994-VCC NON-UNION | $356 | $0 | $0 | $59 | $415 | $415 | $0 | $415 | $312 | $727 | $201 | $41 | 1 | 2 | |||
| 7995-DP NON-UNION | $117 | $196 | $0 | $141 | $454 | $454 | $0 | $454 | $0 | $454 | $201 | $41 | 1 | 2 | |||
| 7996-DATA PROFESSIONALS | $421 | $1,351 | $0 | $39 | $1,811 | $1,811 | $0 | $1,811 | $736 | $2,547 | $1,003 | $207 | 5 | 7 | |||
| 7997-TOWN RETIREES | $1,104 | $180 | $0 | $0 | $1,284 | $1,284 | $0 | $1,284 | $0 | $1,284 | $401 | $78 | 2 | 2 | |||
| 7998-POLICE RETIREES | $348 | $2,822 | $0 | $5,458 | $8,629 | $8,629 | $0 | $8,629 | $0 | $8,629 | $1,003 | $195 | 5 | 6 | |||
| 8003-AMBULANCE | $1,134 | $25,290 | $0 | $7,271 | $33,694 | $33,694 | $0 | $33,694 | $1,959 | $35,654 | $2,207 | $456 | 11 | 18 | |||
| PRODUCT TYPE Total | $85,620 | $392,744 | $16,067 | $212,310 | $706,741 | $706,741 | $108 | $706,849 | $114,622 | $821,364 | $114,972 | $23,669 | 573 | 1,311 |
ACCOUNT Total $85,620 $392,744 $16,067 $212,310 $706,741 $706,741 $108 $706,849 $114,622 $821,364 $114,972 $23,669 573 1,311
Nov-2025 Total $85,620 $392,744 $16,067 $212,310 $706,741 $706,741 $108 $706,849 $114,622 $821,364 $114,972 $23,669 573 1,311
Prem v. Claims
| Theoretical Premium | Claims & Expenses | Margin/(Deficit) | |
| Jul-24 | $1,038,385 | $1,163,182 | ($124,797) |
| Aug-24 | $1,040,583 | $862,071 | $178,511 |
| Sep-24 | $1,025,300 | $915,195 | $110,106 |
| Oct-24 | $1,026,431 | $1,074,464 | ($48,033) |
| Nov-24 | $1,013,380 | $863,531 | $149,849 |
| Dec-24 | |||
| Jan-25 | |||
| Feb-25 | |||
| Mar-25 | |||
| Apr-25 | |||
| May-25 | |||
| Jun-25 | |||
| Totals | $5,144,079 | $4,878,443 | $265,636 |
| ACTIVE |
&G &G
VERNON TOWN & PUBLIC SCHOOLS
Medical Premium vs. Claims
FYE 2026
Claims & Expenses 45474 45505 45536 45566 45597 45627 45658 45689 45717 45748 45778 1163182.0199999998 862071.34 915194.53 1074463.6299999999 863531.43 Theoretical Premium 45474 45505 45536 45566 45597 45627 45658 45689 45717 45748 45778 45809 1038384.6894 1040582.5733999999 1025300.3482499999 1026430.76055 1013380.4738999999
Town Enrollment
| RATES | Approved Renewal Increase | ||||||||||||||||||||||||||||||||||||
| Employee | $978.92 | $978.92 | $978.92 | $978.92 | $978.92 | $1,045.06 | $1,045.06 | $978.92 | $978.92 | $978.92 | $978.92 | $978.92 | $978.92 | $978.92 | $978.92 | $978.92 | $978.92 | $978.92 | $978.92 | $978.92 | $978.92 | $978.92 | $978.92 | $1,045.06 | $1,045.06 | $1,045.06 | $1,045.06 | $1,045.06 | $1,045.06 | $1,045.06 | $978.92 | $978.92 | $978.92 | $978.92 | $978.92 | $978.92 | Effective July 1, 2025 |
| Employee Sp | $1,957.82 | $1,957.82 | $1,957.82 | $1,957.82 | $1,957.82 | $2,090.14 | $2,090.14 | $1,957.82 | $1,957.82 | $1,957.82 | $1,957.82 | $1,957.82 | $1,957.82 | $1,957.82 | $1,957.82 | $1,957.82 | $1,957.82 | $1,957.82 | $1,957.82 | $1,957.82 | $1,957.82 | $1,957.82 | $1,957.82 | $2,090.14 | $2,090.14 | $2,090.14 | $2,090.14 | $2,090.14 | $2,090.14 | $2,090.14 | $1,957.82 | $1,957.82 | $1,957.82 | $1,957.82 | $1,957.82 | $1,957.82 | 9.50% |
| Employee Ch | $1,957.82 | $1,957.82 | $1,957.82 | $1,957.82 | $1,957.82 | $2,090.14 | $2,090.14 | $1,957.82 | $1,957.82 | $1,957.82 | $1,957.82 | $1,957.82 | $1,957.82 | $1,957.82 | $1,957.82 | $1,957.82 | $1,957.82 | $1,957.82 | $1,957.82 | $1,957.82 | $1,957.82 | $1,957.82 | $1,957.82 | $2,090.14 | $2,090.14 | $2,090.14 | $2,090.14 | $2,090.14 | $2,090.14 | $2,090.14 | $1,957.82 | $1,957.82 | $1,957.82 | $1,957.82 | $1,957.82 | $1,957.82 | |
| Family | $2,643.06 | $2,643.06 | $2,643.06 | $2,643.06 | $2,643.06 | $2,821.63 | $2,821.63 | $2,643.06 | $2,643.06 | $2,643.06 | $2,643.06 | $2,643.06 | $2,643.06 | $2,643.06 | $2,643.06 | $2,643.06 | $2,643.06 | $2,643.06 | $2,643.06 | $2,643.06 | $2,643.06 | $2,643.06 | $2,643.06 | $2,821.63 | $2,821.63 | $2,821.63 | $2,821.63 | $2,821.63 | $2,821.63 | $2,821.63 | $2,643.06 | $2,643.06 | $2,643.06 | $2,643.06 | $2,643.06 | $2,643.06 |
| Employee Counts | ||||||||||||||||||||||||||||||||||||||||
| branch | 7997 | 7998 | 7997 | 7998 | 7996 | 7983 | 7983 | 7984 | 7985 | 7986 | 7987 | 7988 | 7989 | 7996 | 7984 | 7985 | 7986 | 7987 | 7989 | 7992 | 7993 | 7996 | 7983 | 7990 | 7994 | 7995 | 8003 | 7983 | 8003 | 7988 | 7989 | 7992 | 7989 | 7992 | 7989 | |||||
| Name | Town Retiree | Police Retiree | Town Retiree | Police Retiree | 7996-DATA PROFESSIONALS | Town Non-Union | Town Non-Union | 7984-VERNON TOWN PROFESSIONALS | 7985-DEPARTMENT HEAD | 7986-POLICE OFFICERS | 7987-POLICE CIVILIANS | 7988-DPW SUPERVISORS | 7989-DPW LINE | 7996-DATA PROFESSIONALS | 7984-VERNON TOWN PROFESSIONALS | 7985-DEPARTMENT HEAD | 7986-POLICE OFFICERS | 7987-POLICE CIVILIANS | 7989-DPW LINE | 7991-WPC Professionals | 7992-WPC DPW LINE | 7993-WPC SUPERVISORS | 7996-DATA PROFESSIONALS | 7983-TOWN NON-UNION | 7990-WPC NON-UNION | 7994-VCC NON-UNION | 7995-DP NON-UNION | Ambulance | Town Non-Union | Ambulance | 7988-DPW SUPERVISORS | 7989-DPW LINE | 7992-WPC DPW LINE | 7989-DPW LINE | 7992-WPC DPW LINE | 7989-DPW LINE | ||||
| Plan | 4k | 4k | 2k | 2k | 4k | 4K | 2000 | 4k | 4k | 4k | 4k | 4k | 4k | 4k | 2k | 2k | 2k | 2k | 2k | 2k | 3k | 3k | 3k | 3k | 3k | 1500 | 4k | 4k | 4k | 2k | 2k | 4k | ||||||||
| July | ||||||||||||||||||||||||||||||||||||||||
| Employee | 0 | 0 | 5 | 2 | 0 | 0 | 2 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 3 | 10 | 5 | 2 | 2 | 1 | 2 | 0 | 0 | 0 | 0 | 0 | 10 | 5 | 0 | 0 | 0 | 20 | 4 | 0 | 181 | 585 | |||
| Employee Sp | 2 | 1 | 0 | 0 | 1 | 3 | 0 | 3 | 2 | 6 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 9 | 1 | 0 | 1 | 0 | 0 | 0 | 0 | 4 | 1 | 0 | 0 | 1 | |||||
| Employee Ch | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 3 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 3 | 1 | 1 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |||||
| Family | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 4 | 2 | 21 | 0 | 2 | 4 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 12 | 0 | 1 | 0 | 1 | 0 | 0 | 1 | 7 | 3 | 0 | 0 | 0 | |||||
| Total Premium | $3,916 | $1,958 | $4,895 | $1,958 | $1,958 | $6,270 | $2,090 | $19,382 | $11,160 | $73,125 | $1,958 | $5,286 | $10,572 | $2,643 | $979 | $2,937 | $9,789 | $4,895 | $1,958 | $0 | $1,958 | $979 | $1,958 | $58,941 | $4,180 | $4,912 | $2,090 | $4,912 | $10,451 | $5,225 | $2,643 | $26,333 | $9,887 | $19,578 | $3,916 | $1,958 | $327,647 | |||
| August | ||||||||||||||||||||||||||||||||||||||||
| Employee | 0 | 0 | 3 | 3 | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 2 | 12 | 4 | 1 | 1 | 2 | 1 | 2 | 0 | 0 | 0 | 0 | 1 | 14 | 9 | 0 | 0 | 0 | 20 | 2 | 0 | 190 | 588 | ||
| Employee Sp | 2 | 1 | 0 | 0 | 1 | 3 | 0 | 3 | 1 | 3 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 13 | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 5 | 0 | 0 | 0 | 0 | |||||
| Employee Ch | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 3 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 4 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 2 | 0 | 0 | 0 | 0 | |||||
| Family | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 5 | 2 | 21 | 0 | 2 | 4 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 10 | 0 | 1 | 0 | 1 | 0 | 0 | 1 | 8 | 4 | 0 | 0 | 0 | |||||
| Total Premium | $3,916 | $1,958 | $2,937 | $2,937 | $4,601 | $6,270 | $1,045 | $22,025 | $9,202 | $67,251 | $3,916 | $5,286 | $10,572 | $1,958 | $979 | $1,958 | $11,747 | $3,916 | $979 | $979 | $1,958 | $979 | $1,958 | $63,749 | $2,090 | $4,912 | $2,090 | $5,957 | $14,631 | $9,406 | $2,643 | $34,849 | $10,572 | $19,578 | $1,958 | $341,760 | ||||
| September | ||||||||||||||||||||||||||||||||||||||||
| Employee | 0 | 0 | 3 | 3 | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 2 | 11 | 4 | 1 | 1 | 2 | 1 | 2 | 0 | 0 | 0 | 0 | 1 | 15 | 8 | 0 | 0 | 0 | 19 | 2 | 0 | 186 | 578 | ||
| Employee Sp | 0 | 1 | 0 | 0 | 1 | 2 | 0 | 3 | 1 | 3 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 13 | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 5 | 0 | 0 | 0 | 0 | |||||
| Employee Ch | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 3 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 4 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 2 | 0 | 0 | 0 | 0 | |||||
| Family | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 5 | 2 | 21 | 1 | 2 | 4 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 10 | 0 | 1 | 0 | 1 | 0 | 0 | 1 | 8 | 4 | 0 | 0 | 0 | |||||
| Total Premium | $0 | $1,958 | $2,937 | $2,937 | $4,601 | $4,180 | $1,045 | $22,025 | $9,202 | $67,251 | $6,559 | $5,286 | $10,572 | $1,958 | $979 | $1,958 | $10,768 | $3,916 | $979 | $979 | $1,958 | $979 | $1,958 | $63,749 | $2,090 | $4,912 | $2,090 | $5,957 | $15,676 | $8,360 | $2,643 | $34,849 | $10,572 | $18,599 | $1,958 | $336,439 | ||||
| October | ||||||||||||||||||||||||||||||||||||||||
| Employee | 0 | 0 | 3 | 4 | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 2 | 2 | 11 | 4 | 1 | 1 | 2 | 1 | 3 | 0 | 0 | 0 | 0 | 1 | 14 | 8 | 0 | 0 | 0 | 18 | 2 | 0 | 188 | 577 | 79 | |
| Employee Sp | 0 | 1 | 0 | 0 | 1 | 2 | 0 | 3 | 1 | 3 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 13 | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 5 | 0 | 0 | 0 | 0 | 33 | ||||
| Employee Ch | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 3 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 5 | 1 | 1 | 0 | 1 | 0 | 0 | 0 | 2 | 0 | 0 | 0 | 0 | 16 | ||||
| Family | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 5 | 2 | 20 | 1 | 2 | 4 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 10 | 0 | 1 | 0 | 1 | 0 | 0 | 1 | 8 | 4 | 0 | 0 | 0 | 60 | ||||
| Total Premium | $0 | $1,958 | $2,937 | $3,916 | $4,601 | $4,180 | $1,045 | $22,025 | $9,202 | $64,608 | $6,559 | $5,286 | $10,572 | $1,958 | $1,958 | $1,958 | $10,768 | $3,916 | $979 | $979 | $1,958 | $979 | $2,937 | $65,839 | $2,090 | $4,912 | $2,090 | $8,047 | $14,631 | $8,360 | $2,643 | $34,849 | $10,572 | $17,621 | $1,958 | $338,889 | ||||
| November | ||||||||||||||||||||||||||||||||||||||||
| Employee | 0 | 0 | 2 | 4 | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 2 | 2 | 11 | 4 | 1 | 1 | 3 | 1 | 3 | 0 | 0 | 0 | 0 | 1 | 14 | 7 | 0 | 0 | 0 | 18 | 2 | 0 | 185 | 572 | 78 | |
| Employee Sp | 0 | 1 | 0 | 0 | 1 | 2 | 0 | 3 | 1 | 3 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 13 | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 5 | 1 | 0 | 0 | 0 | 34 | |||
| Employee Ch | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 3 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 5 | 1 | 1 | 0 | 1 | 0 | 0 | 0 | 2 | 0 | 0 | 0 | 0 | 16 | |||
| Family | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 5 | 2 | 19 | 1 | 2 | 4 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 11 | 0 | 0 | 0 | 1 | 0 | 0 | 1 | 8 | 3 | 0 | 0 | 0 | 57 | |||
| Total Premium | $0 | $1,958 | $1,958 | $3,916 | $1,958 | $4,180 | $1,045 | $22,025 | $9,202 | $61,965 | $6,559 | $5,286 | $10,572 | $1,958 | $1,958 | $1,958 | $10,768 | $3,916 | $979 | $979 | $2,937 | $979 | $2,937 | $68,660 | $2,090 | $2,090 | $2,090 | $8,047 | $14,631 | $7,315 | $2,643 | $34,849 | $9,887 | $17,621 | $1,958 | $331,873 | ||||
| December | ||||||||||||||||||||||||||||||||||||||||
| Employee | 0 | |||||||||||||||||||||||||||||||||||||||
| Employee Sp | ||||||||||||||||||||||||||||||||||||||||
| Employee Ch | ||||||||||||||||||||||||||||||||||||||||
| Family | ||||||||||||||||||||||||||||||||||||||||
| Total Premium | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | ||||
| January | ||||||||||||||||||||||||||||||||||||||||
| Employee | 0 | |||||||||||||||||||||||||||||||||||||||
| Employee Sp | ||||||||||||||||||||||||||||||||||||||||
| Employee Ch | ||||||||||||||||||||||||||||||||||||||||
| Family | ||||||||||||||||||||||||||||||||||||||||
| Total Premium | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | ||||
| February | ||||||||||||||||||||||||||||||||||||||||
| Employee | 0 | |||||||||||||||||||||||||||||||||||||||
| Employee Sp | ||||||||||||||||||||||||||||||||||||||||
| Employee Ch | ||||||||||||||||||||||||||||||||||||||||
| Family | ||||||||||||||||||||||||||||||||||||||||
| Total Premium | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | ||||
| March | ||||||||||||||||||||||||||||||||||||||||
| Employee | 0 | |||||||||||||||||||||||||||||||||||||||
| Employee Sp | ||||||||||||||||||||||||||||||||||||||||
| Employee Ch | ||||||||||||||||||||||||||||||||||||||||
| Family | ||||||||||||||||||||||||||||||||||||||||
| Total Premium | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | ||||
| April | ||||||||||||||||||||||||||||||||||||||||
| Employee | 0 | |||||||||||||||||||||||||||||||||||||||
| Employee Sp | ||||||||||||||||||||||||||||||||||||||||
| Employee Ch | ||||||||||||||||||||||||||||||||||||||||
| Family | ||||||||||||||||||||||||||||||||||||||||
| Total Premium | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | ||||||
| May | ||||||||||||||||||||||||||||||||||||||||
| Employee | 0 | |||||||||||||||||||||||||||||||||||||||
| Employee Sp | ||||||||||||||||||||||||||||||||||||||||
| Employee Ch | ||||||||||||||||||||||||||||||||||||||||
| Family | ||||||||||||||||||||||||||||||||||||||||
| Total Premium | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | ||||||
| June | ||||||||||||||||||||||||||||||||||||||||
| Employee | 0 | |||||||||||||||||||||||||||||||||||||||
| Employee Sp | ||||||||||||||||||||||||||||||||||||||||
| Employee Ch | ||||||||||||||||||||||||||||||||||||||||
| Family | ||||||||||||||||||||||||||||||||||||||||
| Total Premium | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | ||||||
| CONTRIBUTIONS | 100% | 100% | 100% | 100% | 17% | 8.0% | 8.0% | 17% | 17% | 17% | 15% | 16% | 13% | 17% | 17% | 17% | 17% | 15% | 13% | 13% | 17% | 17% | 8.0% | 8.0% | 8.0% | 8.0% | 8.0% | 8.0% | 8.0% | 16% | 13% | 13% | 13% | 13% | 13% | Monthly Total | ||||
| July 2024 | $3,915.63 | $1,957.82 | $4,894.60 | $1,957.84 | $332.83 | $501.63 | $167.21 | $3,295.01 | $1,897.13 | $12,431.17 | $293.67 | $845.78 | $1,374.39 | $449.32 | $166.42 | $499.25 | $1,664.16 | $734.19 | $254.52 | $0.00 | $332.83 | $166.42 | $156.63 | $4,715.29 | $334.42 | $392.94 | $167.21 | $392.94 | $836.05 | $836.05 | $343.60 | $3,423.25 | $1,285.31 | $2,545.19 | $509.04 | $54,069.71 | $225,189.92 | |||
| August | $3,915.63 | $1,957.82 | $2,936.76 | $2,936.76 | $782.15 | $501.63 | $83.60 | $3,744.33 | $1,564.30 | $11,432.68 | $587.34 | $845.78 | $1,374.39 | $332.83 | $166.42 | $332.83 | $1,996.99 | $587.35 | $127.26 | $127.26 | $332.83 | $166.42 | $156.63 | $5,099.89 | $167.21 | $392.94 | $167.21 | $476.55 | $1,170.46 | $1,504.88 | $343.60 | $4,530.39 | $1,374.39 | $2,545.19 | $254.52 | $50,843.12 | ||||
| September | $0.00 | $1,957.82 | $2,936.76 | $2,936.76 | $782.15 | $334.42 | $83.60 | $3,744.33 | $1,564.30 | $11,432.68 | $983.80 | $845.78 | $1,374.39 | $332.83 | $166.42 | $332.83 | $1,830.58 | $587.35 | $127.26 | $127.26 | $332.83 | $166.42 | $156.63 | $5,099.89 | $167.21 | $392.94 | $167.21 | $476.55 | $1,254.07 | $1,337.67 | $343.60 | $4,530.39 | $1,374.39 | $2,417.93 | $254.52 | $46,906.71 | ||||
| October | $0.00 | $1,957.82 | $2,936.76 | $3,915.68 | $782.15 | $334.42 | $83.60 | $3,744.33 | $1,564.30 | $10,983.36 | $983.80 | $845.78 | $1,374.39 | $332.83 | $332.83 | $332.83 | $1,830.58 | $587.35 | $127.26 | $127.26 | $332.83 | $166.42 | $234.94 | $5,267.10 | $167.21 | $392.94 | $167.21 | $643.76 | $1,170.46 | $1,337.67 | $343.60 | $4,530.39 | $1,374.39 | $2,290.67 | $254.52 | $47,931.86 | ||||
| November | $0.00 | $1,957.82 | $1,957.84 | $3,915.68 | $332.83 | $334.42 | $83.60 | $3,744.33 | $1,564.30 | $10,534.04 | $983.80 | $845.78 | $1,374.39 | $332.83 | $332.83 | $332.83 | $1,830.58 | $587.35 | $127.26 | $127.26 | $499.25 | $166.42 | $234.94 | $5,492.83 | $167.21 | $167.21 | $167.21 | $643.76 | $1,170.46 | $1,170.46 | $343.60 | $4,530.39 | $1,285.31 | $2,290.67 | $254.52 | $46,053.51 | ||||
| December | $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 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||
| January 2025 | $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 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||
| February | $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 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||
| March | $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 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||
| April | $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 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||
| May | $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 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||
| June | $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 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||
| ACTIVE |
BOE Enrollment
| RATES | lib cust maint sec | teach non aff adm para | lib cust main sec | Teach non aff adm para | teach non aff adm para | sec main cust | paras | non aff | paras | nurses | sec main cust | librarian | sec main cust | lib | |||||||||||||||||
| Employee | $965.14 | $965.14 | $965.14 | $965.14 | $965.14 | $1,028.07 | $965.14 | $964.94 | $965.14 | $977.34 | $1,028.07 | $1,028.07 | $1,028.07 | $1,028.07 | $967.07 | $967.07 | $965.14 | $965.14 | $965.14 | $964.94 | $965.14 | $965.14 | $965.14 | $964.94 | $965.14 | $977.34 | $977.34 | $964.94 | $965.14 | $558.45 | Approved Renewal Increase |
| Employee Sp | $1,930.28 | $1,930.28 | $1,930.28 | $1,930.28 | $1,930.28 | $2,056.13 | $1,930.28 | $1,929.82 | $1,930.28 | $1,930.08 | $2,056.13 | $2,056.13 | $2,056.13 | $2,056.13 | $1,934.12 | $1,934.12 | $1,930.28 | $1,930.28 | $1,930.28 | $1,929.82 | $1,930.28 | $1,930.28 | $1,930.28 | $1,929.82 | $1,930.28 | $1,930.08 | $1,930.08 | $1,929.82 | $1,930.28 | $1,478.97 | Effective July 1, 2025 |
| Employee Ch | $1,930.28 | $1,930.28 | $1,930.28 | $1,930.28 | $1,930.28 | $2,056.13 | $1,930.28 | $1,929.82 | $1,930.28 | $1,930.08 | $2,056.13 | $2,056.13 | $2,056.13 | $2,056.13 | $1,934.12 | $1,934.12 | $1,890.86 | $1,930.28 | $1,930.28 | $1,929.82 | $1,890.86 | $1,930.28 | $1,930.28 | $1,929.82 | $1,890.86 | $1,930.08 | $1,930.08 | $1,929.82 | $1,930.28 | $1,478.97 | 9.50% |
| Family | $2,605.85 | $2,605.85 | $2,605.85 | $2,605.85 | $2,605.85 | $2,775.76 | $2,734.54 | $2,605.26 | $2,734.54 | $2,605.57 | $2,775.76 | $2,775.76 | $2,775.76 | $2,775.76 | $2,611.07 | $2,611.07 | $2,605.85 | $3,000.05 | $2,734.54 | $2,605.26 | $2,605.85 | $3,000.05 | $2,734.54 | $2,605.26 | $2,605.85 | $2,605.57 | $2,605.57 | $2,605.26 | $2,605.85 | $1,996.59 |
| Employee Counts | |||||||||||||||||||||||||||||||||
| branch | 7982 | 7982 | 7980 | 7980 | |||||||||||||||||||||||||||||
| Name | 7982-BOE COBRA | 7982-BOE COBRA | 7980-BOE RETIREES | 7980-BOE RETIREES | 7980-BOE RETIREES | 7972-BOE SEC/MAIN/CUST | 7973-BOE PARAS | 7977-BOE NON-AFFILIATE | 7973-BOE PARAS | 7975-BOE NURSES | 7972-BOE SEC/MAIN/CUST | 7974-BOE LIBRARIANS | 7972-BOE SEC/MAIN/CUST | 7974-BOE LIBRARIANS | 7976-BOE CAFETERIA | 7976-BOE CAFETERIA | 7970-BOE TEACHERS | 7971-BOE ADMIN | 7973-BOE PARAS | 7977-BOE NON-AFFILIATE | 7970-BOE TEACHERS | 7971-BOE ADMIN | 7973-BOE PARAS | 7977-BOE NON-AFFILIATE | 7970-BOE TEACHERS | 7975-BOE NURSES | 7975-BOE NURSES | 7978-BOE SUPERVISORS | 7981-BOE RETIREES NON MEDICARE ELIGIBLE | 7979-BOE PART-TIME | |||
| Plan | 4k | 2k | 2k | 4k | 2k | 2k | 4k | 4k | 2k | 2k | 4k | 4k | 2k | 2k | 4k | 2k | 4k | 4k | 4k | 4k | 2k | 2k | 2k | 2k | 2k | 4k | 2k | 4k | 2k | ||||
| July | |||||||||||||||||||||||||||||||||
| Employee | 0 | 1 | 1 | 1 | 7 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 22 | 1 | 1 | 4 | 1 | 0 | 0 | 0 | 99 | 1 | 22 | 8 | 1 | 0 | 2 | 0 | 11 | 2 | 404 | ||
| Employee Sp | 0 | 0 | 0 | 2 | 0 | 0 | 0 | 1 | 0 | 0 | 7 | 0 | 0 | 0 | 4 | 0 | 17 | 2 | 7 | 1 | 0 | 0 | 0 | 0 | 0 | 2 | 0 | 0 | 0 | 0 | |||
| Employee Ch | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 19 | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | |||
| Family | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 11 | 1 | 0 | 0 | 0 | 0 | 106 | 12 | 5 | 13 | 0 | 0 | 0 | 0 | 0 | 2 | 0 | 0 | 0 | 0 | |||
| Total Premium | $2,606 | $965 | $965 | $4,826 | $6,756 | $0 | $0 | $1,930 | $0 | $0 | $48,010 | $2,776 | $22,618 | $1,028 | $10,638 | $3,868 | $345,926 | $39,861 | $29,115 | $37,728 | $95,549 | $965 | $21,233 | $7,719 | $965 | $11,001 | $1,955 | $0 | $10,617 | $1,117 | $710,737 | ||
| August | |||||||||||||||||||||||||||||||||
| Employee | 0 | 1 | 1 | 1 | 7 | 0 | 0 | 0 | 1 | 0 | 1 | 0 | 20 | 0 | 2 | 5 | 4 | 0 | 0 | 0 | 96 | 2 | 19 | 9 | 1 | 0 | 2 | 0 | 11 | 1 | 398 | ||
| Employee Sp | 0 | 0 | 0 | 2 | 0 | 0 | 0 | 1 | 0 | 0 | 7 | 0 | 0 | 0 | 3 | 0 | 17 | 3 | 6 | 1 | 0 | 0 | 0 | 0 | 0 | 2 | 0 | 0 | 0 | 0 | |||
| Employee Ch | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 16 | 0 | 2 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | |||
| Family | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 10 | 1 | 0 | 0 | 0 | 0 | 109 | 10 | 5 | 13 | 0 | 0 | 0 | 0 | 0 | 2 | 0 | 0 | 0 | 0 | |||
| Total Premium | $0 | $965 | $965 | $4,826 | $6,756 | $0 | $0 | $1,930 | $965 | $0 | $45,235 | $2,776 | $20,561 | $0 | $9,671 | $4,835 | $350,966 | $35,791 | $29,115 | $37,728 | $92,654 | $1,930 | $18,338 | $8,684 | $11,001 | $1,955 | $0 | $10,617 | $558 | $698,823 | |||
| Employee | 0 | 1 | 1 | 2 | 7 | 0 | 0 | 0 | 1 | 0 | 1 | 0 | 21 | 0 | 2 | 5 | 3 | 0 | 0 | 0 | 95 | 2 | 16 | 9 | 1 | 0 | 3 | 0 | 11 | 1 | 392 | 578 | |
| Employee Sp | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 7 | 0 | 0 | 0 | 3 | 0 | 16 | 2 | 7 | 1 | 0 | 0 | 0 | 0 | 0 | 2 | 0 | 0 | 0 | 0 | |||
| Employee Ch | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 16 | 0 | 2 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | |||
| Family | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 10 | 1 | 0 | 0 | 0 | 0 | 108 | 10 | 5 | 12 | 0 | 0 | 0 | 0 | 0 | 2 | 0 | 0 | 0 | 0 | |||
| Total Premium | $0 | $965 | $965 | $3,861 | $6,756 | $0 | $0 | $1,930 | $965 | $0 | $45,235 | $2,776 | $21,590 | $0 | $9,671 | $4,835 | $345,465 | $33,861 | $31,045 | $35,123 | $91,689 | $1,930 | $15,442 | $8,684 | $965 | $11,001 | $2,932 | $0 | $10,617 | $558 | $688,861 | ||
| October | |||||||||||||||||||||||||||||||||
| Employee | 0 | 1 | 1 | 1 | 7 | 0 | 0 | 0 | 1 | 0 | 1 | 0 | 20 | 0 | 1 | 5 | 3 | 0 | 0 | 0 | 93 | 2 | 17 | 9 | 1 | 0 | 3 | 0 | 11 | 1 | 389 | 178 | |
| Employee Sp | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 7 | 0 | 0 | 0 | 3 | 0 | 16 | 2 | 7 | 1 | 0 | 0 | 0 | 0 | 0 | 2 | 0 | 0 | 0 | 0 | 40 | ||
| Employee Ch | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 16 | 0 | 2 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 22 | ||
| Family | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 10 | 1 | 0 | 0 | 0 | 0 | 109 | 10 | 5 | 12 | 0 | 0 | 0 | 0 | 0 | 2 | 0 | 0 | 0 | 0 | 149 | ||
| Total Premium | $0 | $965 | $965 | $2,895 | $6,756 | $0 | $0 | $1,930 | $965 | $0 | $45,235 | $2,776 | $20,561 | $0 | $8,704 | $4,835 | $348,071 | $33,861 | $31,045 | $35,123 | $89,758 | $1,930 | $16,407 | $8,684 | $965 | $11,001 | $2,932 | $0 | $10,617 | $558 | $687,542 | ||
| November | |||||||||||||||||||||||||||||||||
| Employee | 0 | 1 | 1 | 1 | 7 | 0 | 0 | 0 | 1 | 0 | 1 | 0 | 21 | 0 | 1 | 5 | 3 | 0 | 0 | 0 | 93 | 2 | 16 | 10 | 1 | 0 | 3 | 0 | 10 | 1 | 387 | ||
| Employee Sp | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 7 | 0 | 0 | 0 | 3 | 0 | 17 | 2 | 7 | 1 | 0 | 0 | 0 | 0 | 0 | 2 | 0 | 0 | 0 | 0 | |||
| Employee Ch | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 17 | 0 | 2 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | |||
| Family | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 9 | 1 | 0 | 0 | 0 | 0 | 107 | 10 | 5 | 12 | 0 | 0 | 0 | 0 | 0 | 2 | 0 | 0 | 0 | 0 | |||
| Total Premium | $0 | $965 | $965 | $965 | $6,756 | $0 | $0 | $1,930 | $965 | $0 | $42,459 | $2,776 | $21,590 | $0 | $8,704 | $4,835 | $346,680 | $33,861 | $31,045 | $35,123 | $89,758 | $1,930 | $15,442 | $9,649 | $965 | $11,001 | $2,932 | $0 | $9,651 | $558 | $681,508 | ||
| December | |||||||||||||||||||||||||||||||||
| Employee | 0 | ||||||||||||||||||||||||||||||||
| Employee Sp | |||||||||||||||||||||||||||||||||
| Employee Ch | |||||||||||||||||||||||||||||||||
| Family | |||||||||||||||||||||||||||||||||
| Total Premium | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | ||
| January | |||||||||||||||||||||||||||||||||
| Employee | 0 | ||||||||||||||||||||||||||||||||
| Employee Sp | |||||||||||||||||||||||||||||||||
| Employee Ch | |||||||||||||||||||||||||||||||||
| Family | |||||||||||||||||||||||||||||||||
| Total Premium | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | ||
| February | |||||||||||||||||||||||||||||||||
| Employee | 0 | ||||||||||||||||||||||||||||||||
| Employee Sp | |||||||||||||||||||||||||||||||||
| Employee Ch | |||||||||||||||||||||||||||||||||
| Family | |||||||||||||||||||||||||||||||||
| Total Premium | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | ||
| March | |||||||||||||||||||||||||||||||||
| Employee | 0 | ||||||||||||||||||||||||||||||||
| Employee Sp | |||||||||||||||||||||||||||||||||
| Employee Ch | |||||||||||||||||||||||||||||||||
| Family | |||||||||||||||||||||||||||||||||
| Total Premium | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | ||
| April | |||||||||||||||||||||||||||||||||
| Employee | |||||||||||||||||||||||||||||||||
| Employee Sp | |||||||||||||||||||||||||||||||||
| Employee Ch | |||||||||||||||||||||||||||||||||
| Family | |||||||||||||||||||||||||||||||||
| Total Premium | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | ||
| May | |||||||||||||||||||||||||||||||||
| Employee | |||||||||||||||||||||||||||||||||
| Employee Sp | |||||||||||||||||||||||||||||||||
| Employee Ch | |||||||||||||||||||||||||||||||||
| Family | |||||||||||||||||||||||||||||||||
| Total Premium | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | ||
| June | |||||||||||||||||||||||||||||||||
| Employee | |||||||||||||||||||||||||||||||||
| Employee Sp | |||||||||||||||||||||||||||||||||
| Employee Ch | |||||||||||||||||||||||||||||||||
| Family | |||||||||||||||||||||||||||||||||
| Total Premium | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | ||
| CONTRIBUTIONS | 100% | 100% | 100% | 100% | 100% | 20% | 22% | 20% | 22% | 23% | 20% | 21% | 20% | 21% | 22% | 22% | 21% | 23% | 22% | 20% | 21% | 23% | 22% | 20% | 21% | 23% | 23% | 19.0% | 100% | 39% | Monthly Total | ||
| July 2023 | $2,605.85 | $965.14 | $965.14 | $4,825.70 | $6,756.01 | $0.00 | $0.00 | $385.96 | $0.00 | $0.00 | $9,602.09 | $582.91 | $4,523.52 | $215.90 | $2,340.29 | $851.02 | $72,644.47 | $9,168.06 | $6,405.29 | $7,545.59 | $20,065.34 | $221.98 | $4,671.30 | $1,543.90 | $202.68 | $2,530.32 | $449.58 | $0.00 | $10,616.58 | $435.59 | $171,120.21 | ||
| August | $0.00 | $965.14 | $965.14 | $4,825.70 | $6,756.01 | $0.00 | $0.00 | $385.96 | $212.33 | $0.00 | $9,046.93 | $582.91 | $4,112.29 | $0.00 | $2,127.54 | $1,063.78 | $73,702.95 | $8,232.00 | $6,405.29 | $7,545.59 | $19,457.30 | $443.97 | $4,034.30 | $1,736.88 | $0.00 | $2,530.32 | $449.58 | $0.00 | $10,616.58 | $217.80 | $166,416.31 | ||
| September | $0.00 | $965.14 | $965.14 | $3,860.56 | $6,756.01 | $0.00 | $0.00 | $385.96 | $212.33 | $0.00 | $9,046.93 | $582.91 | $4,317.91 | $0.00 | $2,127.54 | $1,063.78 | $72,547.69 | $7,788.04 | $6,829.95 | $7,024.54 | $19,254.62 | $443.97 | $3,397.31 | $1,736.88 | $202.68 | $2,530.32 | $674.37 | $0.00 | $10,616.58 | $217.80 | $163,548.96 | ||
| October | $0.00 | $965.14 | $965.14 | $2,895.42 | $6,756.01 | $0.00 | $0.00 | $385.96 | $212.33 | $0.00 | $9,046.93 | $582.91 | $4,112.29 | $0.00 | $1,914.78 | $1,063.78 | $73,094.91 | $7,788.04 | $6,829.95 | $7,024.54 | $18,849.26 | $443.97 | $3,609.64 | $1,736.88 | $202.68 | $2,530.32 | $674.37 | $0.00 | $10,616.58 | $217.80 | $162,519.65 | ||
| November | $0.00 | $965.14 | $965.14 | $965.14 | $6,756.01 | $0.00 | $0.00 | $385.96 | $212.33 | $0.00 | $8,491.78 | $582.91 | $4,317.91 | $0.00 | $1,914.78 | $1,063.78 | $72,802.90 | $7,788.04 | $6,829.95 | $7,024.54 | $18,849.26 | $443.97 | $3,397.31 | $1,929.87 | $202.68 | $2,530.32 | $674.37 | $0.00 | $9,651.44 | $217.80 | $158,963.33 | ||
| December | $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 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||
| January 2024 | $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 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||
| February | $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 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||
| March | $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 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||
| April | $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 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||
| May | $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 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||
| June | $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 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||
| ACTIVE |
Aug LRG CLMS
| VERNON TOWN AND BOARD OF EDUCATION | ||||||
| DE-IDENTIFIED CLAIMS EXCEEDING REPORT | ||||||
| July 2025 thru August 2025 | ||||||
| Rating Type : POOLED STOP LOSS, RETROSPECTIVE EXPERIENCE RATED | ||||||
| Claims Exceeding : $50,000.00 | ||||||
| Reported Claims: InNet, OutNet, Drug | ||||||
| Diagnosis is based on the largest medical claim amount | ||||||
| Member Status is as of the most current month. | ||||||
| BRANCH | MEMBER STATUS | REL | ICD DESCRIPTION | DRUG CLAIMS | PAID CLAIMS | CLAIMANT TOTAL |
| 7983-TOWN NON-UNION | ACTIVE | CH | OPEN BITE OF RIGHT EAR, INITIAL ENCOUNTER | $268 | $171,323 | $171,591 |
| 7983-TOWN NON-UNION | ACTIVE | CH | NONTRAUMATIC SUBARACHNOID HEMORRHAGE FROM UNSP INTRACRAN ART | $0 | $105,270 | $105,270 |
| 7983-TOWN NON-UNION | ACTIVE | SC | PHARMACY | $94 | $0 | $94 |
| $94 | $105,270 | $105,364 |
7983-TOWN NON-UNION ACTIVE EE MALIGNANT NEOPLASM OF ANAL CANAL $495 $70,153 $70,649
7981-BOE RETIREES NON MEDICARE ELIGIBLE RETIREE EE SEPSIS, UNSPECIFIED ORGANISM $3,905 $57,865 $61,770
7983-TOWN NON-UNION ACTIVE EE INFLAMED SEBORRHEIC KERATOSIS $51,855 $436 $52,291
7977-BOE NON-AFFILIATE ACTIVE SP MULTIPLE SCLEROSIS $141 $64,648 $64,789
7997-TOWN RETIREES RETIREE EE DVTRCLI OF LG INT W PERFORATION AND ABSCESS W/O BLEEDING $0 $62,048 $62,048
| Grand Total | $56,758 | $531,745 | $588,503 | |
| ACTIVE |
Sep LRG Clms
| VERNON TOWN AND BOARD OF EDUCATION | ||||||
| DE-IDENTIFIED CLAIMS EXCEEDING REPORT | ||||||
| July 2025 thru September 2025 | ||||||
| Rating Type : POOLED STOP LOSS, RETROSPECTIVE EXPERIENCE RATED | ||||||
| Claims Exceeding : $50,000.00 | ||||||
| Reported Claims: InNet, OutNet, Drug | ||||||
| Diagnosis is based on the largest medical claim amount | ||||||
| Member Status is as of the most current month. | ||||||
| BRANCH | MEMBER STATUS | REL | ICD DESCRIPTION | DRUG CLAIMS | PAID CLAIMS | CLAIMANT TOTAL |
| 7970-BOE TEACHERS | ACTIVE | SP | ALCOHOL DEPENDENCE, UNCOMPLICATED | $0 | $81,743 | $81,743 |
7983-TOWN NON-UNION ACTIVE CH OPEN BITE OF RIGHT EAR, INITIAL ENCOUNTER $292 $179,977 $180,268
| 7983-TOWN NON-UNION | ACTIVE | CH | NONTRAUMATIC SUBARACHNOID HEMORRHAGE FROM UNSP INTRACRAN ART | $0 | $107,488 | $107,488 |
| 7983-TOWN NON-UNION | ACTIVE | SC | PHARMACY | $94 | $0 | $94 |
| $94 | $107,488 | $107,582 |
7983-TOWN NON-UNION ACTIVE EE MALIGNANT NEOPLASM OF ANAL CANAL $546 $74,852 $75,398
7986-POLICE OFFICERS ACTIVE EE OTHER HODGKIN LYMPHOMA, LYMPH NODES OF HEAD, FACE, AND NECK $14,958 $59,987 $74,945
7981-BOE RETIREES NON MEDICARE ELIGIBLE RETIREE EE SEPSIS, UNSPECIFIED ORGANISM $4,980 $62,128 $67,108
7983-TOWN NON-UNION ACTIVE EE MALIGNANT NEOPLASM OF PROSTATE $102,889 $1,700 $104,589
7977-BOE NON-AFFILIATE ACTIVE SP MULTIPLE SCLEROSIS $283 $64,648 $64,932
7997-TOWN RETIREES RETIREE EE DVTRCLI OF LG INT W PERFORATION AND ABSCESS W/O BLEEDING $0 $62,276 $62,276
| Grand Total | $124,043 | $694,799 | $818,841 | |
| ACTIVE |
Oct LRG Clms
| VERNON TOWN AND BOARD OF EDUCATION | ||||||
| DE-IDENTIFIED CLAIMS EXCEEDING REPORT | ||||||
| July 2025 thru October 2025 | ||||||
| Rating Type : POOLED STOP LOSS, RETROSPECTIVE EXPERIENCE RATED | ||||||
| Claims Exceeding : $50,000.00 | ||||||
| Reported Claims: InNet, OutNet, Drug | ||||||
| Diagnosis is based on the largest medical claim amount | ||||||
| Member Status is as of the most current month. | ||||||
| BRANCH | MEMBER STATUS | REL | ICD DESCRIPTION | DRUG CLAIMS | PAID CLAIMS | CLAIMANT TOTAL |
| 7970-BOE TEACHERS | ACTIVE | SP | ALCOHOL DEPENDENCE, UNCOMPLICATED | $14 | $95,316 | $95,331 |
7983-TOWN NON-UNION ACTIVE CH OPEN BITE OF RIGHT EAR, INITIAL ENCOUNTER $292 $195,547 $195,838
| 7983-TOWN NON-UNION | ACTIVE | CH | NONTRAUMATIC SUBARACHNOID HEMORRHAGE FROM UNSP INTRACRAN ART | $0 | $107,715 | $107,715 |
| 7983-TOWN NON-UNION | ACTIVE | SC | PHARMACY | $108 | $0 | $108 |
| $108 | $107,715 | $107,823 |
7983-TOWN NON-UNION ACTIVE EE MALIGNANT NEOPLASM OF ANAL CANAL $546 $81,316 $81,862
7986-POLICE OFFICERS ACTIVE EE OTHER HODGKIN LYMPHOMA, LYMPH NODES OF HEAD, FACE, AND NECK $15,002 $69,423 $84,425
7981-BOE RETIREES NON MEDICARE ELIGIBLE RETIREE EE SEPSIS, UNSPECIFIED ORGANISM $4,980 $67,821 $72,801
7970-BOE TEACHERS ACTIVE EE PARKINSON'S DIS WITH DYSKINESIA, W/O MENTION OF FLUCTUATIONS $5,577 $59,191 $64,768
7983-TOWN NON-UNION ACTIVE EE MALIGNANT NEOPLASM OF PROSTATE $138,598 $1,700 $140,298
7977-BOE NON-AFFILIATE ACTIVE SP MULTIPLE SCLEROSIS $356 $64,648 $65,004
7997-TOWN RETIREES RETIREE EE DVTRCLI OF LG INT W PERFORATION AND ABSCESS W/O BLEEDING $104 $65,496 $65,601
Grand Total $165,578 $808,172 $973,751
ACTIVE
Nov LRG Clms
| VERNON TOWN AND BOARD OF EDUCATION | ||||||
| DE-IDENTIFIED CLAIMS EXCEEDING REPORT | ||||||
| July 2025 thru November 2025 | ||||||
| Rating Type : POOLED STOP LOSS, RETROSPECTIVE EXPERIENCE RATED | ||||||
| Claims Exceeding : $50,000.00 | ||||||
| Reported Claims: InNet, OutNet, Drug | ||||||
| Diagnosis is based on the largest medical claim amount | ||||||
| Member Status is as of the most current month. | ||||||
| BRANCH | MEMBER STATUS | REL | ICD DESCRIPTION | DRUG CLAIMS | PAID CLAIMS | CLAIMANT TOTAL |
| 7970-BOE TEACHERS | ACTIVE | SP | MALIGNANT NEOPLASM OF RECTUM | $9,171 | $42,762 | $51,933 |
7970-BOE TEACHERS ACTIVE SP ALCOHOL DEPENDENCE, UNCOMPLICATED $34 $106,276 $106,310
7983-TOWN NON-UNION ACTIVE CH OPEN BITE OF RIGHT EAR, INITIAL ENCOUNTER $292 $195,693 $195,985
| 7983-TOWN NON-UNION | ACTIVE | CH | NONTRAUMATIC SUBARACHNOID HEMORRHAGE FROM UNSP INTRACRAN ART | $0 | $107,715 | $107,715 |
| 7983-TOWN NON-UNION | ACTIVE | SC | PHARMACY | $214 | $0 | $214 |
| $214 | $107,715 | $107,929 |
7983-TOWN NON-UNION ACTIVE EE MALIGNANT NEOPLASM OF ANAL CANAL $689 $82,932 $83,621
7986-POLICE OFFICERS ACTIVE EE OTHER HODGKIN LYMPHOMA, LYMPH NODES OF HEAD, FACE, AND NECK $22,695 $74,184 $96,880
7981-BOE RETIREES NON MEDICARE ELIGIBLE TERMINATED EE SEPSIS, UNSPECIFIED ORGANISM $4,980 $68,955 $73,935
8003-AMBULANCE ACTIVE EE OTHER INTERVERTEBRAL DISC DISPLACEMENT, LUMBOSACRAL REGION $33,050 $32,789 $65,839
| 7972-BOE SEC/MAIN/CUST | ACTIVE | EE | MULTIPLE SCLEROSIS | $0 | ($307) | ($307) |
| 7972-BOE SEC/MAIN/CUST | ACTIVE | EE | RELAPSING-REMITTING MULTIPLE SCLEROSIS | $2,280 | $56,074 | $58,354 |
| $2,280 | $55,767 | $58,047 |
7970-BOE TEACHERS ACTIVE CH IMMUNE THROMBOCYTOPENIC PURPURA $0 $54,838 $54,838
7970-BOE TEACHERS ACTIVE EE PARKINSON'S DIS WITH DYSKINESIA, W/O MENTION OF FLUCTUATIONS $5,609 $69,461 $75,070
7983-TOWN NON-UNION ACTIVE EE MALIGNANT NEOPLASM OF PROSTATE $173,543 $1,863 $175,406
7977-BOE NON-AFFILIATE ACTIVE SP MULTIPLE SCLEROSIS $429 $64,648 $65,078
7997-TOWN RETIREES TERMINATED EE DVTRCLI OF LG INT W PERFORATION AND ABSCESS W/O BLEEDING $104 $65,496 $65,601
| Grand Total | $253,091 | $1,023,381 | $1,276,472 | |
| ACTIVE |
R12 LRG Clms
| VERNON TOWN AND BOARD OF EDUCATION | ||||||||
| DE-IDENTIFIED CLAIMS EXCEEDING REPORT | ||||||||
| December 2024 thru November 2025 | ||||||||
| Rating Type : POOLED STOP LOSS, RETROSPECTIVE EXPERIENCE RATED | ||||||||
| Claims Exceeding : $50,000.00 | ||||||||
| Reported Claims: InNet, OutNet, Drug | ||||||||
| Diagnosis is based on the largest medical claim amount | ||||||||
| Member Status is as of the most current month. | Medical | Drug | ||||||
| BRANCH | MEMBER STATUS | REL | ICD DESCRIPTION | DRUG CLAIMS | PAID CLAIMS | CLAIMANT TOTAL | >$200K | >$200K |
| 7977-BOE NON-AFFILIATE | ACTIVE | EE | SPONDYLOSIS W/O MYELOPATHY OR RADICULOPATHY, CERVICAL REGION | $98,104 | $14,346 | $112,450 |
7996-DATA PROFESSIONALS ACTIVE SP HYPO-OSMOLALITY AND HYPONATREMIA $525 $58,893 $59,417
7970-BOE TEACHERS ACTIVE EE PATENT FORAMEN OVALE…
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File details come from the government source that posted it. Updated .