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

This is a Paid & Incurred (P&I) Limited Liability Exhibit for the Franklin County Cooperative Health Improvement Program (Plan ID: 157775), presenting long-term disability (LTD) claims data as of July 31, 2025. The document provides a comprehensive analysis of claims experience across a six-year period from January 1, 2020, through August 1, 2025, covering an average of 2,050 lives with an aggregate premium of $3,585,589. The exhibit tracks paid claims totaling $1,516,944, case reserves of $1,331,916, and incurred claims of $2,693,725 across the entire experience period. The program demonstrates increasing enrollment, growing from 1,779 average lives in 2020 to 2,460 lives in 2025, with corresponding adjustments in premiums and claims management metrics.

The claims data reveals 51 total open and closed claims with 18 currently open, 34 denied claims, and 2 pending claims across the experience period. The adjusted incurred loss ratio (I.L.R.) for the entire period is 0.788, indicating that claims costs represent approximately 79 percent of adjusted premium revenues. Monthly indemnity benefits total $42,702, with an average cost per claim of $50,989 and average reserve per claim of $69,662. The detailed claim listing identifies 86 individual claimants with varying disability dates, monthly gross benefits ranging from $1,252 to $5,446, and Social Security status designations. Investment credits of $170,429 have been applied across the experience period, with the adjusted premium per employee averaging $334 annually. Approximately 17 percent of older claims remain open, while 93 percent of 2024 claims are still active, reflecting the typical development pattern for long-term disability claims.