5-Claims Enrollment Large Claims.xlsx
XLSX spreadsheet 64 KB Posted
- Attached to
- Stop Loss Insurance
- Solicitation number
- SLCC2026-M6005
- Issued by
- Utah
About this file
This file is a claims enrollment spreadsheet and high claimant analysis document supporting a Stop Loss Insurance RFP issued by a Utah-based organization, likely an educational institution or government entity. The spreadsheet contains detailed monthly claims data spanning from July 2020 through February 2026, broken down by plan type (Traditional PPO, ValueCare PPO, Focal Point, and HDHP), coverage category (Single, 2-Party, Family), and claim amounts separated into medical and pharmacy costs. The data tracks contract and member enrollment numbers across multiple plan variations, including ICOB (In-Coordination-of-Benefits) designations. The document also includes a comprehensive high claimant analysis identifying individuals with claims exceeding $100,000 across five plan years (2020-2025), listing member identifiers, plan categories, diagnoses, and total paid amounts, with the highest single claim reaching $716,836.57 in 2024.
The claims data demonstrates significant utilization patterns with total monthly claims ranging from approximately $50,000 to $900,000 across all plans combined, and total members ranging from approximately 400 to 1,400 across plan categories. The high claimant data reveals that serious medical conditions including sepsis, end-stage renal disease, various malignancies, multiple sclerosis, Crohn's disease, and cardiac conditions are driving substantial claim costs. The RFP seeks a single-year initial contract for Stop Loss Insurance with the option for up to four additional one-year renewals, contingent upon vendor performance and organizational satisfaction. This claims history provides the contractual basis for stop loss coverage evaluation, allowing potential vendors to assess risk exposure, claims trends, and the financial protection needed to cover catastrophic claims exceeding specified attachment points.
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Other files
| File | Type | Posted |
|---|---|---|
| 8-Cost Proposal Template.xlsx | XLSX spreadsheet | |
| 9-M6005 Stop Loss Insurance SON-SOW.docx | DOCX document | |
| 7-2025 PY SPD.pdf | ||
| 6-Census.xlsx | XLSX spreadsheet | |
| 1-slccstandardtcs (2).pdf | ||
| 4-SLCC RFP About SLCC.pdf | ||
| 3-SLCC RFP General Conditions.pdf | ||
| 2-SLCC RFP Proposal File Requirements.pdf |
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Text version
Traditional Plan Claims_Enroll
| Traditional Focal Point | Traditional ValueCare | Traditional Participating | |||||||||||||||||||||||||||||||||||||||||||
| Month | Medical | Total Rx | Total Claims | Single | 2-Party | Family | Contracts | Members | ICOB Single | ICOB 2-Party | ICOB Family | ICOB Contracts | ICOB Members | Total Contracts | Total Members | Medical | Total Rx | Total Claims | Single | 2-Party | Family | Contracts | Members | ICOB Single | ICOB 2-Party | ICOB Family | ICOB Contracts | ICOB Members | Total Contracts | Total Members | Medical | Total Rx | Total Claims | Single | 2-Party | Family | Contracts | Members | ICOB Single | ICOB 2-Party | ICOB Family | ICOB Contracts | ICOB Members | Total Contracts | Total Members |
| Jul-20 | $ 127,911.50 | $ 11,387.00 | $ 139,298.50 | 30 | 28 | 64 | 122 | 371 | - 0 | - 0 | 2 | 2 | 7 | 124 | 378 | $ 339,222.27 | $ 140,131.48 | $ 479,353.75 | 150 | 150 | 211 | 511 | 1,337 | - 0 | - 0 | 7 | 7 | 26 | 518 | 1,363 | $ 265,707.03 | $ 96,886.61 | $ 362,593.64 | 78 | 73 | 69 | 220 | 501 | - 0 | 1 | 2 | 3 | 9 | 223 | 510 |
| Aug-20 | $ 86,595.89 | $ 14,839.13 | $ 101,435.02 | 29 | 26 | 64 | 119 | 363 | - 0 | - 0 | 2 | 2 | 7 | 121 | 370 | $ 470,267.14 | $ 185,406.75 | $ 655,673.89 | 149 | 145 | 210 | 504 | 1,321 | - 0 | - 0 | 7 | 7 | 26 | 511 | 1,347 | $ 206,160.30 | $ 97,943.20 | $ 304,103.50 | 77 | 72 | 70 | 219 | 503 | - 0 | 1 | 2 | 3 | 9 | 222 | 512 |
| Sep-20 | $ 58,960.81 | $ 10,719.04 | $ 69,679.85 | 31 | 26 | 65 | 122 | 371 | - 0 | - 0 | 2 | 2 | 7 | 124 | 378 | $ 437,981.06 | $ 168,534.13 | $ 606,515.19 | 151 | 144 | 212 | 507 | 1,331 | - 0 | - 0 | 7 | 7 | 26 | 514 | 1,357 | $ 550,300.93 | $ 138,777.35 | $ 689,078.28 | 74 | 73 | 68 | 215 | 499 | - 0 | 1 | 2 | 3 | 9 | 218 | 508 |
| Oct-20 | $ 108,443.83 | $ 17,139.36 | $ 125,583.19 | 31 | 26 | 65 | 122 | 371 | - 0 | - 0 | 2 | 2 | 7 | 124 | 378 | $ 400,085.62 | $ 157,512.41 | $ 557,598.03 | 150 | 148 | 212 | 510 | 1,337 | - 0 | - 0 | 7 | 7 | 26 | 517 | 1,363 | $ 205,824.21 | $ 100,643.62 | $ 306,467.83 | 72 | 72 | 71 | 215 | 504 | - 0 | 1 | 2 | 3 | 9 | 218 | 513 |
| Nov-20 | $ 144,960.34 | $ 9,042.37 | $ 154,002.71 | 30 | 26 | 65 | 121 | 370 | - 0 | - 0 | 2 | 2 | 7 | 123 | 377 | $ 524,060.51 | $ 143,090.62 | $ 667,151.13 | 154 | 147 | 212 | 513 | 1,342 | - 0 | - 0 | 7 | 7 | 26 | 520 | 1,368 | $ 230,624.43 | $ 118,852.12 | $ 349,476.55 | 72 | 72 | 71 | 215 | 505 | - 0 | 1 | 2 | 3 | 9 | 218 | 514 |
| Dec-20 | $ 75,955.07 | $ 12,831.23 | $ 88,786.30 | 31 | 26 | 65 | 122 | 369 | - 0 | - 0 | 2 | 2 | 7 | 124 | 376 | $ 500,766.28 | $ 169,694.56 | $ 670,460.84 | 154 | 148 | 212 | 514 | 1,345 | - 0 | - 0 | 7 | 7 | 26 | 521 | 1,371 | $ 214,405.96 | $ 140,707.85 | $ 355,113.81 | 71 | 72 | 69 | 212 | 500 | - 0 | 1 | 2 | 3 | 9 | 215 | 509 |
| Jan-21 | $ 99,168.62 | $ 18,919.10 | $ 118,087.72 | 35 | 24 | 64 | 123 | 366 | - 0 | - 0 | 2 | 2 | 7 | 125 | 373 | $ 473,757.04 | $ 164,202.38 | $ 637,959.42 | 148 | 147 | 209 | 504 | 1,323 | - 0 | - 0 | 7 | 7 | 26 | 511 | 1,349 | $ 226,759.57 | $ 134,789.19 | $ 361,548.76 | 70 | 75 | 69 | 214 | 504 | - 0 | 1 | 2 | 3 | 9 | 217 | 513 |
| Feb-21 | $ 70,402.66 | $ 8,865.69 | $ 79,268.35 | 37 | 23 | 63 | 123 | 362 | - 0 | - 0 | 2 | 2 | 7 | 125 | 369 | $ 468,687.76 | $ 188,987.32 | $ 657,675.08 | 148 | 147 | 209 | 504 | 1,325 | - 0 | - 0 | 7 | 7 | 26 | 511 | 1,351 | $ 200,119.17 | $ 125,277.63 | $ 325,396.80 | 69 | 77 | 67 | 213 | 497 | - 0 | 1 | 2 | 3 | 9 | 216 | 506 |
| Mar-21 | $ 129,260.84 | $ 16,879.94 | $ 146,140.78 | 37 | 22 | 63 | 122 | 360 | - 0 | - 0 | 2 | 2 | 7 | 124 | 367 | $ 821,094.85 | $ 183,218.38 | $ 1,004,313.23 | 147 | 148 | 203 | 498 | 1,305 | - 0 | - 0 | 7 | 7 | 26 | 505 | 1,331 | $ 341,909.62 | $ 137,215.51 | $ 479,125.13 | 70 | 77 | 67 | 214 | 498 | - 0 | 1 | 2 | 3 | 9 | 217 | 507 |
| Apr-21 | $ 47,929.84 | $ 22,203.96 | $ 70,133.80 | 36 | 23 | 63 | 122 | 361 | - 0 | - 0 | 2 | 2 | 7 | 124 | 368 | $ 509,600.05 | $ 199,679.50 | $ 709,279.55 | 147 | 146 | 201 | 494 | 1,294 | - 0 | - 0 | 7 | 7 | 26 | 501 | 1,320 | $ 486,156.98 | $ 125,221.12 | $ 611,378.10 | 72 | 78 | 66 | 216 | 496 | - 0 | 1 | 2 | 3 | 9 | 219 | 505 |
| May-21 | $ 115,055.65 | $ 11,671.54 | $ 126,727.19 | 36 | 23 | 63 | 122 | 361 | - 0 | - 0 | 2 | 2 | 7 | 124 | 368 | $ 671,894.91 | $ 216,899.28 | $ 888,794.19 | 146 | 147 | 201 | 494 | 1,293 | - 0 | - 0 | 7 | 7 | 26 | 501 | 1,319 | $ 365,018.64 | $ 138,705.81 | $ 503,724.45 | 73 | 78 | 65 | 216 | 494 | - 0 | 1 | 2 | 3 | 9 | 219 | 503 |
| Jun-21 | $ 66,240.28 | $ 12,733.01 | $ 78,973.29 | 35 | 25 | 61 | 121 | 357 | - 0 | - 0 | 2 | 2 | 7 | 123 | 364 | $ 379,061.92 | $ 236,011.01 | $ 615,072.93 | 147 | 146 | 201 | 494 | 1,295 | - 0 | - 0 | 7 | 7 | 26 | 501 | 1,321 | $ 423,466.65 | $ 147,271.37 | $ 570,738.02 | 73 | 76 | 64 | 213 | 482 | - 0 | 1 | 2 | 3 | 9 | 216 | 491 |
| Jul-21 | $ 52,004.43 | $ 12,691.28 | $ 64,695.71 | 29 | 30 | 60 | 119 | 353 | - 0 | - 0 | 2 | 2 | 7 | 121 | 360 | $ 360,051.31 | $ 179,203.68 | $ 539,254.99 | 141 | 144 | 197 | 482 | 1,261 | - 0 | 1 | 8 | 9 | 33 | 491 | 1,294 | $ 453,877.51 | $ 126,076.47 | $ 579,953.98 | 71 | 77 | 64 | 212 | 481 | - 0 | 1 | 1 | 2 | 5 | 214 | 486 |
| Aug-21 | $ 85,843.35 | $ 16,549.55 | $ 102,392.90 | 30 | 31 | 60 | 121 | 355 | - 0 | - 0 | 3 | 3 | 12 | 124 | 367 | $ 623,617.25 | $ 137,996.21 | $ 761,613.46 | 141 | 138 | 198 | 477 | 1,250 | - 0 | 1 | 8 | 9 | 33 | 486 | 1,283 | $ 278,839.23 | $ 97,412.22 | $ 376,251.45 | 73 | 74 | 64 | 211 | 477 | - 0 | 1 | 1 | 2 | 5 | 213 | 482 |
| Sep-21 | $ 47,171.29 | $ 15,667.15 | $ 62,838.44 | 33 | 30 | 59 | 122 | 351 | - 0 | - 0 | 3 | 3 | 12 | 125 | 363 | $ 303,037.87 | $ 192,102.73 | $ 495,140.60 | 137 | 139 | 195 | 471 | 1,235 | - 0 | 1 | 8 | 9 | 33 | 480 | 1,268 | $ 319,920.55 | $ 147,374.59 | $ 467,295.14 | 74 | 74 | 63 | 211 | 472 | - 0 | 1 | 1 | 2 | 5 | 213 | 477 |
| Oct-21 | $ 32,186.01 | $ 17,134.59 | $ 49,320.60 | 33 | 30 | 59 | 122 | 351 | - 0 | - 0 | 3 | 3 | 12 | 125 | 363 | $ 508,561.98 | $ 184,580.48 | $ 693,142.46 | 138 | 138 | 192 | 468 | 1,227 | - 0 | 1 | 8 | 9 | 32 | 477 | 1,259 | $ 173,634.28 | $ 114,126.74 | $ 287,761.02 | 75 | 76 | 60 | 211 | 465 | - 0 | 1 | 1 | 2 | 5 | 213 | 470 |
| Nov-21 | $ 100,632.59 | $ 19,262.01 | $ 119,894.60 | 35 | 30 | 59 | 124 | 352 | - 0 | - 0 | 3 | 3 | 12 | 127 | 364 | $ 702,658.85 | $ 173,484.79 | $ 876,143.64 | 134 | 136 | 193 | 463 | 1,220 | - 0 | 2 | 8 | 10 | 34 | 473 | 1,254 | $ 248,571.02 | $ 142,575.81 | $ 391,146.83 | 76 | 75 | 59 | 210 | 464 | - 0 | 1 | 1 | 2 | 5 | 212 | 469 |
| Dec-21 | $ 60,910.31 | $ 15,644.27 | $ 76,554.58 | 33 | 30 | 61 | 124 | 361 | - 0 | - 0 | 3 | 3 | 12 | 127 | 373 | $ 631,081.66 | $ 177,988.48 | $ 809,070.14 | 138 | 135 | 193 | 466 | 1,221 | - 0 | 3 | 7 | 10 | 33 | 476 | 1,254 | $ 399,335.10 | $ 133,494.14 | $ 532,829.24 | 75 | 75 | 60 | 210 | 465 | - 0 | 1 | 1 | 2 | 5 | 212 | 470 |
| Jan-22 | $ 53,091.12 | $ 12,396.80 | $ 65,487.92 | 33 | 31 | 61 | 125 | 362 | - 0 | - 0 | 3 | 3 | 12 | 128 | 374 | $ 540,933.48 | $ 171,460.06 | $ 712,393.54 | 137 | 135 | 197 | 469 | 1,236 | - 0 | 2 | 7 | 9 | 31 | 478 | 1,267 | $ 213,390.90 | $ 156,504.72 | $ 369,895.62 | 73 | 73 | 59 | 205 | 454 | - 0 | 1 | 1 | 2 | 5 | 207 | 459 |
| Feb-22 | $ 54,536.57 | $ 15,862.52 | $ 70,399.09 | 32 | 30 | 58 | 120 | 346 | - 0 | - 0 | 3 | 3 | 12 | 123 | 358 | $ 540,323.03 | $ 162,320.31 | $ 702,643.34 | 138 | 137 | 194 | 469 | 1,231 | - 0 | 1 | 7 | 8 | 29 | 477 | 1,260 | $ 187,980.99 | $ 148,873.23 | $ 336,854.22 | 74 | 72 | 59 | 205 | 454 | - 0 | 1 | 1 | 2 | 5 | 207 | 459 |
| Mar-22 | $ 72,600.64 | $ 27,492.05 | $ 100,092.69 | 31 | 30 | 58 | 119 | 345 | - 0 | - 0 | 3 | 3 | 12 | 122 | 357 | $ 346,429.82 | $ 192,557.97 | $ 538,987.79 | 137 | 136 | 194 | 467 | 1,226 | - 0 | 1 | 7 | 8 | 29 | 475 | 1,255 | $ 157,345.25 | $ 156,303.46 | $ 313,648.71 | 76 | 72 | 57 | 205 | 452 | - 0 | 1 | 1 | 2 | 5 | 207 | 457 |
| Apr-22 | $ 89,266.76 | $ 10,765.24 | $ 100,032.00 | 31 | 31 | 57 | 119 | 344 | - 0 | - 0 | 3 | 3 | 12 | 122 | 356 | $ 369,846.05 | $ 173,860.04 | $ 543,706.09 | 139 | 139 | 192 | 470 | 1,227 | - 0 | 1 | 7 | 8 | 29 | 478 | 1,256 | $ 122,099.86 | $ 139,570.20 | $ 261,670.06 | 79 | 72 | 58 | 209 | 456 | - 0 | 1 | 1 | 2 | 5 | 211 | 461 |
| May-22 | $ 87,986.98 | $ 24,054.43 | $ 112,041.41 | 31 | 31 | 57 | 119 | 349 | - 0 | - 0 | 3 | 3 | 12 | 122 | 361 | $ 610,720.21 | $ 185,634.20 | $ 796,354.41 | 141 | 138 | 192 | 471 | 1,227 | - 0 | 1 | 7 | 8 | 29 | 479 | 1,256 | $ 344,193.20 | $ 134,642.15 | $ 478,835.35 | 76 | 71 | 58 | 205 | 452 | - 0 | 1 | 1 | 2 | 5 | 207 | 457 |
| Jun-22 | $ 123,411.45 | $ 31,687.54 | $ 155,098.99 | 31 | 31 | 58 | 120 | 352 | - 0 | - 0 | 3 | 3 | 12 | 123 | 364 | $ 430,854.66 | $ 180,242.68 | $ 611,097.34 | 139 | 139 | 192 | 470 | 1,224 | - 0 | 1 | 7 | 8 | 29 | 478 | 1,253 | $ 283,440.83 | $ 125,945.54 | $ 409,386.37 | 77 | 67 | 60 | 204 | 451 | - 0 | 1 | 1 | 2 | 5 | 206 | 456 |
| Jul-22 | $ 53,003.12 | $ 25,717.32 | $ 78,720.44 | 34 | 33 | 58 | 125 | 359 | - 0 | - 0 | 3 | 3 | 12 | 128 | 371 | $ 265,591.80 | $ 210,004.50 | $ 475,596.30 | 131 | 142 | 183 | 456 | 1,190 | - 0 | 1 | 5 | 6 | 22 | 462 | 1,212 | $ 171,788.86 | $ 121,472.77 | $ 293,261.63 | 74 | 64 | 60 | 198 | 440 | - 0 | 1 | 1 | 2 | 5 | 200 | 445 |
| Aug-22 | $ 91,154.00 | $ 22,159.45 | $ 113,313.45 | 34 | 33 | 59 | 126 | 362 | - 0 | - 0 | 3 | 3 | 12 | 129 | 374 | $ 427,502.74 | $ 195,544.19 | $ 623,046.93 | 135 | 143 | 183 | 461 | 1,195 | - 0 | 1 | 5 | 6 | 22 | 467 | 1,217 | $ 236,933.32 | $ 121,424.53 | $ 358,357.85 | 75 | 64 | 60 | 199 | 441 | - 0 | 1 | 1 | 2 | 5 | 201 | 446 |
| Sep-22 | $ 97,796.13 | $ 25,546.40 | $ 123,342.53 | 33 | 33 | 58 | 124 | 355 | - 0 | - 0 | 3 | 3 | 12 | 127 | 367 | $ 382,079.61 | $ 189,044.69 | $ 571,124.30 | 130 | 141 | 180 | 451 | 1,173 | - 0 | 1 | 5 | 6 | 22 | 457 | 1,195 | $ 171,497.51 | $ 123,643.91 | $ 295,141.42 | 76 | 64 | 60 | 200 | 443 | - 0 | 2 | - 0 | 2 | 4 | 202 | 447 |
| Oct-22 | $ 122,013.27 | $ 12,905.53 | $ 134,918.80 | 34 | 33 | 58 | 125 | 356 | - 0 | - 0 | 3 | 3 | 12 | 128 | 368 | $ 524,084.49 | $ 203,196.31 | $ 727,280.80 | 130 | 144 | 177 | 451 | 1,168 | - 0 | 1 | 5 | 6 | 22 | 457 | 1,190 | $ 422,043.41 | $ 143,927.73 | $ 565,971.14 | 75 | 65 | 60 | 200 | 444 | - 0 | 2 | - 0 | 2 | 4 | 202 | 448 |
| Nov-22 | $ 148,090.52 | $ 22,277.49 | $ 170,368.01 | 36 | 33 | 57 | 126 | 359 | - 0 | - 0 | 3 | 3 | 12 | 129 | 371 | $ 476,499.68 | $ 174,677.40 | $ 651,177.08 | 130 | 146 | 176 | 452 | 1,168 | - 0 | 1 | 5 | 6 | 22 | 458 | 1,190 | $ 231,400.10 | $ 74,642.37 | $ 306,042.47 | 73 | 65 | 59 | 197 | 439 | - 0 | 2 | - 0 | 2 | 4 | 199 | 443 |
| Dec-22 | $ 122,975.68 | $ 35,510.12 | $ 158,485.80 | 38 | 32 | 57 | 127 | 359 | - 0 | - 0 | 3 | 3 | 12 | 130 | 371 | $ 526,962.17 | $ 222,889.57 | $ 749,851.74 | 133 | 145 | 176 | 454 | 1,170 | - 0 | 1 | 5 | 6 | 22 | 460 | 1,192 | $ 537,272.25 | $ 124,832.01 | $ 662,104.26 | 71 | 67 | 59 | 197 | 442 | - 0 | 2 | - 0 | 2 | 4 | 199 | 446 |
| Jan-23 | $ 89,326.42 | $ 15,015.48 | $ 104,341.90 | 38 | 32 | 57 | 127 | 357 | - 0 | - 0 | 3 | 3 | 12 | 130 | 369 | $ 653,539.44 | $ 206,984.81 | $ 860,524.25 | 131 | 143 | 178 | 452 | 1,174 | - 0 | 1 | 5 | 6 | 22 | 458 | 1,196 | $ 385,749.67 | $ 114,851.20 | $ 500,600.87 | 70 | 66 | 60 | 196 | 445 | - 0 | 2 | - 0 | 2 | 4 | 198 | 449 |
| Feb-23 | $ 75,419.56 | $ 22,638.10 | $ 98,057.66 | 37 | 33 | 57 | 127 | 358 | - 0 | - 0 | 3 | 3 | 9 | 130 | 367 | $ 500,616.00 | $ 190,396.45 | $ 691,012.45 | 130 | 144 | 175 | 449 | 1,161 | - 0 | 1 | 5 | 6 | 25 | 455 | 1,186 | $ 239,749.10 | $ 105,588.41 | $ 345,337.51 | 70 | 66 | 59 | 195 | 438 | - 0 | 2 | - 0 | 2 | 4 | 197 | 442 |
| Mar-23 | $ 96,530.81 | $ 38,732.94 | $ 135,263.75 | 38 | 34 | 59 | 131 | 369 | - 0 | - 0 | 2 | 2 | 9 | 133 | 378 | $ 468,775.80 | $ 269,107.72 | $ 737,883.52 | 130 | 143 | 173 | 446 | 1,149 | - 0 | 1 | 6 | 7 | 25 | 453 | 1,174 | $ 279,788.51 | $ 137,397.72 | $ 417,186.23 | 73 | 64 | 59 | 196 | 436 | - 0 | 2 | - 0 | 2 | 4 | 198 | 440 |
| Apr-23 | $ 92,575.39 | $ 20,113.52 | $ 112,688.91 | 38 | 34 | 60 | 132 | 372 | - 0 | - 0 | 2 | 2 | 9 | 134 | 381 | $ 542,204.08 | $ 194,105.81 | $ 736,309.89 | 132 | 142 | 172 | 446 | 1,143 | - 0 | 1 | 6 | 7 | 25 | 453 | 1,168 | $ 133,497.21 | $ 114,870.65 | $ 248,367.86 | 72 | 64 | 59 | 195 | 435 | - 0 | 2 | - 0 | 2 | 4 | 197 | 439 |
| May-23 | $ 88,597.90 | $ 27,784.75 | $ 116,382.65 | 39 | 33 | 59 | 131 | 365 | - 0 | - 0 | 2 | 2 | 9 | 133 | 374 | $ 793,979.25 | $ 193,154.56 | $ 987,133.81 | 130 | 140 | 172 | 442 | 1,142 | - 0 | 1 | 6 | 7 | 25 | 449 | 1,167 | $ 257,678.28 | $ 120,318.75 | $ 377,997.03 | 74 | 64 | 59 | 197 | 436 | - 0 | 2 | - 0 | 2 | 4 | 199 | 440 |
| Jun-23 | $ 107,603.87 | $ 52,097.56 | $ 159,701.43 | 39 | 34 | 59 | 132 | 366 | - 0 | - 0 | 2 | 2 | 9 | 134 | 375 | $ 391,119.12 | $ 262,734.69 | $ 653,853.81 | 129 | 139 | 171 | 439 | 1,133 | - 0 | 1 | 6 | 7 | 25 | 446 | 1,158 | $ 155,088.68 | $ 135,559.08 | $ 290,647.76 | 74 | 66 | 58 | 198 | 437 | - 0 | 2 | - 0 | 2 | 4 | 200 | 441 |
| Jul-23 | $ 151,326.58 | $ 27,878.78 | $ 179,205.36 | 40 | 30 | 57 | 127 | 336 | - 0 | - 0 | 2 | 2 | 8 | 129 | 344 | $ 593,641.48 | $ 205,119.74 | $ 798,761.22 | 128 | 137 | 166 | 431 | 1,107 | - 0 | 1 | 6 | 7 | 25 | 438 | 1,132 | $ 615,774.01 | $ 103,275.05 | $ 719,049.06 | 76 | 63 | 60 | 199 | 448 | - 0 | 3 | - 0 | 3 | 6 | 202 | 454 |
| Aug-23 | $ 68,730.01 | $ 37,123.14 | $ 105,853.15 | 39 | 30 | 59 | 128 | 342 | - 0 | - 0 | 2 | 2 | 8 | 130 | 350 | $ 437,548.83 | $ 225,726.47 | $ 663,275.30 | 125 | 139 | 168 | 432 | 1,116 | - 0 | 1 | 6 | 7 | 25 | 439 | 1,141 | $ 304,904.13 | $ 127,179.60 | $ 432,083.73 | 73 | 64 | 61 | 198 | 448 | - 0 | 3 | - 0 | 3 | 6 | 201 | 454 |
| Sep-23 | $ 73,310.80 | $ 52,765.85 | $ 126,076.65 | 39 | 31 | 60 | 130 | 348 | - 0 | - 0 | 2 | 2 | 8 | 132 | 356 | $ 407,043.83 | $ 205,560.46 | $ 612,604.29 | 122 | 142 | 164 | 428 | 1,108 | - 0 | 1 | 7 | 8 | 28 | 436 | 1,136 | $ 179,422.55 | $ 120,972.17 | $ 300,394.72 | 72 | 63 | 60 | 195 | 442 | - 0 | 3 | - 0 | 3 | 6 | 198 | 448 |
| Oct-23 | $ 115,759.98 | $ 29,526.44 | $ 145,286.42 | 39 | 31 | 60 | 130 | 350 | - 0 | - 0 | 2 | 2 | 8 | 132 | 358 | $ 629,243.64 | $ 225,585.41 | $ 854,829.05 | 123 | 138 | 165 | 426 | 1,103 | - 0 | 1 | 7 | 8 | 28 | 434 | 1,131 | $ 305,332.13 | $ 126,920.53 | $ 432,252.66 | 71 | 61 | 60 | 192 | 437 | - 0 | 3 | - 0 | 3 | 6 | 195 | 443 |
| Nov-23 | $ 73,941.70 | $ 32,282.23 | $ 106,223.93 | 40 | 30 | 61 | 131 | 350 | - 0 | - 0 | 2 | 2 | 8 | 133 | 358 | $ 407,345.53 | $ 204,146.17 | $ 611,491.70 | 126 | 136 | 167 | 429 | 1,107 | - 0 | 1 | 7 | 8 | 28 | 437 | 1,135 | $ 165,607.68 | $ 137,612.89 | $ 303,220.57 | 76 | 62 | 61 | 199 | 448 | - 0 | 3 | - 0 | 3 | 6 | 202 | 454 |
| Dec-23 | $ 50,772.02 | $ 55,693.87 | $ 106,465.89 | 41 | 30 | 59 | 130 | 343 | - 0 | - 0 | 2 | 2 | 8 | 132 | 351 | $ 474,188.44 | $ 232,187.64 | $ 706,376.08 | 124 | 132 | 166 | 422 | 1,090 | - 0 | 1 | 7 | 8 | 28 | 430 | 1,118 | $ 220,482.96 | $ 128,693.12 | $ 349,176.08 | 75 | 60 | 61 | 196 | 442 | - 0 | 2 | - 0 | 2 | 4 | 198 | 446 |
| Jan-24 | $ 100,820.96 | $ 33,249.23 | $ 134,070.19 | 41 | 31 | 59 | 131 | 345 | - 0 | 1 | 2 | 3 | 10 | 134 | 355 | $ 576,906.55 | $ 221,707.56 | $ 798,614.11 | 116 | 129 | 167 | 412 | 1,073 | - 0 | 1 | 7 | 8 | 28 | 420 | 1,101 | $ 208,298.08 | $ 124,617.66 | $ 332,915.74 | 75 | 62 | 60 | 197 | 444 | - 0 | 2 | - 0 | 2 | 4 | 199 | 448 |
| Feb-24 | $ 97,821.43 | $ 30,080.37 | $ 127,901.80 | 41 | 32 | 58 | 131 | 343 | - 0 | 1 | 2 | 3 | 10 | 134 | 353 | $ 401,153.42 | $ 161,467.43 | $ 562,620.85 | 118 | 128 | 167 | 413 | 1,073 | - 0 | 1 | 7 | 8 | 28 | 421 | 1,101 | $ 309,473.14 | $ 96,253.80 | $ 405,726.94 | 75 | 63 | 58 | 196 | 440 | - 0 | 3 | - 0 | 3 | 6 | 199 | 446 |
| Mar-24 | $ 65,835.67 | $ 52,629.91 | $ 118,465.58 | 42 | 32 | 56 | 130 | 337 | - 0 | 1 | 2 | 3 | 10 | 133 | 347 | $ 346,987.78 | $ 189,861.01 | $ 536,848.79 | 117 | 131 | 166 | 414 | 1,075 | - 0 | 1 | 7 | 8 | 28 | 422 | 1,103 | $ 123,031.25 | $ 133,172.87 | $ 256,204.12 | 76 | 63 | 58 | 197 | 441 | - 0 | 3 | - 0 | 3 | 6 | 200 | 447 |
| Apr-24 | $ 231,665.78 | $ 31,035.85 | $ 262,701.63 | 43 | 31 | 56 | 130 | 333 | - 0 | - 0 | 2 | 2 | 8 | 132 | 341 | $ 425,371.64 | $ 172,828.58 | $ 598,200.22 | 121 | 130 | 163 | 414 | 1,067 | - 0 | 1 | 7 | 8 | 28 | 422 | 1,095 | $ 238,362.04 | $ 128,759.07 | $ 367,121.11 | 77 | 65 | 58 | 200 | 445 | - 0 | 3 | - 0 | 3 | 6 | 203 | 451 |
| May-24 | $ 220,358.68 | $ 58,601.63 | $ 278,960.31 | 43 | 31 | 56 | 130 | 333 | - 0 | - 0 | 2 | 2 | 8 | 132 | 341 | $ 421,852.96 | $ 214,356.20 | $ 636,209.16 | 119 | 130 | 162 | 411 | 1,061 | - 0 | 2 | 6 | 8 | 27 | 419 | 1,088 | $ 238,628.43 | $ 143,459.56 | $ 382,087.99 | 77 | 66 | 60 | 203 | 454 | - 0 | 3 | - 0 | 3 | 6 | 206 | 460 |
| Jun-24 | $ 94,744.94 | $ 52,643.22 | $ 147,388.16 | 42 | 31 | 57 | 130 | 336 | - 0 | - 0 | 2 | 2 | 8 | 132 | 344 | $ 717,738.83 | $ 183,509.20 | $ 901,248.03 | 118 | 131 | 161 | 410 | 1,058 | - 0 | 2 | 6 | 8 | 27 | 418 | 1,085 | $ 265,593.90 | $ 132,978.06 | $ 398,571.96 | 77 | 66 | 60 | 203 | 454 | - 0 | 3 | - 0 | 3 | 6 | 206 | 460 |
| Jul-24 | $ 200,122.07 | $ 23,816.48 | $ 223,938.55 | 38 | 33 | 59 | 130 | 357 | - 0 | - 0 | 2 | 2 | 8 | 132 | 365 | $ 709,442.99 | $ 128,124.68 | $ 837,567.67 | 113 | 132 | 151 | 396 | 1,016 | - 0 | 2 | 5 | 7 | 23 | 403 | 1,039 | $ 376,538.67 | $ 101,187.12 | $ 477,725.79 | 71 | 69 | 65 | 205 | 471 | - 0 | 3 | - 0 | 3 | 6 | 208 | 477 |
| Aug-24 | $ 76,793.73 | $ 44,283.07 | $ 121,076.80 | 40 | 33 | 58 | 131 | 355 | - 0 | - 0 | 2 | 2 | 8 | 133 | 363 | $ 436,397.23 | $ 188,797.37 | $ 625,194.60 | 113 | 132 | 150 | 395 | 1,012 | - 0 | 2 | 5 | 7 | 23 | 402 | 1,035 | $ 247,086.91 | $ 137,740.77 | $ 384,827.68 | 72 | 67 | 66 | 205 | 470 | - 0 | 3 | - 0 | 3 | 6 | 208 | 476 |
| Sep-24 | $ 131,351.23 | $ 43,345.12 | $ 174,696.35 | 40 | 32 | 59 | 131 | 355 | - 0 | - 0 | 2 | 2 | 8 | 133 | 363 | $ 571,451.34 | $ 182,029.27 | $ 753,480.61 | 112 | 132 | 150 | 394 | 1,012 | - 0 | 2 | 5 | 7 | 23 | 401 | 1,035 | $ 215,005.05 | $ 88,670.36 | $ 303,675.41 | 72 | 65 | 66 | 203 | 467 | - 0 | 3 | - 0 | 3 | 6 | 206 | 473 |
| Oct-24 | $ 137,024.91 | $ 45,228.40 | $ 182,253.31 | 40 | 33 | 61 | 134 | 364 | - 0 | - 0 | 2 | 2 | 8 | 136 | 372 | $ 463,198.56 | $ 217,079.40 | $ 680,277.96 | 112 | 133 | 150 | 395 | 1,017 | - 0 | 2 | 5 | 7 | 23 | 402 | 1,040 | $ 140,258.15 | $ 176,055.34 | $ 316,313.49 | 70 | 63 | 67 | 200 | 463 | - 0 | 3 | - 0 | 3 | 6 | 203 | 469 |
| Nov-24 | $ 154,128.06 | $ 65,927.07 | $ 220,055.13 | 44 | 32 | 62 | 138 | 368 | - 0 | - 0 | 2 | 2 | 8 | 140 | 376 | $ 408,143.72 | $ 150,106.38 | $ 558,250.10 | 110 | 133 | 150 | 393 | 1,015 | - 0 | 2 | 5 | 7 | 23 | 400 | 1,038 | $ 280,242.11 | $ 112,498.61 | $ 392,740.72 | 70 | 61 | 66 | 197 | 455 | - 0 | 3 | - 0 | 3 | 6 | 200 | 461 |
| Dec-24 | $ 172,876.30 | $ 39,654.74 | $ 212,531.04 | 44 | 32 | 62 | 138 | 370 | - 0 | - 0 | 2 | 2 | 8 | 140 | 378 | $ 547,042.77 | $ 223,569.56 | $ 770,612.33 | 109 | 131 | 151 | 391 | 1,016 | - 0 | 2 | 5 | 7 | 23 | 398 | 1,039 | $ 222,636.17 | $ 124,757.12 | $ 347,393.29 | 69 | 61 | 66 | 196 | 454 | - 0 | 3 | - 0 | 3 | 6 | 199 | 460 |
| Jan-25 | $ 150,139.99 | $ 48,376.74 | $ 198,516.73 | 44 | 32 | 63 | 139 | 374 | - 0 | - 0 | 2 | 2 | 8 | 141 | 382 | $ 425,400.10 | $ 160,780.76 | $ 586,180.86 | 108 | 132 | 152 | 392 | 1,021 | - 0 | 2 | 5 | 7 | 23 | 399 | 1,044 | $ 167,556.84 | $ 137,422.37 | $ 304,979.21 | 68 | 59 | 66 | 193 | 450 | - 0 | 3 | - 0 | 3 | 6 | 196 | 456 |
| Feb-25 | $ 93,312.74 | $ 42,898.26 | $ 136,211.00 | 44 | 31 | 63 | 138 | 372 | - 0 | - 0 | 2 | 2 | 8 | 140 | 380 | $ 371,016.39 | $ 171,694.85 | $ 542,711.24 | 110 | 130 | 151 | 391 | 1,011 | - 0 | 2 | 5 | 7 | 23 | 398 | 1,034 | $ 226,339.75 | $ 87,233.41 | $ 313,573.16 | 68 | 59 | 66 | 193 | 449 | - 0 | 3 | - 0 | 3 | 6 | 196 | 455 |
| Mar-25 | $ 168,800.48 | $ 43,927.53 | $ 212,728.01 | 45 | 31 | 63 | 139 | 374 | - 0 | - 0 | 2 | 2 | 8 | 141 | 382 | $ 635,202.65 | $ 161,114.02 | $ 796,316.67 | 111 | 130 | 150 | 391 | 1,008 | - 0 | 2 | 5 | 7 | 22 | 398 | 1,030 | $ 449,460.30 | $ 123,657.75 | $ 573,118.05 | 68 | 59 | 65 | 192 | 445 | - 0 | 3 | - 0 | 3 | 6 | 195 | 451 |
| Apr-25 | $ 106,641.89 | $ 73,044.49 | $ 179,686.38 | 47 | 31 | 63 | 141 | 375 | - 0 | - 0 | 2 | 2 | 8 | 143 | 383 | $ 599,529.76 | $ 152,987.82 | $ 752,517.58 | 113 | 130 | 149 | 392 | 1,006 | - 0 | 2 | 5 | 7 | 22 | 399 | 1,028 | $ 220,918.05 | $ 134,701.12 | $ 355,619.17 | 66 | 60 | 65 | 191 | 444 | - 0 | 3 | - 0 | 3 | 6 | 194 | 450 |
| May-25 | $ 84,891.26 | $ 64,703.20 | $ 149,594.46 | 47 | 32 | 61 | 140 | 368 | - 0 | - 0 | 2 | 2 | 8 | 142 | 376 | $ 625,222.32 | $ 218,404.79 | $ 843,627.11 | 115 | 130 | 146 | 391 | 995 | - 0 | 2 | 5 | 7 | 22 | 398 | 1,017 | $ 278,859.48 | $ 89,047.90 | $ 367,907.38 | 62 | 60 | 65 | 187 | 441 | - 0 | 3 | - 0 | 3 | 6 | 190 | 447 |
| Jun-25 | $ 206,212.69 | $ 56,251.88 | $ 262,464.57 | 47 | 32 | 62 | 141 | 371 | - 0 | - 0 | 2 | 2 | 8 | 143 | 379 | $ 741,278.59 | $ 170,941.09 | $ 912,219.68 | 116 | 131 | 146 | 393 | 998 | - 0 | 2 | 5 | 7 | 22 | 400 | 1,020 | $ 247,027.26 | $ 142,272.39 | $ 389,299.65 | 62 | 58 | 65 | 185 | 438 | - 0 | 3 | - 0 | 3 | 6 | 188 | 444 |
| Jul-25 | $ 80,313.48 | $ 19,685.18 | $ 99,998.66 | 46 | 34 | 65 | 145 | 387 | - 0 | - 0 | 2 | 2 | 8 | 147 | 395 | $ 509,356.40 | $ 53,265.78 | $ 562,622.18 | 109 | 134 | 141 | 384 | 968 | - 0 | 2 | 5 | 7 | 22 | 391 | 990 | $ 237,828.62 | $ 27,608.86 | $ 265,437.48 | 69 | 51 | 63 | 183 | 429 | - 0 | 3 | - 0 | 3 | 6 | 186 | 435 |
| Aug-25 | $ 86,589.54 | $ 57,794.99 | $ 144,384.53 | 48 | 35 | 64 | 147 | 388 | - 0 | - 0 | 2 | 2 | 8 | 149 | 396 | $ 344,655.81 | $ 117,939.54 | $ 462,595.35 | 110 | 133 | 140 | 383 | 961 | - 0 | 2 | 5 | 7 | 22 | 390 | 983 | $ 208,604.13 | $ 98,834.50 | $ 307,438.63 | 71 | 51 | 64 | 186 | 435 | - 0 | 2 | - 0 | 2 | 4 | 188 | 439 |
| Sep-25 | $ 115,110.90 | $ 54,596.40 | $ 169,707.30 | 46 | 35 | 67 | 148 | 402 | - 0 | - 0 | 2 | 2 | 8 | 150 | 410 | $ 625,735.51 | $ 147,033.12 | $ 772,768.63 | 110 | 133 | 137 | 380 | 941 | - 0 | 2 | 5 | 7 | 22 | 387 | 963 | $ 197,431.62 | $ 87,464.34 | $ 284,895.96 | 72 | 51 | 64 | 187 | 437 | - 0 | 2 | - 0 | 2 | 4 | 189 | 441 |
| Oct-25 | $ 95,491.77 | $ 56,722.76 | $ 152,214.53 | 45 | 35 | 67 | 147 | 399 | - 0 | - 0 | 2 | 2 | 8 | 149 | 407 | $ 822,969.52 | $ 147,020.09 | $ 969,989.61 | 110 | 132 | 135 | 377 | 931 | - 0 | 2 | 5 | 7 | 22 | 384 | 953 | $ 225,514.01 | $ 81,437.51 | $ 306,951.52 | 72 | 51 | 64 | 187 | 435 | - 0 | 2 | - 0 | 2 | 4 | 189 | 439 |
| Nov-25 | $ 116,459.68 | $ 53,600.78 | $ 170,060.46 | 45 | 35 | 67 | 147 | 398 | - 0 | - 0 | 2 | 2 | 8 | 149 | 406 | $ 530,390.20 | $ 141,126.08 | $ 671,516.28 | 109 | 132 | 134 | 375 | 925 | - 0 | 2 | 5 | 7 | 22 | 382 | 947 | $ 216,338.89 | $ 99,851.24 | $ 316,190.13 | 72 | 51 | 64 | 187 | 436 | - 0 | 2 | - 0 | 2 | 4 | 189 | 440 |
| Dec-25 | $ 130,658.13 | $ 38,631.12 | $ 169,289.25 | 45 | 35 | 66 | 146 | 397 | - 0 | - 0 | 2 | 2 | 8 | 148 | 405 | $ 590,519.11 | $ 153,257.32 | $ 743,776.43 | 110 | 129 | 136 | 375 | 928 | - 0 | 2 | 5 | 7 | 22 | 382 | 950 | $ 400,612.21 | $ 88,125.70 | $ 488,737.91 | 73 | 50 | 64 | 187 | 435 | - 0 | 3 | - 0 | 3 | 6 | 190 | 441 |
| Jan-26 | $ 141,446.88 | $ 30,538.38 | $ 171,985.26 | 43 | 36 | 67 | 146 | 401 | - 0 | - 0 | 2 | 2 | 8 | 148 | 409 | $ 727,852.84 | $ 165,900.51 | $ 893,753.35 | 110 | 128 | 134 | 372 | 919 | - 0 | 2 | 5 | 7 | 22 | 379 | 941 | $ 253,314.70 | $ 95,929.17 | $ 349,243.87 | 73 | 49 | 64 | 186 | 431 | - 0 | 3 | - 0 | 3 | 6 | 189 | 437 |
| Feb-26 | $ 106,716.38 | $ 44,411.97 | $ 151,128.35 | 44 | 35 | 66 | 145 | 396 | - 0 | - 0 | 2 | 2 | 8 | 147 | 404 | $ 318,960.55 | $ 120,914.92 | $ 439,875.47 | 110 | 127 | 133 | 370 | 912 | - 0 | 2 | 5 | 7 | 22 | 377 | 934 | $ 205,486.85 | $ 123,736.79 | $ 329,223.64 | 73 | 49 | 64 | 186 | 431 | - 0 | 3 | - 0 | 3 | 6 | 189 | 437 |
HDHP Claims_Enroll
| HDHP Focal Point | HDHP ValueCare | HDHP Participating | |||||||||||||||||||||||||||||||||||||||||||
| Month | Medical | Total Rx | Total Claims | Single | 2-Party | Family | Contracts | Members | ICOB Single | ICOB 2-Party | ICOB Family | ICOB Contracts | ICOB Members | Total Contracts | Total Members | Medical | Total Rx | Total Claims | Single | 2-Party | Family | Contracts | Members | ICOB Single | ICOB 2-Party | ICOB Family | ICOB Contracts | ICOB Members | Total Contracts | Total Members | Medical | Total Rx | Total Claims | Single | 2-Party | Family | Contracts | Members | ICOB Single | ICOB 2-Party | ICOB Family | ICOB Contracts | ICOB Members | Total Contracts | Total Members |
| Jul-20 | $ 28,810.03 | $ 1,749.56 | $ 30,559.59 | 46 | 13 | 36 | 95 | 227 | - 0 | - 0 | - 0 | - 0 | 95 | 227 | $ 146,462.63 | $ 14,425.87 | $ 160,888.50 | 77 | 35 | 79 | 191 | 492 | - 0 | - 0 | 1 | 1 | 5 | 192 | 497 | $ 36,759.65 | $ 2,934.26 | $ 39,693.91 | 51 | 15 | 30 | 96 | 218 | - 0 | - 0 | - 0 | - 0 | - 0 | 96 | 218 | |
| Aug-20 | $ 19,641.22 | $ 29,065.02 | $ 48,706.24 | 46 | 13 | 35 | 94 | 223 | - 0 | - 0 | - 0 | - 0 | 94 | 223 | $ 38,752.54 | $ 29,249.56 | $ 68,002.10 | 78 | 36 | 78 | 192 | 492 | - 0 | - 0 | 1 | 1 | 5 | 193 | 497 | $ 77,493.10 | $ 10,725.48 | $ 88,218.58 | 51 | 14 | 30 | 95 | 216 | - 0 | - 0 | - 0 | - 0 | - 0 | 95 | 216 | |
| Sep-20 | $ 18,205.90 | $ 1,658.24 | $ 19,864.14 | 47 | 12 | 35 | 94 | 222 | - 0 | - 0 | - 0 | - 0 | 94 | 222 | $ 29,821.51 | $ 21,825.29 | $ 51,646.80 | 77 | 37 | 77 | 191 | 490 | - 0 | - 0 | 1 | 1 | 5 | 192 | 495 | $ 60,493.26 | $ 10,400.10 | $ 70,893.36 | 51 | 15 | 31 | 97 | 223 | - 0 | - 0 | - 0 | - 0 | - 0 | 97 | 223 | |
| Oct-20 | $ 26,133.23 | $ 23,984.43 | $ 50,117.66 | 47 | 12 | 35 | 94 | 222 | - 0 | - 0 | - 0 | - 0 | 94 | 222 | $ 32,596.78 | $ 25,446.24 | $ 58,043.02 | 77 | 36 | 78 | 191 | 491 | - 0 | - 0 | 1 | 1 | 5 | 192 | 496 | $ 36,402.49 | $ 10,356.97 | $ 46,759.46 | 52 | 14 | 32 | 98 | 224 | - 0 | - 0 | - 0 | - 0 | - 0 | 98 | 224 | |
| Nov-20 | $ 19,201.39 | $ 3,632.22 | $ 22,833.61 | 47 | 12 | 36 | 95 | 225 | - 0 | - 0 | - 0 | - 0 | 95 | 225 | $ 59,478.09 | $ 25,601.50 | $ 85,079.59 | 77 | 37 | 78 | 192 | 493 | - 0 | - 0 | 1 | 1 | 5 | 193 | 498 | $ 98,369.66 | $ 10,158.07 | $ 108,527.73 | 53 | 14 | 32 | 99 | 225 | - 0 | - 0 | - 0 | - 0 | - 0 | 99 | 225 | |
| Dec-20 | $ 27,774.15 | $ 30,679.35 | $ 58,453.50 | 47 | 12 | 36 | 95 | 225 | - 0 | - 0 | - 0 | - 0 | 95 | 225 | $ 121,143.08 | $ 26,835.31 | $ 147,978.39 | 75 | 37 | 78 | 190 | 491 | - 0 | - 0 | 1 | 1 | 5 | 191 | 496 | $ 59,483.92 | $ 13,673.76 | $ 73,157.68 | 54 | 14 | 31 | 99 | 221 | - 0 | - 0 | - 0 | - 0 | - 0 | 99 | 221 | |
| Jan-21 | $ 17,018.47 | $ 24,379.94 | $ 41,398.41 | 45 | 13 | 37 | 95 | 229 | - 0 | - 0 | - 0 | - 0 | 95 | 229 | $ 96,654.43 | $ 28,472.42 | $ 125,126.85 | 80 | 38 | 78 | 196 | 498 | - 0 | - 0 | 1 | 1 | 5 | 197 | 503 | $ 75,773.28 | $ 8,420.58 | $ 84,193.86 | 55 | 14 | 30 | 99 | 214 | - 0 | - 0 | - 0 | - 0 | - 0 | 99 | 214 | |
| Feb-21 | $ 21,244.97 | $ 1,258.46 | $ 22,503.43 | 46 | 12 | 38 | 96 | 230 | - 0 | - 0 | - 0 | - 0 | 96 | 230 | $ 83,250.60 | $ 30,157.02 | $ 113,407.62 | 78 | 40 | 77 | 195 | 497 | - 0 | - 0 | 1 | 1 | 5 | 196 | 502 | $ 112,065.01 | $ 20,334.07 | $ 132,399.08 | 56 | 14 | 29 | 99 | 214 | - 0 | - 0 | - 0 | - 0 | - 0 | 99 | 214 | |
| Mar-21 | $ 23,780.16 | $ 24,014.84 | $ 47,795.00 | 46 | 12 | 38 | 96 | 230 | - 0 | - 0 | - 0 | - 0 | 96 | 230 | $ 132,624.99 | $ 31,267.88 | $ 163,892.87 | 76 | 40 | 77 | 193 | 494 | - 0 | - 0 | 1 | 1 | 5 | 194 | 499 | $ 125,636.17 | $ 10,298.73 | $ 135,934.90 | 56 | 15 | 29 | 100 | 216 | - 0 | - 0 | - 0 | - 0 | - 0 | 100 | 216 | |
| Apr-21 | $ 17,734.45 | $ 2,890.98 | $ 20,625.43 | 46 | 12 | 37 | 95 | 227 | - 0 | - 0 | - 0 | - 0 | 95 | 227 | $ 145,671.73 | $ 33,933.52 | $ 179,605.25 | 79 | 38 | 78 | 195 | 499 | - 0 | - 0 | 1 | 1 | 5 | 196 | 504 | $ 77,797.49 | $ 12,412.05 | $ 90,209.54 | 57 | 16 | 29 | 102 | 218 | - 0 | - 0 | - 0 | - 0 | - 0 | 102 | 218 | |
| May-21 | $ 31,277.29 | $ 3,080.61 | $ 34,357.90 | 46 | 12 | 37 | 95 | 227 | - 0 | - 0 | - 0 | - 0 | 95 | 227 | $ 210,378.49 | $ 28,659.91 | $ 239,038.40 | 83 | 36 | 79 | 198 | 501 | - 0 | - 0 | 1 | 1 | 5 | 199 | 506 | $ 266,453.31 | $ 17,914.41 | $ 284,367.72 | 59 | 16 | 29 | 104 | 220 | - 0 | - 0 | - 0 | - 0 | - 0 | 104 | 220 | |
| Jun-21 | $ 16,562.99 | $ 25,551.63 | $ 42,114.62 | 47 | 12 | 37 | 96 | 228 | - 0 | - 0 | - 0 | - 0 | 96 | 228 | $ 167,147.07 | $ 41,475.67 | $ 208,622.74 | 84 | 36 | 78 | 198 | 499 | - 0 | - 0 | 1 | 1 | 5 | 199 | 504 | $ 152,139.54 | $ 21,434.23 | $ 173,573.77 | 58 | 16 | 30 | 104 | 222 | - 0 | - 0 | - 0 | - 0 | - 0 | 104 | 222 | |
| Jul-21 | $ 12,287.75 | $ 2,033.03 | $ 14,320.78 | 61 | 12 | 39 | 112 | 247 | - 0 | - 0 | - 0 | - 0 | - 0 | 112 | 247 | $ 62,988.33 | $ 13,550.85 | $ 76,539.18 | 90 | 34 | 80 | 204 | 515 | - 0 | - 0 | 1 | 1 | 5 | 205 | 520 | $ 118,464.43 | $ 1,681.00 | $ 120,145.43 | 59 | 14 | 31 | 104 | 224 | - 0 | - 0 | - 0 | - 0 | - 0 | 104 | 224 |
| Aug-21 | $ 12,828.59 | $ 2,233.83 | $ 15,062.42 | 60 | 14 | 36 | 110 | 240 | - 0 | - 0 | - 0 | - 0 | - 0 | 110 | 240 | $ 40,195.11 | $ 21,741.96 | $ 61,937.07 | 87 | 32 | 82 | 201 | 514 | - 0 | - 0 | 1 | 1 | 5 | 202 | 519 | $ 82,848.31 | $ 9,271.15 | $ 92,119.46 | 54 | 16 | 32 | 102 | 227 | - 0 | - 0 | - 0 | - 0 | - 0 | 102 | 227 |
| Sep-21 | $ 37,122.42 | $ 2,759.81 | $ 39,882.23 | 62 | 14 | 37 | 113 | 248 | - 0 | - 0 | - 0 | - 0 | - 0 | 113 | 248 | $ 72,009.46 | $ 28,845.08 | $ 100,854.54 | 89 | 33 | 82 | 204 | 517 | - 0 | - 0 | 1 | 1 | 5 | 205 | 522 | $ 83,820.23 | $ 9,533.30 | $ 93,353.53 | 53 | 16 | 37 | 106 | 242 | - 0 | - 0 | - 0 | - 0 | - 0 | 106 | 242 |
| Oct-21 | $ 93,622.43 | $ 4,058.90 | $ 97,681.33 | 64 | 14 | 37 | 115 | 250 | - 0 | - 0 | - 0 | - 0 | - 0 | 115 | 250 | $ 60,410.71 | $ 24,538.59 | $ 84,949.30 | 89 | 33 | 81 | 203 | 510 | - 0 | - 0 | 1 | 1 | 5 | 204 | 515 | $ 111,207.63 | $ 10,024.62 | $ 121,232.25 | 51 | 16 | 37 | 104 | 240 | - 0 | - 0 | - 0 | - 0 | - 0 | 104 | 240 |
| Nov-21 | $ 45,123.85 | $ 2,611.83 | $ 47,735.68 | 64 | 13 | 38 | 115 | 250 | - 0 | - 0 | - 0 | - 0 | - 0 | 115 | 250 | $ 115,021.07 | $ 28,018.65 | $ 143,039.72 | 92 | 32 | 79 | 203 | 505 | - 0 | - 0 | 1 | 1 | 5 | 204 | 510 | $ 208,233.16 | $ 10,617.69 | $ 218,850.85 | 50 | 16 | 37 | 103 | 236 | - 0 | - 0 | - 0 | - 0 | - 0 | 103 | 236 |
| Dec-21 | $ 28,747.14 | $ 27,512.79 | $ 56,259.93 | 66 | 13 | 37 | 116 | 249 | - 0 | - 0 | - 0 | - 0 | - 0 | 116 | 249 | $ 130,829.80 | $ 31,836.95 | $ 162,666.75 | 88 | 32 | 80 | 200 | 506 | - 0 | - 0 | 1 | 1 | 5 | 201 | 511 | $ 121,009.64 | $ 20,593.26 | $ 141,602.90 | 50 | 16 | 36 | 102 | 233 | - 0 | - 0 | - 0 | - 0 | - 0 | 102 | 233 |
| Jan-22 | $ 36,028.81 | $ 30,165.15 | $ 66,193.96 | 68 | 14 | 37 | 119 | 253 | - 0 | - 0 | - 0 | - 0 | - 0 | 119 | 253 | $ 112,794.80 | $ 46,580.30 | $ 159,375.10 | 91 | 32 | 81 | 204 | 517 | - 0 | - 0 | 1 | 1 | 5 | 205 | 522 | $ 92,836.71 | $ 15,074.59 | $ 107,911.30 | 49 | 16 | 36 | 101 | 232 | - 0 | - 0 | - 0 | - 0 | - 0 | 101 | 232 |
| Feb-22 | $ 53,461.55 | $ 9,941.68 | $ 63,403.23 | 67 | 14 | 39 | 120 | 260 | - 0 | - 0 | - 0 | - 0 | - 0 | 120 | 260 | $ 64,402.76 | $ 16,825.99 | $ 81,228.75 | 91 | 31 | 77 | 199 | 502 | - 0 | - 0 | 1 | 1 | 5 | 200 | 507 | $ 188,890.39 | $ 19,578.91 | $ 208,469.30 | 47 | 15 | 38 | 100 | 234 | - 0 | - 0 | - 0 | - 0 | - 0 | 100 | 234 |
| Mar-22 | $ 22,306.13 | $ 57,818.98 | $ 80,125.11 | 65 | 13 | 40 | 118 | 259 | - 0 | - 0 | - 0 | - 0 | - 0 | 118 | 259 | $ 92,346.23 | $ 32,467.65 | $ 124,813.88 | 88 | 34 | 76 | 198 | 500 | - 0 | - 0 | 1 | 1 | 5 | 199 | 505 | $ 160,065.83 | $ 16,888.43 | $ 176,954.26 | 49 | 15 | 40 | 104 | 243 | - 0 | - 0 | - 0 | - 0 | - 0 | 104 | 243 |
| Apr-22 | $ 22,047.00 | $ 30,788.22 | $ 52,835.22 | 65 | 12 | 39 | 116 | 253 | - 0 | - 0 | - 0 | - 0 | - 0 | 116 | 253 | $ 73,158.27 | $ 41,490.97 | $ 114,649.24 | 87 | 35 | 74 | 196 | 493 | - 0 | - 0 | 1 | 1 | 5 | 197 | 498 | $ 185,970.46 | $ 14,728.74 | $ 200,699.20 | 47 | 15 | 40 | 102 | 241 | - 0 | - 0 | - 0 | - 0 | - 0 | 102 | 241 |
| May-22 | $ 48,914.24 | $ 32,208.63 | $ 81,122.87 | 66 | 12 | 39 | 117 | 254 | - 0 | - 0 | - 0 | - 0 | - 0 | 117 | 254 | $ 127,719.35 | $ 40,711.39 | $ 168,430.74 | 85 | 35 | 75 | 195 | 492 | - 0 | - 0 | 1 | 1 | 5 | 196 | 497 | $ 63,644.74 | $ 16,295.54 | $ 79,940.28 | 45 | 14 | 39 | 98 | 231 | - 0 | - 0 | - 0 | - 0 | - 0 | 98 | 231 |
| Jun-22 | $ 41,694.16 | $ 33,656.44 | $ 75,350.60 | 62 | 13 | 39 | 114 | 252 | - 0 | - 0 | - 0 | - 0 | - 0 | 114 | 252 | $ 157,763.08 | $ 34,141.44 | $ 191,904.52 | 85 | 36 | 76 | 197 | 497 | - 0 | - 0 | 1 | 1 | 5 | 198 | 502 | $ 91,851.51 | $ 30,321.21 | $ 122,172.72 | 47 | 14 | 42 | 103 | 250 | - 0 | - 0 | - 0 | - 0 | - 0 | 103 | 250 |
| Jul-22 | $ 66,319.60 | $ 22,544.68 | $ 88,864.28 | 55 | 15 | 42 | 112 | 268 | - 0 | - 0 | - 0 | - 0 | - 0 | 112 | 268 | $ 64,505.11 | $ 6,834.48 | $ 71,339.59 | 95 | 39 | 74 | 208 | 499 | - 0 | - 0 | 3 | 3 | 12 | 211 | 511 | $ 47,393.88 | $ 2,964.61 | $ 50,358.49 | 50 | 16 | 37 | 103 | 239 | - 0 | - 0 | - 0 | - 0 | - 0 | 103 | 239 |
| Aug-22 | $ 18,572.76 | $ 27,472.49 | $ 46,045.25 | 59 | 15 | 44 | 118 | 279 | - 0 | - 0 | - 0 | - 0 | - 0 | 118 | 279 | $ 66,069.25 | $ 26,760.35 | $ 92,829.60 | 97 | 39 | 73 | 209 | 502 | - 0 | - 0 | 3 | 3 | 7 | 212 | 509 | $ 55,075.89 | $ 15,783.45 | $ 70,859.34 | 53 | 15 | 38 | 106 | 242 | - 0 | - 0 | - 0 | - 0 | - 0 | 106 | 242 |
| Sep-22 | $ 38,281.10 | $ 55,118.81 | $ 93,399.91 | 57 | 15 | 44 | 116 | 277 | - 0 | - 0 | - 0 | - 0 | - 0 | 116 | 277 | $ 108,908.90 | $ 27,119.94 | $ 136,028.84 | 98 | 38 | 73 | 209 | 503 | - 0 | - 0 | 3 | 3 | 7 | 212 | 510 | $ 141,947.42 | $ 10,920.76 | $ 152,868.18 | 56 | 16 | 38 | 110 | 249 | - 0 | - 0 | - 0 | - 0 | - 0 | 110 | 249 |
| Oct-22 | $ 49,809.87 | $ 33,858.68 | $ 83,668.55 | 58 | 14 | 44 | 116 | 279 | - 0 | - 0 | - 0 | - 0 | - 0 | 116 | 279 | $ 55,211.30 | $ 29,249.91 | $ 84,461.21 | 96 | 39 | 74 | 209 | 502 | - 0 | - 0 | 3 | 3 | 7 | 212 | 509 | $ 39,955.14 | $ 10,336.08 | $ 50,291.22 | 60 | 16 | 38 | 114 | 254 | - 0 | - 0 | - 0 | - 0 | - 0 | 114 | 254 |
| Nov-22 | $ 80,088.43 | $ 42,708.30 | $ 122,796.73 | 62 | 15 | 45 | 122 | 290 | - 0 | - 0 | - 0 | - 0 | - 0 | 122 | 290 | $ 64,149.66 | $ 33,739.60 | $ 97,889.26 | 97 | 40 | 74 | 211 | 503 | - 0 | - 0 | 3 | 3 | 7 | 214 | 510 | $ 33,736.91 | $ 25,336.07 | $ 59,072.98 | 61 | 16 | 37 | 114 | 251 | - 0 | - 0 | - 0 | - 0 | - 0 | 114 | 251 |
| Dec-22 | $ 37,162.56 | $ 34,639.15 | $ 71,801.71 | 63 | 15 | 46 | 124 | 294 | - 0 | - 0 | - 0 | - 0 | - 0 | 124 | 294 | $ 63,731.38 | $ 33,118.04 | $ 96,849.42 | 96 | 40 | 73 | 209 | 495 | - 0 | - 0 | 3 | 3 | 7 | 212 | 502 | $ 64,405.58 | $ 20,697.38 | $ 85,102.96 | 61 | 17 | 37 | 115 | 253 | - 0 | - 0 | - 0 | - 0 | - 0 | 115 | 253 |
| Jan-23 | $ 57,177.45 | $ 63,656.11 | $ 120,833.56 | 67 | 15 | 46 | 128 | 299 | - 0 | - 0 | - 0 | - 0 | - 0 | 128 | 299 | $ 134,801.12 | $ 21,785.55 | $ 156,586.67 | 93 | 41 | 74 | 208 | 499 | - 0 | - 0 | 3 | 3 | 7 | 211 | 506 | $ 98,347.63 | $ 15,082.57 | $ 113,430.20 | 63 | 17 | 38 | 118 | 258 | - 0 | - 0 | - 0 | - 0 | - 0 | 118 | 258 |
| Feb-23 | $ 49,899.77 | $ 36,649.74 | $ 86,549.51 | 67 | 15 | 47 | 129 | 301 | - 0 | - 0 | - 0 | - 0 | - 0 | 129 | 301 | $ 104,796.60 | $ 32,803.93 | $ 137,600.53 | 95 | 41 | 72 | 208 | 497 | - 0 | - 0 | 3 | 3 | 7 | 211 | 504 | $ 32,224.34 | $ 32,399.67 | $ 64,624.01 | 64 | 17 | 40 | 121 | 270 | - 0 | - 0 | - 0 | - 0 | - 0 | 121 | 270 |
| Mar-23 | $ 28,567.94 | $ 35,873.95 | $ 64,441.89 | 66 | 13 | 47 | 126 | 296 | - 0 | - 0 | - 0 | - 0 | - 0 | 126 | 296 | $ 67,170.71 | $ 36,468.63 | $ 103,639.34 | 94 | 42 | 72 | 208 | 498 | - 0 | - 0 | 3 | 3 | 7 | 211 | 505 | $ 76,175.55 | $ 40,309.03 | $ 116,484.58 | 64 | 17 | 40 | 121 | 270 | - 0 | - 0 | - 0 | - 0 | - 0 | 121 | 270 |
| Apr-23 | $ 41,600.00 | $ 64,307.42 | $ 105,907.42 | 68 | 14 | 47 | 129 | 299 | - 0 | - 0 | - 0 | - 0 | - 0 | 129 | 299 | $ 245,761.71 | $ 51,140.64 | $ 296,902.35 | 94 | 41 | 72 | 207 | 493 | - 0 | - 0 | 2 | 2 | 7 | 209 | 500 | $ 96,257.46 | $ 17,665.16 | $ 113,922.62 | 66 | 19 | 40 | 125 | 277 | - 0 | - 0 | - 0 | - 0 | - 0 | 125 | 277 |
| May-23 | $ 86,349.51 | $ (11,107.07) | $ 75,242.44 | 72 | 17 | 48 | 137 | 312 | - 0 | - 0 | - 0 | - 0 | - 0 | 137 | 312 | $ 154,548.02 | $ 42,006.33 | $ 196,554.35 | 93 | 40 | 72 | 205 | 497 | - 0 | - 0 | 2 | 2 | 7 | 207 | 504 | $ 96,683.10 | $ 36,161.28 | $ 132,844.38 | 65 | 20 | 40 | 125 | 278 | - 0 | - 0 | - 0 | - 0 | - 0 | 125 | 278 |
| Jun-23 | $ 77,236.11 | $ 40,826.20 | $ 118,062.31 | 75 | 17 | 49 | 141 | 318 | - 0 | - 0 | - 0 | - 0 | - 0 | 141 | 318 | $ 136,709.78 | $ 46,137.22 | $ 182,847.00 | 93 | 40 | 72 | 205 | 492 | - 0 | - 0 | 2 | 2 | 7 | 207 | 499 | $ 123,408.89 | $ 47,811.37 | $ 171,220.26 | 65 | 20 | 42 | 127 | 281 | - 0 | - 0 | - 0 | - 0 | - 0 | 127 | 281 |
| Jul-23 | $ 90,523.71 | $ 51,507.61 | $ 142,031.32 | 76 | 17 | 55 | 148 | 341 | - 0 | - 0 | - 0 | - 0 | - 0 | 148 | 341 | $ 98,472.85 | $ 13,166.21 | $ 111,639.06 | 91 | 39 | 79 | 209 | 511 | - 0 | - 0 | 2 | 2 | 7 | 211 | 518 | $ 98,363.00 | $ 10,735.98 | $ 109,098.98 | 62 | 21 | 38 | 121 | 268 | - 0 | - 0 | - 0 | - 0 | - 0 | 121 | 268 |
| Aug-23 | $ 36,500.20 | $ 35,858.92 | $ 72,359.12 | 81 | 16 | 59 | 156 | 362 | - 0 | - 0 | - 0 | - 0 | - 0 | 156 | 362 | $ 72,132.64 | $ 31,772.98 | $ 103,905.62 | 95 | 39 | 80 | 214 | 520 | - 0 | - 0 | 2 | 2 | 7 | 216 | 527 | $ 23,328.56 | $ 30,355.11 | $ 53,683.67 | 64 | 24 | 39 | 127 | 279 | - 0 | - 0 | - 0 | - 0 | - 0 | 127 | 279 |
| Sep-23 | $ 38,887.57 | $ 36,305.77 | $ 75,193.34 | 80 | 17 | 60 | 157 | 366 | - 0 | - 0 | - 0 | - 0 | - 0 | 157 | 366 | $ 58,264.61 | $ 28,691.77 | $ 86,956.38 | 96 | 38 | 78 | 212 | 507 | - 0 | - 0 | 2 | 2 | 7 | 214 | 514 | $ 53,313.93 | $ 33,195.51 | $ 86,509.44 | 66 | 23 | 37 | 126 | 270 | - 0 | - 0 | - 0 | - 0 | - 0 | 126 | 270 |
| Oct-23 | $ 45,321.24 | $ 41,479.32 | $ 86,800.56 | 78 | 17 | 61 | 156 | 370 | - 0 | - 0 | - 0 | - 0 | - 0 | 156 | 370 | $ 88,463.63 | $ 28,312.78 | $ 116,776.41 | 98 | 40 | 78 | 216 | 515 | - 0 | - 0 | 2 | 2 | 7 | 218 | 522 | $ (31,736.21) | $ 15,889.00 | $ (15,847.21) | 69 | 23 | 38 | 130 | 274 | - 0 | - 0 | - 0 | - 0 | - 0 | 130 | 274 |
| Nov-23 | $ 28,162.29 | $ 39,292.19 | $ 67,454.48 | 82 | 16 | 61 | 159 | 372 | - 0 | - 0 | - 0 | - 0 | - 0 | 159 | 372 | $ 93,618.19 | $ 43,464.95 | $ 137,083.14 | 98 | 39 | 78 | 215 | 512 | - 0 | - 0 | 2 | 2 | 7 | 217 | 519 | $ 36,341.57 | $ 43,976.37 | $ 80,317.94 | 71 | 23 | 38 | 132 | 277 | - 0 | - 0 | - 0 | - 0 | - 0 | 132 | 277 |
| Dec-23 | $ 41,268.15 | $ (1,945.66) | $ 39,322.49 | 83 | 16 | 61 | 160 | 373 | - 0 | - 0 | - 0 | - 0 | - 0 | 160 | 373 | $ 83,977.46 | $ 37,292.26 | $ 121,269.72 | 101 | 39 | 80 | 220 | 529 | - 0 | - 0 | 2 | 2 | 7 | 222 | 536 | $ 89,631.98 | $ 30,972.18 | $ 120,604.16 | 71 | 23 | 38 | 132 | 277 | - 0 | - 0 | - 0 | - 0 | - 0 | 132 | 277 |
| Jan-24 | $ 58,140.82 | $ 19,678.16 | $ 77,818.98 | 84 | 16 | 63 | 163 | 380 | - 0 | - 0 | - 0 | - 0 | - 0 | 163 | 380 | $ 221,597.48 | $ 52,324.27 | $ 273,921.75 | 100 | 39 | 78 | 217 | 520 | - 0 | - 0 | 2 | 2 | 7 | 219 | 527 | $ 200,864.94 | $ 29,833.45 | $ 230,698.39 | 75 | 22 | 42 | 139 | 294 | - 0 | - 0 | - 0 | - 0 | - 0 | 139 | 294 |
| Feb-24 | $ 68,827.21 | $ 11,792.30 | $ 80,619.51 | 83 | 16 | 63 | 162 | 379 | - 0 | - 0 | - 0 | - 0 | - 0 | 162 | 379 | $ 77,491.76 | $ 39,298.74 | $ 116,790.50 | 100 | 39 | 77 | 216 | 517 | - 0 | - 0 | 2 | 2 | 7 | 218 | 524 | $ 96,575.39 | $ 38,573.04 | $ 135,148.43 | 73 | 20 | 43 | 136 | 291 | - 0 | - 0 | - 0 | - 0 | - 0 | 136 | 291 |
| Mar-24 | $ 31,172.65 | $ 48,713.32 | $ 79,885.97 | 84 | 16 | 64 | 164 | 385 | - 0 | - 0 | - 0 | - 0 | - 0 | 164 | 385 | $ 104,951.54 | $ 71,175.50 | $ 176,127.04 | 99 | 38 | 76 | 213 | 509 | - 0 | - 0 | 2 | 2 | 7 | 215 | 516 | $ 82,447.11 | $ 49,221.41 | $ 131,668.52 | 72 | 20 | 43 | 135 | 290 | - 0 | - 0 | - 0 | - 0 | - 0 | 135 | 290 |
| Apr-24 | $ 85,329.04 | $ 21,854.83 | $ 107,183.87 | 88 | 16 | 64 | 168 | 389 | - 0 | - 0 | - 0 | - 0 | - 0 | 168 | 389 | $ 239,384.75 | $ 67,917.70 | $ 307,302.45 | 100 | 38 | 77 | 215 | 513 | - 0 | - 0 | 2 | 2 | 7 | 217 | 520 | $ 278,641.70 | $ 34,438.87 | $ 313,080.57 | 71 | 20 | 42 | 133 | 283 | - 0 | - 0 | - 0 | - 0 | - 0 | 133 | 283 |
| May-24 | $ 60,166.19 | $ 36,404.71 | $ 96,570.90 | 90 | 16 | 63 | 169 | 387 | - 0 | - 0 | - 0 | - 0 | - 0 | 169 | 387 | $ 134,061.51 | $ 78,452.21 | $ 212,513.72 | 100 | 37 | 77 | 214 | 509 | - 0 | - 0 | 2 | 2 | 7 | 216 | 516 | $ 51,647.55 | $ 36,485.04 | $ 88,132.59 | 71 | 19 | 44 | 134 | 291 | - 0 | - 0 | - 0 | - 0 | - 0 | 134 | 291 |
| Jun-24 | $ 105,989.93 | $ 17,500.05 | $ 123,489.98 | 91 | 16 | 61 | 168 | 378 | - 0 | - 0 | - 0 | - 0 | - 0 | 168 | 378 | $ 145,729.08 | $ 43,380.86 | $ 189,109.94 | 100 | 37 | 77 | 214 | 509 | - 0 | - 0 | 2 | 2 | 7 | 216 | 516 | $ 126,426.03 | $ 51,789.04 | $ 178,215.07 | 72 | 19 | 43 | 134 | 286 | - 0 | - 0 | - 0 | - 0 | - 0 | 134 | 286 |
| Jul-24 | $ 62,651.10 | $ 29,787.41 | $ 92,438.51 | 94 | 22 | 60 | 176 | 377 | - 0 | - 0 | - 0 | - 0 | - 0 | 176 | 377 | $ 251,303.21 | $ 33,468.04 | $ 284,771.25 | 98 | 41 | 77 | 216 | 510 | - 0 | 1 | 2 | 3 | 9 | 219 | 519 | $ 65,378.22 | $ 83,427.25 | $ 148,805.47 | 74 | 19 | 45 | 138 | 288 | - 0 | - 0 | - 0 | - 0 | - 0 | 138 | 288 |
| Aug-24 | $ 39,164.00 | $ 10,804.84 | $ 49,968.84 | 100 | 24 | 62 | 186 | 394 | - 0 | - 0 | - 0 | - 0 | - 0 | 186 | 394 | $ 72,745.59 | $ 26,053.70 | $ 98,799.29 | 103 | 42 | 78 | 223 | 523 | - 0 | 1 | 2 | 3 | 9 | 226 | 532 | $ 101,208.55 | $ 43,402.43 | $ 144,610.98 | 74 | 18 | 49 | 141 | 300 | - 0 | - 0 | - 0 | - 0 | - 0 | 141 | 300 |
| Sep-24 | $ 75,022.49 | $ 40,651.98 | $ 115,674.47 | 100 | 24 | 63 | 187 | 398 | - 0 | - 0 | - 0 | - 0 | - 0 | 187 | 398 | $ 136,649.42 | $ 31,356.60 | $ 168,006.02 | 99 | 41 | 79 | 219 | 523 | - 0 | 1 | 2 | 3 | 9 | 222 | 532 | $ 335,401.20 | $ 85,008.15 | $ 420,409.35 | 72 | 19 | 49 | 140 | 301 | - 0 | - 0 | - 0 | - 0 | - 0 | 140 | 301 |
| Oct-24 | $ 105,431.35 | $ 35,713.97 | $ 141,145.32 | 102 | 24 | 62 | 188 | 395 | - 0 | - 0 | - 0 | - 0 | - 0 | 188 | 395 | $ 145,966.10 | $ 50,896.95 | $ 196,863.05 | 96 | 41 | 78 | 215 | 517 | - 0 | 1 | 2 | 3 | 9 | 218 | 526 | $ 248,594.74 | $ 47,326.90 | $ 295,921.64 | 71 | 20 | 50 | 141 | 305 | - 0 | - 0 | - 0 | - 0 | - 0 | 141 | 305 |
| Nov-24 | $ 72,056.30 | $ 42,220.92 | $ 114,277.22 | 101 | 24 | 63 | 188 | 397 | - 0 | - 0 | - 0 | - 0 | - 0 | 188 | 397 | $ 120,465.96 | $ 50,385.30 | $ 170,851.26 | 95 | 43 | 78 | 216 | 518 | - 0 | 1 | 2 | 3 | 9 | 219 | 527 | $ 103,196.94 | $ 84,328.66 | $ 187,525.60 | 70 | 21 | 50 | 141 | 308 | - 0 | - 0 | - 0 | - 0 | - 0 | 141 | 308 |
| Dec-24 | $ 139,095.14 | $ 46,434.60 | $ 185,529.74 | 100 | 23 | 65 | 188 | 401 | - 0 | - 0 | - 0 | - 0 | - 0 | 188 | 401 | $ 122,111.46 | $ 43,587.84 | $ 165,699.30 | 96 | 43 | 78 | 217 | 520 | - 0 | 1 | 2 | 3 | 9 | 220 | 529 | $ 262,366.82 | $ 52,538.96 | $ 314,905.78 | 71 | 22 | 50 | 143 | 311 | - 0 | - 0 | - 0 | - 0 | - 0 | 143 | 311 |
| Jan-25 | $ 136,932.94 | $ 12,269.74 | $ 149,202.68 | 101 | 22 | 66 | 189 | 404 | - 0 | - 0 | - 0 | - 0 | - 0 | 189 | 404 | $ 238,328.36 | $ 58,825.09 | $ 297,153.45 | 98 | 42 | 76 | 216 | 509 | - 0 | 1 | 2 | 3 | 9 | 219 | 518 | $ 157,268.65 | $ 74,800.86 | $ 232,069.51 | 73 | 22 | 50 | 145 | 315 | - 0 | - 0 | - 0 | - 0 | - 0 | 145 | 315 |
| Feb-25 | $ 111,960.19 | $ 37,564.90 | $ 149,525.09 | 100 | 22 | 67 | 189 | 406 | - 0 | - 0 | - 0 | - 0 | - 0 | 189 | 406 | $ 240,965.79 | $ 51,687.21 | $ 292,653.00 | 99 | 42 | 74 | 215 | 504 | - 0 | 1 | 2 | 3 | 9 | 218 | 513 | $ 173,465.89 | $ 62,851.77 | $ 236,317.66 | 73 | 22 | 50 | 145 | 316 | - 0 | - 0 | - 0 | - 0 | - 0 | 145 | 316 |
| Mar-25 | $ 150,654.13 | $ 26,678.37 | $ 177,332.50 | 100 | 23 | 66 | 189 | 403 | - 0 | - 0 | - 0 | - 0 | - 0 | 189 | 403 | $ 177,727.85 | $ 75,909.23 | $ 253,637.08 | 99 | 42 | 74 | 215 | 504 | - 0 | 1 | 2 | 3 | 9 | 218 | 513 | $ 167,002.59 | $ 35,307.03 | $ 202,309.62 | 75 | 21 | 51 | 147 | 322 | - 0 | - 0 | - 0 | - 0 | - 0 | 147 | 322 |
| Apr-25 | $ 38,429.29 | $ 31,110.69 | $ 69,539.98 | 104 | 24 | 66 | 194 | 409 | - 0 | - 0 | - 0 | - 0 | - 0 | 194 | 409 | $ 135,544.16 | $ 59,404.21 | $ 194,948.37 | 101 | 41 | 73 | 215 | 501 | - 0 | 1 | 2 | 3 | 9 | 218 | 510 | $ 120,996.81 | $ 64,440.75 | $ 185,437.56 | 76 | 20 | 51 | 147 | 322 | - 0 | - 0 | - 0 | - 0 | - 0 | 147 | 322 |
| May-25 | $ 139,305.35 | $ 64,360.19 | $ 203,665.54 | 105 | 24 | 66 | 195 | 410 | - 0 | - 0 | - 0 | - 0 | - 0 | 195 | 410 | $ 207,303.62 | $ 59,523.14 | $ 266,826.76 | 98 | 40 | 73 | 211 | 497 | - 0 | 1 | 2 | 3 | 9 | 214 | 506 | $ 202,467.04 | $ 99,930.10 | $ 302,397.14 | 77 | 20 | 50 | 147 | 320 | - 0 | - 0 | - 0 | - 0 | - 0 | 147 | 320 |
| Jun-25 | $ 111,671.05 | $ 32,179.68 | $ 143,850.73 | 103 | 22 | 65 | 190 | 399 | - 0 | - 0 | - 0 | - 0 | - 0 | 190 | 399 | $ 146,032.24 | $ 59,184.37 | $ 205,216.61 | 97 | 41 | 72 | 210 | 495 | - 0 | 1 | 2 | 3 | 9 | 213 | 504 | $ 109,413.88 | $ 45,965.82 | $ 155,379.70 | 76 | 19 | 48 | 143 | 308 | - 0 | - 0 | - 0 | - 0 | - 0 | 143 | 308 |
| Jul-25 | $ 139,859.82 | $ 7,335.13 | $ 147,194.95 | 101 | 25 | 63 | 189 | 391 | - 0 | - 0 | - 0 | - 0 | - 0 | 189 | 395 | $ 124,176.35 | $ 10,995.23 | $ 135,171.58 | 92 | 41 | 75 | 208 | 507 | - 0 | 2 | 2 | 4 | 11 | 212 | 518 | $ 85,380.09 | $ 25,827.89 | $ 111,207.98 | 74 | 21 | 49 | 144 | 315 | - 0 | - 0 | - 0 | - 0 | - 0 | 144 | 315 |
| Aug-25 | $ 52,911.99 | $ 27,526.52 | $ 80,438.51 | 106 | 28 | 66 | 200 | 417 | - 0 | - 0 | - 0 | - 0 | - 0 | 200 | 421 | $ 113,803.04 | $ 27,580.35 | $ 141,383.39 | 90 | 39 | 78 | 207 | 518 | - 0 | 2 | 2 | 4 | 11 | 211 | 529 | $ 59,652.24 | $ 8,269.20 | $ 67,921.44 | 75 | 22 | 49 | 146 | 319 | - 0 | - 0 | - 0 | - 0 | - 0 | 146 | 319 |
| Sep-25 | $ 168,705.92 | $ 28,629.67 | $ 197,335.59 | 103 | 28 | 68 | 199 | 427 | - 0 | - 0 | - 0 | - 0 | - 0 | 199 | 430 | $ 99,391.48 | $ 45,841.32 | $ 145,232.80 | 88 | 40 | 80 | 208 | 529 | - 0 | 2 | 2 | 4 | 11 | 212 | 540 | $ 93,308.00 | $ 54,163.19 | $ 147,471.19 | 79 | 19 | 49 | 147 | 317 | - 0 | - 0 | - 0 | - 0 | - 0 | 147 | 317 |
| Oct-25 | $ 95,886.61 | $ 46,416.83 | $ 142,303.44 | 100 | 31 | 67 | 198 | 426 | - 0 | - 0 | - 0 | - 0 | - 0 | 198 | 429 | $ 90,774.63 | $ 50,121.75 | $ 140,896.38 | 90 | 41 | 81 | 212 | 537 | - 0 | 2 | 2 | 4 | 11 | 216 | 548 | $ 147,632.23 | $ 25,972.65 | $ 173,604.88 | 80 | 19 | 49 | 148 | 318 | - 0 | - 0 | - 0 | - 0 | - 0 | 148 | 318 |
| Nov-25 | $ 96,152.66 | $ 21,075.17 | $ 117,227.83 | 102 | 31 | 66 | 199 | 419 | - 0 | - 0 | - 0 | - 0 | - 0 | 199 | 426 | $ 199,873.54 | $ 46,737.94 | $ 246,611.48 | 86 | 42 | 81 | 209 | 535 | - 0 | 2 | 2 | 4 | 11 | 213 | 546 | $ 103,307.46 | $ 37,518.11 | $ 140,825.57 | 81 | 20 | 49 | 150 | 321 | - 0 | - 0 | - 0 | - 0 | - 0 | 150 | 321 |
| Dec-25 | $ 154,376.01 | $ 25,238.67 | $ 179,614.68 | 102 | 31 | 66 | 199 | 425 | - 0 | - 0 | - 0 | - 0 | - 0 | 199 | 425 | $ 120,172.79 | $ 52,628.86 | $ 172,801.65 | 86 | 42 | 81 | 209 | 535 | - 0 | 2 | 2 | 4 | 11 | 213 | 546 | $ 103,342.67 | $ 13,259.74 | $ 116,602.41 | 82 | 19 | 50 | 151 | 323 | - 0 | - 0 | - 0 | - 0 | - 0 | 151 | 323 |
| Jan-26 | $ 99,952.81 | $ 56,365.53 | $ 156,318.34 | 100 | 31 | 65 | 196 | 420 | - 0 | - 0 | - 0 | - 0 | - 0 | 196 | 420 | $ 273,808.38 | $ 54,526.85 | $ 328,335.23 | 80 | 44 | 82 | 206 | 536 | - 0 | 2 | 2 | 4 | 11 | 210 | 547 | $ 106,972.28 | $ 50,011.96 | $ 156,984.24 | 81 | 19 | 50 | 150 | 324 | - 0 | - 0 | - 0 | - 0 | - 0 | 150 | 324 |
| Feb-26 | $ 141,634.67 | $ 31,988.05 | $ 173,622.72 | 103 | 31 | 64 | 198 | 419 | - 0 | - 0 | - 0 | - 0 | - 0 | 198 | 419 | $ 142,529.14 | $ 58,088.42 | $ 200,617.56 | 82 | 43 | 81 | 206 | 533 | - 0 | 2 | 2 | 4 | 11 | 210 | 544 | $ 97,730.19 | $ 17,574.83 | $ 115,305.02 | 81 | 20 | 49 | 150 | 324 | - 0 | - 0 | - 0 | - 0 | - 0 | 150 | 324 |
High Claimants
| 2020 Plan Year | |||||
| $100,000+ Paid | |||||
| Member ID - Consistent in each year | Member | PLAN | CATEGORY | DIAGNOSIS | Total Paid |
| 1 | Spouse | Traditional PPO | Infectious and Parasitic Diseases | End Stage Renal Disease | $531,644.50 |
| 2 | Subscriber | Valuecare PPO | Injury and Poisoning | Traumatic Subdural Hemorrhage With Loss Of Consciousness Of Unspecified Duration, Initial Encounter | $323,944.51 |
| 3 | Subscriber | Valuecare PPO | Neoplasms | Encounter For Antineoplastic Chemotherapy | $292,005.67 |
| 4 | Subscriber | Traditional PPO | Circulatory System | Primary Pulmonary Hypertension | $255,888.94 |
| 5 | Subscriber | Traditional PPO | Neoplasms | Multiple Myeloma In Remission | $239,949.41 |
| 6 | Subscriber | Traditional PPO | Nervous System | Chronic Migraine Without Aura, Intractable, With Status Migrainosus | $214,921.45 |
| 7 | Subscriber | Traditional HDHP | Musculoskeletal System | Dermatopolymyositis, Unspecified, Organ Involvement Unspecified | $205,017.79 |
| 8 | Spouse | Traditional PPO | Digestive System | Crohn'S Disease, Unspecified, Without Complications | $194,469.34 |
| 9 | Dependent | Traditional PPO | Genitourinary System | End Stage Renal Disease | $183,358.18 |
| 10 | Subscriber | Valuecare PPO | Neoplasms | Multiple Myeloma Not Having Achieved Remission | $166,222.17 |
| 11 | Dependent | Valuecare PPO | Endocrine, Nutritional and Metabolic Diseases | Common Variable Immunodeficiency With Predominant Abnormalities Of B-Cell Numbers And Function | $160,046.39 |
| 12 | Spouse | Valuecare PPO | Neoplasms | Encounter For Antineoplastic Radiation Therapy | $157,705.53 |
| 13 | Spouse | Valuecare PPO | Circulatory System | Secondary Pulmonary Arterial Hypertension | $157,583.18 |
| 14 | Subscriber | Traditional PPO | Neoplasms | Malignant Neoplasm Of Overlapping Sites Of Right Female Breast | $146,363.08 |
| 15 | Subscriber | Traditional HDHP | Infectious and Parasitic Diseases | Sepsis, Unspecified Organism | $144,177.71 |
| 16 | Subscriber | Focal Point HDHP | Digestive System | Other Specified Noninfective Gastroenteritis And Colitis | $137,716.43 |
| 17 | Subscriber | Traditional PPO | Musculoskeletal System | Spinal Stenosis, Lumbar Region With Neurogenic Claudication | $133,789.86 |
| 18 | Dependent | Traditional HDHP | Endocrine, Nutritional and Metabolic Diseases | Hereditary Hypogammaglobulinemia | $120,680.57 |
| 19 | Subscriber | Valuecare PPO | Circulatory System | Atherosclerotic Heart Disease Of Native Coronary Artery With Unstable Angina Pectoris | $115,247.39 |
| 20 | Subscriber | Traditional HDHP | Neoplasms | Malignant Neoplasm Of Unspecified Site Of Left Female Breast | $114,821.20 |
| 21 | Subscriber | Valuecare HDHP | Nervous System | Multiple Sclerosis | $113,579.75 |
| 22 | Spouse | Valuecare PPO | Musculoskeletal System | Spinal Stenosis, Lumbar Region Without Neurogenic Claudication | $112,843.73 |
| 23 | Spouse | Valuecare PPO | Genitourinary System | Acute Kidney Failure, Unspecified | $110,981.57 |
| 24 | Dependent | Valuecare PPO | Nervous System | Sensorineural Hearing Loss, Bilateral | $108,101.91 |
| 25 | Spouse | Traditional HDHP | Circulatory System | Sepsis, Unspecified Organism | $105,781.40 |
| 26 | Subscriber | Traditional PPO | Musculoskeletal System | Spinal Stenosis, Lumbar Region Without Neurogenic Claudication | $102,398.13 |
| 27 | Subscriber | Valuecare HDHP | Nervous System | Multiple Sclerosis | $101,642.92 |
| 2021 Plan Year | |||||
| $100,000+ Paid | |||||
| Member ID - Consistent in each year | Member | PLAN | CATEGORY | DIAGNOSIS | Total Paid |
| 28 | Subscriber | Valuecare PPO | Endocrine, Nutritional and Metabolic Diseases | Thyrotoxicosis with diffuse goiter without thyrotoxic crisis or storm | $495,901.30 |
| 10 | Subscriber | Valuecare PPO | Neoplasms | Encounter for antineoplastic chemotherapy | $432,545.49 |
| 4 | Subscriber | Traditional PPO | Nervous System | Ocular pain, left eye | $322,675.03 |
| 7 | Subscriber | Traditional HDHP | Neoplasms | Encounter for antineoplastic chemotherapy | $318,231.53 |
| 6 | Subscriber | Traditional PPO | Genitourinary System | Acute kidney failure, unspecified | $295,847.87 |
| 8 | Spouse | Traditional PPO | Digestive System | Crohn's disease of large intestine without complications | $237,830.94 |
| 11 | Dependent | Valuecare PPO | Endocrine, Nutritional and Metabolic Diseases | Common variable immunodeficiency, unspecified | $235,941.19 |
| 1 | Spouse | Traditional PPO | Infectious and Parasitic Diseases | Sepsis, unspecified organism | $226,909.89 |
| 5 | Subscriber | Traditional PPO | Neoplasms | Multiple myeloma not having achieved remission | $195,875.97 |
| 16 | Subscriber | Focal Point HDHP | Digestive System | Chronic cholecystitis | $188,466.25 |
| 14 | Subscriber | Traditional PPO | Neoplasms | Encounter for antineoplastic radiation therapy | $180,450.25 |
| 22 | Spouse | Valuecare PPO | Circulatory System | Atherosclerotic heart disease of native coronary artery with unstable angina pectoris | $180,191.34 |
| 29 | Spouse | Valuecare PPO | Congenital Anomalies | Congenital insufficiency of aortic valve | $167,903.17 |
| 30 | Dependent | Traditional PPO | Digestive System | Acute pancreatitis without necrosis or infection, unspecified | $154,118.49 |
| 31 | Spouse | Traditional HDHP | Injury and Poisoning | Infection and inflammatory reaction due to cardiac valve prosthesis, initial encounter | $145,326.23 |
| 32 | Spouse | Valuecare PPO | Neoplasms | Malignant neoplasm of upper-outer quadrant of right female breast | $133,767.57 |
| 33 | Spouse | Valuecare PPO | Musculoskeletal System | Spinal stenosis, lumbar region with neurogenic claudication | $132,229.12 |
| 34 | Spouse | Traditional PPO | Musculoskeletal System | Postlaminectomy syndrome, not elsewhere classified | $130,385.88 |
| 35 | Subscriber | Traditional HDHP | Circulatory System | Nonrheumatic aortic (valve) stenosis with insufficiency | $124,241.03 |
| 36 | Spouse | Traditional PPO | Musculoskeletal System | Pyogenic arthritis, unspecified | $120,548.92 |
| 37 | Subscriber | Traditional PPO | Circulatory System | Nonrheumatic aortic (valve) stenosis | $113,309.87 |
| 38 | Spouse | Traditional PPO | Circulatory System | Atypical atrial flutter | $110,294.55 |
| 39 | Subscriber | Valuecare PPO | Digestive System | Ulcerative colitis, unspecified, without complications | $107,481.03 |
| 40 | Subscriber | Valuecare PPO | Musculoskeletal System | Syncope and collapse | $106,946.63 |
| 41 | Spouse | Valuecare PPO | Musculoskeletal System | Other muscle spasm | $103,372.65 |
| 2022 Plan Year | |||||
| $100,000+ Paid | |||||
| Member ID - Consistent in each year | Member | PLAN | CATEGORY | DIAGNOSIS | Total Paid |
| 42 | Dependent | Traditional PPO | Certain Conditions Originating in the Perinatal Period | Single liveborn infant, delivered by cesarean | 374798.9 |
| 8 | Spouse | Traditional PPO | Digestive System | Crohn's disease, unspecified, without complications | 370976.69 |
| 16 | Subscriber | Focal Point HDHP | Digestive System | Crohn's disease of small intestine with intestinal obstruction | 341086.98 |
| 43 | Spouse | Valuecare PPO | Factors Influencing Health Status - Zcodes | Encounter for antineoplastic chemotherapy | 300074.15 |
| 6 | Subscriber | Traditional PPO | Nervous System | Chronic migraine without aura, intractable, with status migrainosus | 266687.23 |
| 44 | Subscriber | Valuecare PPO | Factors Influencing Health Status - Zcodes | Encounter for antineoplastic radiation therapy | 245852.55 |
| 45 | Spouse | Valuecare PPO | Neoplasms | Malignant neoplasm of lower lobe, right bronchus or lung | 242533.77 |
| 10 | Subscriber | Valuecare PPO | Factors Influencing Health Status - Zcodes | Encounter for antineoplastic chemotherapy | 239728.89 |
| 4 | Subscriber | Traditional PPO | Eye Diseases and Disorders | Senile ectropion of right lower eyelid | 225715.27 |
| 46 | Dependent | Traditional PPO | Neoplasms | Acute lymphoblastic leukemia not having achieved remission | 216498.04 |
| 14 | Subscriber | Traditional PPO | Infectious and Parasitic Diseases | Sepsis due to Escherichia coli [E. coli] | 214435.65 |
| 47 | Subscriber | Valuecare PPO | Factors Influencing Health Status - Zcodes | Encounter for antineoplastic chemotherapy | 203859.13 |
| 40 | Subscriber | Valuecare PPO | Musculoskeletal System | Other intervertebral disc displacement, thoracic region | 202773.26 |
| 17 | Subscriber | Traditional PPO | Pregnancy, Childbirth, and Puerperium | Preterm labor third trimester with preterm delivery third trimester, not applicable or unspecified | 184906.96 |
| 48 | Subscriber | Focal Point PPO | Genitourinary System | End stage renal disease | 168594.33 |
| 49 | Spouse | Traditional PPO | Circulatory System | Hemiplegia and hemiparesis following nontraumatic intracerebral hemorrhage affecting right dominant side | 143159.47 |
| 11 | Dependent | Valuecare PPO | Blood and Blood-Forming Organs | Common variable immunodeficiency with predominant abnormalities of B-cell numbers and function | 142644.39 |
| 50 | Spouse | Traditional HDHP | ERROR:#N/A | ERROR:#N/A | 135607.06 |
| 51 | Dependent | Valuecare HDHP | Musculoskeletal System | Spinal stenosis, lumbar region without neurogenic claudication | 130663.82 |
| 52 | Subscriber | Valuecare PPO | Endocrine, Nutritional and Metabolic Diseases | Type 2 diabetes mellitus with other specified complication | 118948.18 |
| 53 | Dependent | Valuecare PPO | Infectious and Parasitic Diseases | COVID-19 | 116671.63 |
| 54 | Subscriber | Valuecare PPO | Musculoskeletal System | Spinal stenosis, lumbar region with neurogenic claudication | 113002.27 |
| 27 | Subscriber | Valuecare HDHP | Nervous System | Multiple sclerosis | 110577.26 |
| 55 | Spouse | Valuecare PPO | Blood and Blood-Forming Organs | Common variable immunodeficiency, unspecified | 109584.34 |
| 41 | Spouse | Valuecare PPO | Nervous System | Other muscle spasm | 107631.67 |
| 56 | Spouse | Traditional PPO | Digestive System | Calculus of gallbladder with acute cholecystitis with obstruction | 105814.71 |
| 57 | Subscriber | Valuecare PPO | Circulatory System | Essential (primary) hypertension | 103193.41 |
| 7 | Subscriber | Traditional HDHP | Factors Influencing Health Status - Zcodes | Iron deficiency anemia, unspecified | 101653.17 |
| 2023 Plan Year | |||||
| $100,000+ Paid | |||||
| Member ID - Consistent in each year | Member | PLAN | CATEGORY | DIAGNOSIS | Total Paid |
| 8 | Spouse | Traditional PPO | Digestive System | Crohn's disease, unspecified, without complications | 423988.2 |
| 58 | Dependent | Traditional PPO | Congenital Anomalies | Coarctation of aorta | 367656.92 |
| 6 | Subscriber | Traditional PPO | Nervous System | Chronic migraine without aura, intractable, with status migrainosus | 284854.69 |
| 43 | Spouse | Valuecare PPO | Factors Influencing Health Status - Zcodes | Encounter for antineoplastic chemotherapy | 254218.1 |
| 45 | Spouse | Valuecare PPO | Neoplasms | Malignant neoplasm of unspecified part of unspecified bronchus or lung | 253326.85 |
| 59 | Subscriber | Valuecare PPO | Injury and Poisoning | Other specified fracture of left pubis, initial encounter for closed fracture | 249918.76 |
| 60 | Subscriber | Traditional PPO | Factors Influencing Health Status - Zcodes | Encounter for antineoplastic chemotherapy | 234946.79 |
| 48 | Subscriber | Focal Point PPO | Circulatory System | Hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic kidney disease, or end stage renal disease | 222855.68 |
| 16 | Subscriber | Focal Point HDHP | Digestive System | Crohn's disease of both small and large intestine with intestinal obstruction | 202426.12 |
| 61 | Subscriber | Valuecare HDHP | Factors Influencing Health Status - Zcodes | Encounter for antineoplastic radiation therapy | 201910.09 |
| 47 | Subscriber | Valuecare PPO | Factors Influencing Health Status - Zcodes | Encounter for antineoplastic chemotherapy | 183190.14 |
| 62 | Subscriber | Focal Point PPO | Infectious and Parasitic Diseases | Kidney transplant rejection | 161914.86 |
| 63 | Subscriber | Valuecare PPO | Factors Influencing Health Status - Zcodes | Encounter for antineoplastic chemotherapy | 161721.09 |
| 38 | Spouse | Traditional PPO | Factors Influencing Health Status - Zcodes | Encounter for adjustment and management of automatic implantable cardiac defibrillator | 142504.41 |
| 64 | Spouse | Traditional HDHP | Injury and Poisoning | Traumatic hemopneumothorax, initial encounter | 130507.4 |
| 41 | Spouse | Valuecare PPO | Nervous System | Multiple sclerosis | 126684.57 |
| 65 | Subscriber | Valuecare PPO | Infectious and Parasitic Diseases | Viral wart, unspecified | 122452.92 |
| 66 | Subscriber | Valuecare PPO | Factors Influencing Health Status - Zcodes | Acquired absence of right leg below knee | 122246.82 |
| 67 | Spouse | Valuecare PPO | Neoplasms | Malignant neoplasm of prostate | 121745.16 |
| 14 | Subscriber | Traditional PPO | Musculoskeletal System | Encounter for screening for malignant neoplasm of colon | 118204.86 |
| 68 | Dependent | Traditional PPO | Mental and Developmental Disorders | Bipolar disorder, unspecified | 114935.56 |
| 40 | Subscriber | Valuecare PPO | Musculoskeletal System | Pain in thoracic spine | 113643.94 |
| 69 | Subscriber | Valuecare PPO | Skin and Subcutaneous Tissue | Pain in thoracic spine | 111676.59 |
| 27 | Subscriber | Valuecare HDHP | Symptoms, Signs, and Ill-Defined Conditions - RCodes | Subacute cough | 111478.93 |
| 70 | Spouse | Traditional PPO | Genitourinary System | End stage renal disease | 110624.01 |
| 71 | Spouse | Valuecare PPO | Musculoskeletal System | Radiculopathy, lumbar region | 104664.89 |
| 72 | Subscriber | Traditional HDHP | Factors Influencing Health Status - Zcodes | Encounter for antineoplastic radiation therapy | 103651.22 |
| 73 | Spouse | Focal Point PPO | Infectious and Parasitic Diseases | Sepsis due to Methicillin susceptible Staphylococcus aureus | 103544.48 |
| 4 | Subscriber | Traditional PPO | Eye Diseases and Disorders | Aftercare following surgery for neoplasm | 103358.43 |
| 55 | Spouse | Valuecare PPO | Blood and Blood-Forming Organs | Common variable immunodeficiency, unspecified | 101300.2 |
| 2024 Plan Year | |||||
| $100,000+ Paid | |||||
| Member ID - Consistent in each year | Member | PLAN | CATEGORY | DIAGNOSIS | Total Paid |
| 74 | Subscriber | Valuecare PPO | Infectious and Parasitic Diseases | Sepsis, unspecified organism | $716,836.57 |
| 8 | Spouse | Traditional PPO | Digestive System | Crohn's disease, unspecified, without complications | $354,338.77 |
| 62 | Subscriber | Focal Point PPO | Genitourinary System | End stage renal disease | $317,339.08 |
| 75 | Subscriber | Traditional HDHP | Infectious and Parasitic Diseases | Sepsis, unspecified organism | $288,548.49 |
| 76 | Dependent | Traditional HDHP | Circulatory System | Cerebral infarction due to unspecified occlusion or stenosis of left middle cerebral artery | $282,437.03 |
| 77 | Dependent | Traditional HDHP | Musculoskeletal System | Pain in left foot | $273,368.77 |
| 6 | Subscriber | Traditional PPO | Nervous System | Chronic migraine without aura, intractable, with status migrainosus | $255,801.32 |
| 78 | Spouse | Valuecare PPO | Circulatory System | Hypertensive heart disease with heart failure | $213,844.48 |
| 45 | Spouse | Valuecare PPO | Neoplasms | Malignant neoplasm of lower lobe, right bronchus or lung | $196,465.89 |
| 79 | Subscriber | Focal Point PPO | Factors Influencing Health Status - Zcodes | Encounter for antineoplastic chemotherapy | $182,274.40 |
| 80 | Dependent | Valuecare PPO | Mental and Developmental Disorders | Disruptive mood dysregulation disorder | $181,511.88 |
| 40 | Subscriber | Valuecare PPO | Neoplasms | Malignant neoplasm of left kidney, except renal pelvis | $173,151.23 |
| 81 | Subscriber | Valuecare PPO | Factors Influencing Health Status - Zcodes | Encounter for antineoplastic chemotherapy | $156,029.80 |
| 82 | Subscriber | Traditional PPO | Digestive System | Left sided colitis without complications | $155,382.13 |
| 15 | Subscriber | Traditional HDHP | Endocrine, Nutritional and Metabolic Diseases | Hypo-osmolality and hyponatremia | $154,413.43 |
| 83 | Subscriber | Valuecare HDHP | Endocrine, Nutritional and Metabolic Diseases | Type 2 diabetes mellitus with ketoacidosis without coma | $146,152.89 |
| 84 | Subscriber | Traditional HDHP | Eye Diseases and Disorders | Combined forms of age-related cataract, left eye | $145,613.01 |
| 52 | Subscriber | Valuecare PPO | Neoplasms | Malignant neoplasm of lower lobe, right bronchus or lung | $144,685.43 |
| 27 | Subscriber | Valuecare HDHP | Nervous System | Multiple sclerosis | $143,319.71 |
| 85 | Spouse | Traditional PPO | Factors Influencing Health Status - Zcodes | Encounter for antineoplastic radiation therapy | $142,117.89 |
| 86 | Spouse | Valuecare PPO | Circulatory System | Atypical atrial flutter | $133,460.85 |
| 16 | Subscriber | Focal Point HDHP | Digestive System | Crohn's disease of both small and large intestine with intestinal obstruction | $127,760.86 |
| 41 | Spouse | Valuecare PPO | Nervous System | Multiple sclerosis | $127,359.04 |
| 87 | Spouse | Valuecare PPO | Neoplasms | Gastrointestinal stromal tumor of stomach | $123,790.12 |
| 88 | Subscriber | Traditional PPO | Genitourinary System | Hydronephrosis with renal and ureteral calculous obstruction | $120,230.93 |
| 89 | Subscriber | Valuecare HDHP | Musculoskeletal System | Postlaminectomy syndrome, not elsewhere classified | $114,942.03 |
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File details come from the government source that posted it. Updated .