47413282-9830-5BA4-96685E7F9A28C371.xlsx

XLSX spreadsheet 33 KB Posted

Attached to
Process Server
Solicitation number
RFP# 2026-08-05
Issued by
Franklin County, Ohio

About this file

This is a marketplace report for Short Term Disability (STD) insurance coverage provided by MetLife for the Franklin County Cooperative Health Improvement Program (Experience #0157775, Customer #0157775). The report presents claims and premium data across four selected date ranges: January 1, 2022 through December 31, 2022; January 1, 2023 through December 31, 2023; January 1, 2024 through December 31, 2024; and January 1, 2025 through July 31, 2025. The report was generated on August 13, 2025, and spans four pages of detailed monthly and summary information regarding the cooperative's disability insurance experience.

The STD coverage shows a consistent growth trend across all measured metrics. Average lives covered increased from 2,379 in 2022 to 2,856 for the 2025 year-to-date period. Annual premiums rose from $1,523,594 in 2022 to $2,098,630 for the seven-month 2025 period, while paid claims increased from $481,823 in 2022 to $416,476 for the same 2025 period. Monthly breakdowns reveal relatively stable premium amounts ranging between approximately $1.46 million and $2.12 million, with corresponding fee assessments and claim payments. The report includes detailed definitions of key disability claim status codes (00-05 and PS), limited benefit duration indicators, cost-of-living adjustment provisions, survivor benefit designations, and Social Security offset status classifications to facilitate comprehensive understanding of the cooperative's disability claims experience.

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Text version

Cover Page_1

FRANKLIN COUNTY COOPERATIVE HEALTH IMPROVEMENT PRO
The Marketplace Report
Date Range(s) Selected:
From:01/01/2025To:07/31/2025
From:01/01/2024To:12/31/2024
From:01/01/2023To:12/31/2023
From:01/01/2022To:12/31/2022
Report Parameters :
Report Type:Premium & Claims
Customer #:0157775
Experience #:0157775
Coverage(s):STD
Organized By:Experience Number

8/13/2025 12:14:34 PM Page 1 of 4

Summary Info_2

FRANKLIN COUNTY COOPERATIVE HEALTH IMPROVEMENT PRO
Summary Information
DISABILITY
Start DateEnd DateMonthsAverageAverage VolumePremiumFeesPaid Claims
Lives
Experience - 0157775
Short Term Disability
01/01/202212/31/2022122,379$1,523,594$715,682-$481,823
01/01/202312/31/2023122,434$1,812,259$798,322-$569,230
01/01/202412/31/2024122,686$1,974,733$934,828-$630,420
01/01/202507/31/202572,856$2,098,630$577,422-$416,476
*** If your coverage includes a core plan and a buy up plan, some of the buy up lives could be counted twice.
8/13/2025 12:14:34 PMPage 2 of 4

STD Monthly_3

FRANKLIN COUNTY COOPERATIVE HEALTH IMPROVEMENT PRO
Short Term Disability - Monthly
CoverageMonthEmployeeEmployeePremiumFeesPaid Claim
LivesVolumeAmount
Experience - 0157775
Short Term Disability01/01/20222,367$1,458,097$58,046-$63,843
Short Term Disability02/01/20222,386$1,558,022$58,406-$35,915
Short Term Disability03/01/20222,387$1,539,529$57,942-$62,417
Short Term Disability04/01/20222,397$1,514,680$58,528-$40,517
Short Term Disability05/01/20222,384$1,501,491$59,312-$36,973
Short Term Disability06/01/20222,383$1,514,657$60,415-$28,131
Short Term Disability07/01/20222,385$1,526,833$56,426-$31,533
Short Term Disability08/01/20222,334$1,483,139$59,144-$34,845
Short Term Disability09/01/20222,350$1,527,389$60,981-$26,107
Short Term Disability10/01/20222,376$1,546,403$61,671-$59,445
Short Term Disability11/01/20222,410$1,563,156$61,655-$26,055
Short Term Disability12/01/20222,393$1,549,728$63,153-$36,042
Short Term Disability01/01/20232,444$1,677,310$59,484-$33,505
Short Term Disability02/01/20232,463$1,814,038$67,582-$29,191
Short Term Disability03/01/20232,459$1,817,500$66,779-$42,141
Short Term Disability04/01/20232,464$1,691,553$67,856-$43,751
Short Term Disability05/01/20232,400$1,709,770$66,314-$67,516
Short Term Disability06/01/20232,416$1,725,764$66,919-$53,991
Short Term Disability07/01/20232,419$1,740,800$66,393-$38,591
Short Term Disability08/01/20232,408$2,012,145$65,790-$57,214
Short Term Disability09/01/20232,411$1,980,956$65,727-$54,812
Short Term Disability10/01/20232,423$2,046,613$68,528-$43,400
Short Term Disability11/01/20232,443$1,817,912$69,342-$46,708
Short Term Disability12/01/20232,457$1,712,748$67,609-$58,410
Short Term Disability01/01/20242,584$2,067,989$70,758-$40,973
Short Term Disability02/01/20242,643$1,917,692$77,374-$24,459
Short Term Disability03/01/20242,656$1,945,565$74,409-$56,572
Short Term Disability04/01/20242,643$1,940,197$78,079-$59,259
Short Term Disability05/01/20242,735$1,961,968$79,347-$76,922
Short Term Disability06/01/20242,696$1,975,298$77,927-$58,303
Short Term Disability07/01/20242,697$1,977,012$78,990-$63,203
Short Term Disability08/01/20242,707$1,977,711$78,462-$58,617
Short Term Disability09/01/20242,711$1,982,163$79,720-$39,475
Short Term Disability10/01/20242,709$1,978,424$80,038-$38,703
Short Term Disability11/01/20242,728$1,988,637$79,861-$49,874
Short Term Disability12/01/20242,720$1,984,143$79,864-$64,060
Short Term Disability01/01/20252,854$2,069,920$82,783-$50,930
Short Term Disability02/01/20252,853$2,084,953$81,969-$45,686
Short Term Disability03/01/20252,841$2,086,950$83,503-$67,596
Short Term Disability04/01/20252,862$2,115,481$83,265-$52,101
Short Term Disability05/01/20252,859$2,110,279$81,934-$56,875
Short Term Disability06/01/20252,860$2,111,224$81,976-$62,052
Short Term Disability07/01/20252,860$2,111,603$81,992-$81,236
8/13/2025 12:14:34 PMPage 3 of 4

Definitions_4

FRANKLIN COUNTY COOPERATIVE HEALTH IMPROVEMENT PRO
Definitions
General
Age – The age of the claimant at the time of the claim
As Of – The date that the experience information was pulled
End Date – The ending date of the experience period
EOB’s – The number of explanation of benefits processed
Fees – Fees billed
Lives – Number of lives covered under the coverage during the experience period
Months – Number of months captured during the experience period
Premium – Premium billed
Start Date – The beginning date of the experience period
Volume – The total amount of coverage provided
Disability
Accumulated Benefit – The total amount paid over the duration of the claim as of the end date of the experience period
Claim Reserves – The amount of money held to pay open claims as of the end date of the experience period
Date of Disability – The date that the disability occurred
Gross Benefit – The total benefit payable prior to adjustments or offsets
STD Monthly – The monthly experience for Short Term Disability
LTD Claim List – The list of all Long Term Disability claims incurred during the experience period
LTD Monthly – The monthly experience for Long Term Disability
Monthly Benefit – The net benefit payable after adjustments or offsets
Incurred Claims (LTD) – Total payments made on claims incurred during the experience period based on date of disability. It does not include reserves, IBNR, or investment credits.
Paid Claims (STD) – Total payments made on claims during the experience period based on payment date
Status – The current state of a claim at the time the experience was pulled
Claim Status Codes:
00 – ActiveThe employee has been approved for benefits and will be or currently is receiving benefits.
01 – DeclinedThe claim for benefits has been denied. The disability claim was initiated but never approved, the claim was never in a payment status.
02 – WaitingMetLife is waiting for information to continue processing the claim to approve for additional benefits or additional duration.
03 – EndedThe claim has been closed and no further benefits are payable.
04 – InactivePayment of benefits have been discontinued. Benefits may recommence upon receipt and review of requested information.
05 – IncompleteNot all required claim information has been received.
PS – PendingA disability claim that is received by MetLife, but not yet approved.
LBC
Y – Claim subject to limited benefit duration
N – Claim not subject to limited benefit duration
COLA
Y – Benefit amount reflects benefit level at valuation at end of experience period. Reserve reflects impact of COLA
N – Claim does not have COLA (cost of living adjustment)
SurvBen
Y - Claim has Survivor Benefit
N - Claim does not have Survivor Benefit
SS Status
SSA – Claim has been approved for SS benefits. SS offset reflected in Monthly Benefit
NED – Claim not eligible for SS benefits or SS request was denied more than twice
SSP – Claim in pending
8/13/2025 12:14:34 PMPage 4 of 4

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