4-Attachment 5 Claims Experience Basic Life and ADD including Waiver Report.pdf

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Attached to
Insurance including: Group Term Life, Accidental Death & Dismemberment, Short-Term and Long-Term Disability
Solicitation number
RFP01-260720B01-DISLIF-XXXXXX
Issued by
Florida

About this file

Written by GovTribe AI ·

This is a Claims Experience Report for Basic Life Insurance and Accidental Death & Dismemberment (AD&D) coverage provided by Lincoln Financial Group to Florida Virtual School (FLVS), detailing historical claims data and experience metrics through September 2025. The report documents group-level experience for policy 01-0252133-00000, which has been active since July 1, 2019, covering FLVS staff and dependents with approximately 3,300 to 3,700 billed lives throughout the reporting period.

The report demonstrates significant claims activity across both coverage types, with Basic Life Insurance showing a paid claims-to-paid premium ratio of 155.49% for the most recent full-year period (October 2023 through September 2024) and 132.06% for the subsequent period (October 2024 through September 2025), indicating claims paid exceeded premiums collected. AD&D coverage similarly demonstrated a 184.58% claims-to-paid premium ratio for the October 2024 through September 2025 period. Total billed premiums across Basic Life and AD&D for the most recent full-year period reached $118,458.52 and $45,928.06 respectively, with corresponding paid claims of $170,000.00 and $40,000.00. The report includes details of open disability claims, including a waiver claim with a $40,000.00 face amount from February 2024 and a supplemental voluntary life insurance claim with a $280,000.00 face amount, with combined reserves of approximately $52,767.17.

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Other files

File Type Posted
2-Attachment 3 FLVS Life and DI RFP Plan Deviations 2026.xlsx XLSX spreadsheet
9-Attachment 10 Florida Virtual School Cert Final Lincoln LTD 20250701.pdf PDF
16-Attachment 17 Florida Virtual School Policy Final Lincoln LTD 20250701.pdf PDF
5-Attachment 6 Claims Experience STD and OSTD.pdf PDF
18-Attachment 1 Employee and Retiree Census.xlsx XLSX spreadsheet
6-Attachment 7 Claims Experience Voluntary life including Waiver Report.pdf PDF
12-Attachment 13 Florida Virtual School Cert Final Lincoln Vol Life 20250701.pdf PDF
11-Attachment 12 Florida Virtual School Cert Cls 02 Final Lincoln Life AD D 20250701.pdf PDF
3-Attachment 4 Cost Proposal.xlsx XLSX spreadsheet
1-Attachment 2 Lincoln Financial - Self Bill Summary October 2025.docx DOCX document
14-Attachment 15 Florida Virtual School Policy Final Lincoln Vol Life 20250701.pdf PDF
19-RFP01-2604720B01-DISLIF-XXXXXX.pdf PDF
13-Attachment 14 Florida Virtual School Policy Final Lincoln Life AD D 20250701.pdf PDF
17-FORMS PACKET -ALL.pdf PDF
8-Attachment 9 Florida Virtual School Cert Final Lincoln STD 20250701.pdf PDF
7-Attachment 8 Claims Experience LTD.pdf PDF
15-Attachment 16 Florida Virtual School Policy Final Lincoln STD 20250701.pdf PDF
10-Attachment 11 Florida Virtual School Cert Cls 01 Final Lincoln Life AD D 20250701.pdf PDF
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Group Level Experience thru

Group Level Experience

Date Billed Premium Paid Premium Paid Claims Billed Volume Billed Lives Reserves

202310 $1,821.26 $1,821.26 - 130,090,000 3,267 -

202311 $1,827.98 $1,827.98 - 130,570,000 3,280 -

202312 $1,838.82 $1,838.82 - 131,344,000 3,298 -

202401 $1,843.30 $1,843.30 - 131,664,000 3,306 -

202402 $1,845.54 $1,845.54 - 131,824,000 3,310 -

202403 $1,858.39 $1,858.39 - 132,742,000 3,332 -

202404 $1,863.43 $1,863.43 - 133,102,000 3,341 -

202405 $1,868.66 $1,868.66 - 133,476,000 3,350 -

202406 $1,883.22 $1,883.22 - 134,516,000 3,376 -

202407 $1,871.21 $1,871.21 - 133,658,000 3,359 -

202408 $1,935.08 $1,935.08 - 138,220,000 3,477 -

202409 $1,951.71 $1,951.71 - 139,408,000 3,506 -

$22,408.60 $22,408.60 $0.00 133,384,500 3,350 $0.00

Paid Claims / Paid Premium = 0.00%

Paid Claims / Billed Premium = 0.00%

Basic AD&D Basic Life 01-0252133-00000 Eff. Date: 7/1/19 Active

FLORIDA VIRTUAL SCHOOL FLVIRTUAL2

AD

Report Run Date: 10/14/2025 Confidential/Proprietary Information - For Intended Recipients' Use Only - Do Not Distribute Without Permission From Lincoln Financial GroupVersion 1.0

FLVIRTUAL2

Group Level Experience

Date Billed Premium Paid Premium Paid Claims Billed Volume Billed Lives Reserves

202410 $1,968.51 $1,968.51 - 140,608,000 3,536 -

202411 $1,984.75 $1,984.75 - 141,768,000 3,565 -

202412 $1,986.07 $1,986.07 - 141,862,000 3,567 -

202501 $1,991.47 - $40,000.00 142,248,000 3,577 -

202502 $1,989.79 $1,991.47 - 142,128,000 3,574 -

202503 $2,003.76 $1,989.79 - 143,126,000 3,598 -

202504 $2,009.56 $2,003.76 - 143,540,000 3,608 -

202505 $2,022.83 $2,009.56 - 144,488,000 3,631 -

202506 $2,012.58 $4,035.41 - 143,756,000 3,612 -

202507 $1,848.21 142,170,000 3,575 -

202508 $1,853.72 $1,848.21 - 142,594,000 3,585 -

202509 $1,848.21 $1,853.72 - 142,170,000 3,575 -

$23,519.46 $21,671.25 $40,000.00 142,538,167 3,584 $0.00

Paid Claims / Paid Premium = 184.58%

Paid Claims / Billed Premium = 170.07%

Basic AD&D Basic Life 01-0252133-00000 Eff. Date: 7/1/19 Active

FLORIDA VIRTUAL SCHOOL FLVIRTUAL2

AD

Cvg Sub-total Billed Premium Paid Premium Paid Claims Billed Volume Billed Lives Reserves

AD $45,928.06 $44,079.85 $40,000.00 137,961,333 3,467 $0.00

Basic Life Basic Life 01-0252133-00000 Eff. Date: 7/1/19 Active

FLORIDA VIRTUAL SCHOOL FLVIRTUAL2

LI

Report Run Date: 10/14/2025 Confidential/Proprietary Information - For Intended Recipients' Use Only -

Group Level Experience

Date Billed Premium Paid Premium Paid Claims Billed Volume Billed Lives Reserves

202310 $4,704.12 $4,704.12 $10,000.00 130,670,000 3,325 -

202311 $4,720.68 $4,720.68 - 131,130,000 3,336 -

202312 $4,748.54 $4,748.54 - 131,904,000 3,354 -

202401 $4,760.06 $4,760.06 - 132,224,000 3,362 -

202402 $4,766.90 $4,766.90 $40,000.00 132,414,000 3,369 $6,595.90

202403 $4,800.67 $4,800.67 - 133,352,000 3,393 -

202404 $4,813.63 $4,813.63 - 133,712,000 3,402 -

202405 $4,827.46 $4,827.46 - 134,096,000 3,412 -

202406 $4,864.90 $4,864.90 - 135,136,000 3,438 -

202407 $4,834.01 $4,834.01 - 134,278,000 3,421 -

202408 $4,998.24 $4,998.24 - 138,840,000 3,541 -

202409 $5,041.37 $5,041.37 $40,000.00 140,038,000 3,569 -

$57,880.58 $57,880.58 $90,000.00 133,982,833 3,410 $6,595.90

Paid Claims / Paid Premium = 155.49%

Paid Claims / Billed Premium = 155.49%

Basic Life Basic Life 01-0252133-00000 Eff. Date: 7/1/19 Active

FLORIDA VIRTUAL SCHOOL FLVIRTUAL2

LI

Report Run Date: 10/14/2025 Confidential/Proprietary Information - For Intended Recipients' Use Only -

Group Level Experience

Date Billed Premium Paid Premium Paid Claims Billed Volume Billed Lives Reserves

202410 $5,084.93 $5,084.93 - 147,008,000 3,600 -

202411 $5,126.69 $5,126.69 - 142,408,000 3,629 -

202412 $5,129.71 $5,129.71 - 142,492,000 3,630 -

202501 $5,144.33 - $40,000.00 142,898,000 3,642 -

202502 $5,140.01 $5,144.33 - 142,778,000 3,639 -

202503 $5,175.94 $5,140.01 - 143,776,000 3,663 -

202504 $5,190.84 $5,175.94 - 144,190,000 3,673 -

202505 $5,224.97 $5,190.84 - 145,138,000 3,696 -

202506 $5,198.98 $10,423.95 - 144,416,000 3,678 -

202507 $4,715.37 142,830,000 3,641 -

202508 $4,730.80 $4,715.37 $40,000.00 143,294,000 3,655 -

202509 $4,715.37 $4,730.80 - 142,830,000 3,641 -

$60,577.94 $55,862.57 $80,000.00 143,671,500 3,649 $0.00

Paid Claims / Paid Premium = 143.21%

Paid Claims / Billed Premium = 132.06%

01-0252133-00000 Eff. Date: 7/1/19 Active

FLORIDA VIRTUAL SCHOOL FLVIRTUAL2

Cvg Sub-total Billed Premium Paid Premium Paid Claims Billed Volume Billed Lives Reserves

LI $118,458.52 $113,743.15 $170,000.00 138,827,167 3,530 $6,595.90

Report Run Date: 10/14/2025 Confidential/Proprietary Information - For Intended Recipients' Use Only -

Group Level Experience

Report Run Date: 10/14/2025 Confidential/Proprietary Information - For Intended Recipients' Use Only -

Life Waiver Report thru

LI

01-0252133-00000 Active

FLORIDA VIRTUAL SCHOOL FLVIRTUAL2

Eff. Date: 7/1/19

Date Claim Status Gender YOB Date of Disability Face Amount Reserves

202402 OPEN M 1965 2/13/24 $40,000.00 $6,595.90

Basic Life Basic Life

VLI

40-0252135-00000 Active

FLORIDA VIRTUAL SCHOOL FLVIRTUAL2

Eff. Date: 7/1/19

Date Claim Status Gender YOB Date of Disability Face Amount Reserves

202402 OPEN M 1965 2/13/24 $280,000.00 $46,171.27

Supplemental Life Voluntary Life

FLVIRTUAL2Confidential/Proprietary Information - For Intended Recipients' Use Only -

Report Run Date: 10/14/2025

Group Level Experience
FLVIRTUAL2
01-0252133-00000
AD
9
noname
LI
9
noname
Life Waiver Report
FLVIRTUAL2
FLORIDA VIRTUAL SCHOOL
01-0252133-00000
LI
40-0252135-00000
VLI

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