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

This is a Paid & Incurred (P&I) Limited Exhibit document for the Franklin County Cooperative Health Improvement Program, reporting long-term disability (LTD) claims data as of July 31, 2025. The document provides a comprehensive analysis of claims experience across six experience periods spanning from January 1, 2020, through August 1, 2025, with detailed tracking of incurred claims, case reserves, and investment credits. The covered population averaged 2,050 lives across the reporting periods, with monthly premiums paid totaling $3,585,589 and adjusted premiums of $3,418,299. The experience period from January 1, 2024, through August 1, 2025, shows the most recent activity with 2,460 average lives, zero paid claims during the initial period, and an incurred claims total of $377,411 with a reserve of $118,446. The annualized adjusted premium per employee across all periods averaged $334, with an overall incurred loss ratio of 0.788 on adjusted premiums.

The detailed claim listing identifies 84 individual LTD claimants with varying statuses, including active, ended, waiting, declined, pending, and incomplete claims. Social Security status varies across claimants, with designations of SSA (Social Security benefits approved), SSP (Social Security status pending), or NED (not eligible for Social Security or denied at least twice). Monthly gross benefits range from $1,456 to $5,446, with total benefits paid to date ranging from zero dollars for many declined or pending cases to over $128,000 for longer-standing claims. As of the valuation date, 18 claims remain open with pending claims status, 34 claims have been denied, and reserves total $1,331,916 with additional IBNR reserves of $263,482 for the most recent incomplete experience period.