7-EXHIBIT C - Past Three-Year Claims and Enrollment History.xlsx

XLSX spreadsheet 89 KB Posted

Attached to
26P-040 Group Dental Insurance Services for Eligible Employees and Dependents
Solicitation number
26-040
Issued by
Marion County, Florida

About this file

This is a past three-year claims and enrollment history document for Marion County Employees' group dental insurance, covering the period from October 2023 through September 2025. The document provides detailed monthly data for group 177L22, which encompasses approximately 2,543 to 2,765 contracts with a total member enrollment ranging from 5,628 to 5,992 individuals across the 24-month period. The data tracks claims paid, claims count, premium billed, and premium paid on a monthly basis, demonstrating the operational scale and utilization patterns of the existing dental benefit program serving Marion County's employee population.

Over the two-year period, Marion County Employees generated total claims of $2,376,716.91 across 17,428 claims with an average monthly billed loss ratio of 73 percent. Total premiums billed amounted to $3,270,698.98, with $3,269,429.92 paid, indicating consistent premium collection. Monthly loss ratios ranged from a low of 52 percent in November 2024 to a high of 88 percent in December 2024, reflecting seasonal variation in dental utilization. The enrollment data shows a gradual growth trajectory, with member counts increasing from 5,628 in October 2023 to 5,968 in September 2025, suggesting expanding benefit participation or organizational growth within Marion County. This historical claims and enrollment information serves as a critical baseline for evaluating proposals in the current group dental insurance services procurement (26P-040) for Florida.

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5-EXHIBIT A - Current Plan Certificate.pdf PDF
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Group Detail

Customer(s): MARION COUNTY EMPLOYEES

Groups: 177L22

Period From: October 2023 - September 2025

MONTH/
YEARCONTRACTSMEMBERSCLAIMS
PAIDCLAIMS
COUNTPREMIUM
BILLEDPREMIUM
PAIDBILLED

LOSS

October 20232,5435,628$95,929.44714$131,337.18$131,259.7373%
November 20232,5395,617$89,021.67688$131,260.88$131,260.8868%
December 20232,5565,652$91,704.15651$132,239.94$132,201.0169%
January 20242,5655,646$95,107.95713$132,418.80$132,418.8072%
February 20242,5805,671$85,039.56623$133,027.04$133,027.0464%
March 20242,5895,676$98,783.80687$133,159.52$133,159.5274%
April 20242,5955,684$110,845.82882$133,377.88$133,365.5583%
May 20242,5885,680$101,598.08785$132,945.30$132,916.1676%
June 20242,5775,678$94,028.16696$132,530.88$132,473.3671%
July 20242,5845,681$90,658.53703$132,757.04$132,698.7668%
August 20242,6005,720$82,446.15645$133,546.64$133,393.3762%
September 20242,6105,739$80,838.22618$133,901.86$133,761.4460%
October 20242,6895,895$104,258.11736$138,620.22$138,508.9475%
November 20242,6915,883$72,113.43511$138,343.76$138,303.8452%
December 20242,7025,895$122,632.41883$138,680.68$138,634.8688%
January 20252,7065,876$112,019.65749$138,299.08$138,230.0281%
February 20252,7435,930$101,485.38770$139,755.64$139,686.5873%
March 20252,7455,929$106,540.02768$139,830.90$139,761.8476%
April 20252,7435,942$116,559.20762$140,045.60$140,016.4683%
May 20252,7545,961$100,776.53768$140,552.66$140,523.5272%
June 20252,7655,978$109,989.60760$141,011.60$140,982.4678%
July 20252,7605,988$110,872.50789$141,055.92$141,026.7879%
August 20252,7615,992$106,253.40772$141,248.82$141,158.9075%
September 20252,7555,968$97,215.15755$140,751.14$140,660.1069%
63,740139,309$2,376,716.9117,428$3,270,698.98$3,269,429.9273%

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