26-Manor ISD PvC - 9.2025-3.2026.xlsx

This is a claims expense and enrollment report for Manor Independent School District's health insurance plans covering the period September 2025 through March 2026. The document provides detailed financial and enrollment data for four benefit packages offered to district employees and their dependents: BLUE ESS HMO 2, BLUE ESS HMO 3000, BLUECH HDHP PPO 3400, and BLUECH PPO 1400. The report shows total medical and pharmacy premiums of $4,686,201.05, total medical paid claims of $3,680,176.69, total pharmacy paid claims of $1,810,761.01, and combined total paid claims of $5,505,828.00 for the seven-month period. Medical enrollment remained relatively stable across the six-month reporting period, with total medical member months of 9,591 and total subscriber months of 7,365, indicating consistent participation in the district's health benefit programs.

The claims data demonstrates utilization patterns across different plan types, with the BLUECH PPO 1400 plan showing the highest total paid claims at $2,217,618.53 across the period, followed by the BLUE ESS HMO 3000 plan at $1,903,595.98. Monthly claims fluctuations are evident throughout the period, with notable variations in both medical and pharmacy claims. The funding type is identified as PREM (Premium), and the data was extracted from the district's claims database with a run date of April 13, 2026. This report serves as a historical record of the district's health plan performance and utilization metrics, which would be relevant to the district's ongoing medical and prescription drug plan procurement efforts referenced in the related RFP.