471F0983-EB69-959C-3B62A289547CA11E.xlsx

This is a Paid & Incurred (P&I) Limited Exhibit for the Franklin County Cooperative Health Improvement Program, showing long-term disability (LTD) claims experience as of July 31, 2025. The document provides actuarial analysis covering a 60-month experience period from January 1, 2020, through August 1, 2025, with a separate incomplete claim lag period. The exhibit tracks key metrics including average lives covered (ranging from 1,779 to 2,460 employees across experience periods), paid claims totaling $1,516,944, case reserves of $1,331,916, and incurred claims of $2,693,725. The program reports an overall incurred loss ratio (adjusted) of 0.788, indicating claims costs of approximately 78.8 cents per premium dollar. Monthly indemnity payments total $42,702 with 18 open claims out of 51 total open or closed claims. The average cost per claim is $50,989, with claim incidence rates of 5.13 per 1,000 employees.

The accompanying claim listing details 79 individual LTD claimants as of July 31, 2025, with monthly gross benefits ranging from $1,456 to $5,446. Claimant ages span from 27 to 69 years old, with dates of disability ranging from January 3, 2020, through January 17, 2025. Social Security coordination status indicates that most claimants have approved Social Security benefits (SSA status), pending Social Security applications (SSP status), or are deemed ineligible or have been denied Social Security twice (NED status). Total benefits paid to date across all claimants amount to $2,693,725, with active claims carrying reserves of $1,331,916. The majority of claims show ended status (code 03) or active status (code 00), with two claims pending (PS status) as of the valuation date. Premium paid totals $3,585,589 with adjusted premiums of $3,418,299 across the experience period.