5-Attachment 6 Claims Experience STD and OSTD.pdf
PDF 71 KB Posted
- Attached to
- Insurance including: Group Term Life, Accidental Death & Dismemberment, Short-Term and Long-Term Disability
- Solicitation number
- RFP01-260720B01-DISLIF-XXXXXX
- Issued by
- Florida
About this file
This is a Claims Experience report for Florida Virtual School's (FLVS) insurance coverage provided by Lincoln Financial Group, detailing Short-Term Disability (STD), Optional Short-Term Disability (OSTD), and Weekly Income (WI) plans. The report contains monthly group-level experience data from October 2023 through September 2025, tracking billed premiums, paid premiums, paid claims, billed volume, billed lives, and reserves for each coverage type. For the STD/OSTD combined period (October 2023 through September 2024), the group maintained approximately 645 lives with billed premiums totaling $89,410.37 and paid claims of $4,738.60, representing a claims-to-premium ratio of 5.30%. The subsequent reporting period (October 2024 through September 2025) shows 664 lives covered with billed premiums of $93,941.23 and paid claims of $35,641.70, reflecting a claims-to-premium ratio of 41.44%, indicating a significant increase in claims activity.
The Weekly Income coverage demonstrates higher claims experience across both reporting periods. The initial period (October 2023 through September 2024) generated $63,316.60 in billed premiums for approximately 3,275 lives with paid claims totaling $39,752.44, yielding a claims-to-premium ratio of 62.78%. The subsequent period (October 2024 through September 2025) produced $67,729.76 in billed premiums covering 3,606 lives with paid claims of $39,852.38, representing a 64.18% claims-to-premium ratio on a paid premium basis and 58.84% on a billed premium basis. The combined coverage subtotals indicate total billed premiums of $314,397.96 across all three insurance types with cumulative paid claims of $159,985.12, demonstrating the claims history and utilization patterns for FLVS's disability and income protection insurance programs.
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Group Level Experience thru
Group Level Experience
Date Billed Premium Paid Premium Paid Claims Billed Volume Billed Lives Reserves
202310 $7,269.05 $7,269.05 - 519,218 645 -
202311 $7,238.48 $7,238.48 - 517,034 642 -
202312 $7,489.86 $7,489.86 - 534,990 644 -
202401 $7,500.08 $7,500.08 - 535,720 645 -
202402 $7,468.04 $7,468.04 $137.81 533,431 642 -
202403 $7,449.48 $7,449.48 $2,875.49 532,106 641 -
202404 $7,472.07 $7,472.07 $1,725.30 533,719 643 -
202405 $7,470.06 $7,470.06 - 533,575 642 -
202406 $7,486.04 $7,486.04 - 534,717 642 -
202407 $7,452.45 $7,452.45 - 532,318 642 -
202408 $7,573.45 $7,573.45 - 540,961 655 -
202409 $7,541.31 $7,541.31 - 538,665 652 -
$89,410.37 $89,410.37 $4,738.60 532,205 645 $0.00
Paid Claims / Paid Premium = 5.30%
Paid Claims / Billed Premium = 5.30%
Optional Weekly Income Weekly Income 01-0252136-00000 Eff. Date: 7/1/19 Active
FLORIDA VIRTUAL SCHOOL FLVIRTUAL2
OWI
Report Run Date: 10/14/2025 Confidential/Proprietary Information - For Intended Recipients' Use Only - Do Not Distribute Without Permission From Lincoln Financial GroupVersion 1.0
FLVIRTUAL2
Group Level Experience
Date Billed Premium Paid Premium Paid Claims Billed Volume Billed Lives Reserves
202410 $7,599.97 $7,599.97 - 542,855 658 -
202411 $7,603.94 $7,603.94 $292.32 543,139 659 -
202412 $7,802.66 $7,802.66 - 557,333 657 -
202501 $7,801.25 - $465.00 557,232 657 -
202502 $7,807.26 $7,801.25 $4,160.31 557,662 658 -
202503 $7,888.05 $7,807.26 $2,479.86 563,432 666 -
202504 $7,918.83 $7,888.05 $2,629.35 565,631 669 -
202505 $7,880.36 $7,918.83 $1,376.79 562,883 666 -
202506 $7,856.10 $15,736.46 $12,035.46 561,150 663 -
202507 $7,930.98 - $5,802.66 566,498 671 -
202508 $7,920.85 $7,930.98 $3,639.87 565,775 670 -
202509 $7,930.98 $7,920.85 $2,760.08 566,498 671 -
$93,941.23 $86,010.25 $35,641.70 559,174 664 $0.00
Paid Claims / Paid Premium = 41.44%
Paid Claims / Billed Premium = 37.94%
Optional Weekly Income Weekly Income 01-0252136-00000 Eff. Date: 7/1/19 Active
FLORIDA VIRTUAL SCHOOL FLVIRTUAL2
OWI
Cvg Sub-total Billed Premium Paid Premium Paid Claims Billed Volume Billed Lives Reserves
OWI $183,351.60 $175,420.62 $40,380.30 545,689 654 $0.00
Weekly Income Weekly Income 01-0252136-00000 Eff. Date: 7/1/19 Active
FLORIDA VIRTUAL SCHOOL FLVIRTUAL2
WI
Report Run Date: 10/14/2025 Confidential/Proprietary Information - For Intended Recipients' Use Only -
Group Level Experience
Date Billed Premium Paid Premium Paid Claims Billed Volume Billed Lives Reserves
202310 $5,145.53 $5,145.53 $9,344.76 816,750 2,367 -
202311 $5,164.43 $5,164.43 $963.21 819,750 3,280 -
202312 $5,194.35 $5,194.35 $295.84 824,500 3,298 -
202401 $5,206.95 $5,206.95 $1,235.72 826,500 3,306 -
202402 $5,213.25 $5,213.25 $135.23 827,500 3,310 -
202403 $5,247.90 $5,247.90 $1,547.72 833,000 3,332 -
202404 $5,262.08 $5,262.08 $2,219.90 835,250 3,341 -
202405 $5,276.25 $5,276.25 $8,371.60 837,500 3,350 -
202406 $5,317.20 $5,317.20 $6,413.39 844,000 3,376 -
202407 $5,290.43 $5,290.43 $4,867.98 839,750 3,359 -
202408 $5,476.28 $5,476.28 $4,337.29 869,250 3,477 -
202409 $5,521.95 $5,521.95 $19.80 876,500 3,506 -
$63,316.60 $63,316.60 $39,752.44 837,521 3,275 $0.00
Paid Claims / Paid Premium = 62.78%
Paid Claims / Billed Premium = 62.78%
Weekly Income Weekly Income 01-0252136-00000 Eff. Date: 7/1/19 Active
FLORIDA VIRTUAL SCHOOL FLVIRTUAL2
WI
Report Run Date: 10/14/2025 Confidential/Proprietary Information - For Intended Recipients' Use Only -
Group Level Experience
Date Billed Premium Paid Premium Paid Claims Billed Volume Billed Lives Reserves
202410 $5,569.20 $5,569.20 $1,861.42 884,000 3,536 -
202411 $5,614.88 $5,614.88 $3,240.47 891,250 3,565 -
202412 $5,618.03 $5,618.03 $-1,157.79 891,750 3,567 -
202501 $5,633.78 - $1,777.02 894,250 3,577 -
202502 $5,629.05 $5,633.78 $4,550.00 893,500 3,574 -
202503 $5,666.85 $5,629.05 $1,147.71 899,500 3,598 -
202504 $5,682.60 $5,666.85 $2,634.79 902,000 3,608 -
202505 $5,718.83 $5,682.60 $3,419.62 907,750 3,631 -
202506 $5,688.90 $11,407.73 $8,511.55 903,000 3,612 -
202507 $5,630.63 - $6,794.97 893,750 3,575 -
202508 $5,646.38 $5,630.63 $2,920.37 896,250 3,858 -
202509 $5,630.63 $5,646.38 $4,152.25 893,750 3,575 -
$67,729.76 $62,099.13 $39,852.38 895,896 3,606 $0.00
Paid Claims / Paid Premium = 64.18%
Paid Claims / Billed Premium = 58.84%
01-0252136-00000 Eff. Date: 7/1/19 Active
FLORIDA VIRTUAL SCHOOL FLVIRTUAL2
Cvg Sub-total Billed Premium Paid Premium Paid Claims Billed Volume Billed Lives Reserves
WI $131,046.36 $125,415.73 $79,604.82 866,708 3,441 $0.00
Report Run Date: 10/14/2025 Confidential/Proprietary Information - For Intended Recipients' Use Only -
Group Level Experience
Report Run Date: 10/14/2025 Confidential/Proprietary Information - For Intended Recipients' Use Only -
| Group Level Experience |
| FLVIRTUAL2 |
| 01-0252136-00000 |
| OWI |
| 9 |
| noname |
| WI |
| 9 |
| noname |
File details come from the government source that posted it. Updated .