6-Exhibit G Stop-loss Reimbursements and Premiums.pdf

The document is a Reimbursement and Premiums Exhibit detailing stop loss reimbursements and premiums for the calendar years 2022-2025. The exhibit provides a breakdown of stop loss reimbursements, including annual reimbursement amounts, individual deductible levels, and total claims for each year. The data covers the period from 2022 through July 2, 2025, with reimbursement amounts ranging from $893,955.01 in 2022 to $1,064,390.47 for the partial year of 2025.

The exhibit also includes stop loss premiums per employee per month (PEPM), which show a gradual increase from $24.18 in 2022 to $32.07 in 2025. The individual deductible amounts also incrementally rise from $600,000 in 2022 to $675,000 in the partial year of 2025. The document notes that additional enrollment count details can be found in the Medical/Pharmacy Claims by Month Exhibits, which are not included in this specific file. The data suggests this is likely a health insurance or stop loss insurance contract with detailed financial tracking of claims and premiums.