5-Appendix E - Enrollment Claims.xlsx

XLSX spreadsheet 12 KB Posted

Attached to
Fully Insured & Self-Funded Group Dental Insurance
Solicitation number
RFP-2025-710-HRM-CG
Issued by
Bernalillo County, Albuquerque City, New Mexico

About this file

This document is an Excel spreadsheet detailing monthly dental insurance claims and enrollment data for a City of New Mexico dental benefit program. The file covers a comprehensive historical and projected view of dental insurance metrics from July 2022 through May 2025, tracking monthly premiums, paid claims, dental loss ratios, subscriber counts, and total member populations. The related state and local contract opportunity indicates the City is seeking proposals for a fully insured dental benefit program for city employees and participating entities.

The spreadsheet reveals consistent monthly premiums ranging from approximately $409,000 to $470,424, with dental loss ratios fluctuating between 35.70% and 99% over the tracked period. Subscriber and member counts show gradual growth, increasing from around 6,614 subscribers and 15,412 members in July 2022 to a projected 7,065 subscribers and 15,692 members by May 2025. Notable variations include an unusual spike in November 2024 where paid claims exceeded premiums by 126.80%, and a significant drop in claims percentage in October 2024 to 35.70%. The data suggests potential volatility in dental insurance utilization and may be used to inform future contract negotiations and pricing strategies.

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Sheet1

MonthPremiumDental Paid ClaimsDental Loss RatioDental SubscribersDental Members
Jul-22$412,491$371,06389.96%6,61415,412
Aug-22$413,201$405,41298.11%6,64015,436
Sep-22$411,162$351,71885.54%6,61015,376
Oct-22$409,522$333,39981.41%6,57315,280
Nov-22$408,972$304,51074.45%6,58515,248
Dec-22$409,653$359,22387.69%6,60215,271
Jan-23$409,466$352,92986.19%6,61115,255
Feb-23$410,537$342,59583.45%6,64115,295
Mar-23$409,580$393,83596.14%6,63015,277
Apr-23$409,635$321,34178.46%6,63815,243
May-23$409,302$338,99282.82%6,63615,233
Jun-23$410,053$383,04593.41%6,66115,245
Jul-23$419,613$379,48790%6,77815,628
Aug-23$421,386$419,92099%6,82615,671
Sep-23$420,197$365,87687.00%6,82415,638
Oct-23$420,653$369,76587.00%6,81815,630
Nov-23$420,500$343,91481.79%6,82115,604
Dec-23$422,173$328,44377.80%6,86415,659
Jan-24$423,525$362,02785.48%6,91015,696
Feb-24$457,619$320,26069.90%6,92715,676
Mar-24$430,519$389,94990.50%6,95315,689
Apr-24$417,355$397,04195.10%6,97215,716
May-24$428,403$352,54782.20%6,98115,731
Jun-24$470,424$380,14880.80%6,96615,680
Jul-24$421,389$194,52346.20%7,14016,105
Aug-24$421,181$307,16072.90%7,13616,083
Sep-24$421,815$285,62167.70%7,18416,146
Oct-24$418,432$149,50535.70%7,10615,989
Nov-24$418,430$530,679126.80%7,10515,957
Dec-24$417,214$318,19276.30%7,09815,904
Jan-25$414,668$322,84277.90%7,05015,805
Feb-25$414,946$332,34480.10%7,04115,757
Mar-25$413,046$349,62984.60%7,02515,698
Apr-25$411,640$341,44282.90%7,02515,662
May-25$412,283$350,14284.90%7,06515,692

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