About this file

Enrollment History Summary

This is an enrollment data file documenting The Tennessee Plan, a self-insured supplemental medical insurance program administered through the State of Tennessee's Department of Finance and Administration, Division of Benefits Administration. The spreadsheet presents monthly enrollment counts for The Tennessee Plan spanning from January 2007 through 2025, tracking membership growth over this 18-year period. The data reflects consistent year-over-year growth in plan membership, beginning at 23,642 enrolled members in January 2007 and reaching 47,987 members by January 2025, with the highest recorded enrollment of 48,059 members occurring in July 2025. The enrollment figures demonstrate a steady expansion pattern with typical annual increases ranging from 1,500 to 2,000 members, indicating sustained demand for the supplemental coverage offered to Medicare-eligible state retirees who began employment prior to July 1, 2015.

The enrollment data directly supports the State of Tennessee's Request for Proposals #31786-00187 for third-party administrator services, as these membership figures establish the operational scale and financial exposure for potential respondents. The current membership base of approximately 48,000 covered lives serves as the foundation for calculating monthly per-member-per-month (PMPM) rates under the contract structure, with claims processing and administrative service costs projected across this substantial member population. This historical enrollment information is essential for proposing bidders to accurately forecast administrative staffing requirements, call center capacity, claims processing volume, and overall operational infrastructure needed to support The Tennessee Plan through the contract period of January 1, 2027, through December 31, 2031, with a subsequent claims run-out period extending through December 31, 2033.

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Other files

File Type Posted
31786-00187_TN_Plan_Release_3.pdf PDF
RFP_31786-00187_Amendment_Three.pdf PDF
31786-00187_TN_Plan_Release_4.pdf PDF
RFP_31786-00187_Appendix_7_7_Member_Demographics.xlsx XLSX spreadsheet
Appendix_7.4_HIPAA_Business_Associate_Assessment.xlsx XLSX spreadsheet
RFP_31786-00187_Amendment_5.pdf PDF
Appendix_7.5_Claims_History.xlsx XLSX spreadsheet
31786-00187_TN_Plan_for_posting.pdf PDF
Appendix_7.1_Plan_Document_for_The_Tennessee_Plan.pdf PDF
RFP_31786-00187_Amendment_Four.pdf PDF
RFP_31786-00187_Amendment_Two.pdf PDF
31786-00187_TN_Plan_Release_2.pdf PDF
RFP_31786-00187_Amendment_One_Schedule_Update.pdf PDF
Appendix_7.3_Benefits_Administration_834_Guidance_Manual_v5.pdf PDF
31786-00187_Digital_Submission_Instructions.pdf PDF
Appendix_7.2_Enrollment_History.xlsx XLSX spreadsheet
RFP_31786-00187_Draft_The_TN_Plan_Attachment_6.3_Cost_Proposal.xlsx XLSX spreadsheet
Appendix_7.6_Written_Q_and_C_template.pdf PDF
31786-00187_TN_Plan_Release_5.pdf PDF
Appendix_7.6_Written_Q_and_C_template.pdf PDF
Appendix_7.5_Claims_History.xlsx XLSX spreadsheet
31786-00187_TN_Plan_Release_2.pdf PDF
RFP_31786-00187_Amendment_Two.pdf PDF
31786-00187_Digital_Submission_Instructions.pdf PDF
31786-00187_TN_Plan_for_posting.pdf PDF
RFP_31786-00187_Appendix_7_7_Member_Demographics.xlsx XLSX spreadsheet
31786-00187_TN_Plan_Release_4.pdf PDF
Appendix_7.1_Plan_Document_for_The_Tennessee_Plan.pdf PDF
Appendix_7.3_Benefits_Administration_834_Guidance_Manual_v5.pdf PDF
RFP_31786-00187_Draft_The_TN_Plan_Attachment_6.3_Cost_Proposal.xlsx XLSX spreadsheet
Appendix_7.4_HIPAA_Business_Associate_Assessment.xlsx XLSX spreadsheet
Appendix_7.2_Enrollment_History.xlsx XLSX spreadsheet
RFP_31786-00187_Amendment_One_Schedule_Update.pdf PDF
RFP_31786-00187_Amendment_Three.pdf PDF
31786-00187_TN_Plan_Release_3.pdf PDF
RFP_31786-00187_Amendment_Four.pdf PDF
RFP_31786-00187_Amendment_Two.pdf PDF
31786-00187_TN_Plan_Release_2.pdf PDF
Appendix_7.1_Plan_Document_for_The_Tennessee_Plan.pdf PDF
Appendix_7.5_Claims_History.xlsx XLSX spreadsheet
Appendix_7.3_Benefits_Administration_834_Guidance_Manual_v5.pdf PDF
31786-00187_Digital_Submission_Instructions.pdf PDF
31786-00187_TN_Plan_for_posting.pdf PDF
RFP_31786-00187_Amendment_Three.pdf PDF
Appendix_7.4_HIPAA_Business_Associate_Assessment.xlsx XLSX spreadsheet
RFP_31786-00187_Appendix_7_7_Member_Demographics.xlsx XLSX spreadsheet
Appendix_7.6_Written_Q_and_C_template.pdf PDF
RFP_31786-00187_Draft_The_TN_Plan_Attachment_6.3_Cost_Proposal.xlsx XLSX spreadsheet
RFP_31786-00187_Amendment_One_Schedule_Update.pdf PDF
31786-00187_TN_Plan_Release_3.pdf PDF
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Enrollment Counts

The Tennessee Plan Enrolled Members
2007200820092010201120122013201420152016201720182019202020212022202320242025
January23,64225,16326,49227,40328,43630,09331,94333,94735,90437,64039,59041,26443,01444,39645,40346,39147,28047,62647,987
February23,57225,21826,49127,45128,48330,15531,99633,99935,99237,82739,70141,33943,05244,41745,41046,37547,27747,59047,971
March23,73925,43126,55727,48428,55730,26032,18834,18736,11037,93439,78641,43343,21144,53445,46446,41347,28247,59547,950
April23,91225,50626,70127,52628,54530,34132,26234,27636,14838,00939,87041,51343,28244,53645,48646,42547,29847,60247,952
May23,90725,61526,73927,56428,62930,43132,40334,40036,20338,12940,01441,64143,33544,59545,55646,49547,35547,58147,945
June23,96625,63726,81827,61328,71030,52832,59734,49736,29738,25040,00541,69943,41044,65645,62846,49947,31947,57647,967
July24,12225,93126,87627,70128,88630,70532,85734,67236,47038,39240,16841,88643,52144,78145,77246,68747,40847,64848,059
August24,37325,90427,06127,83729,00330,97333,09434,93036,68938,62140,41842,11143,69844,96345,93546,89447,44447,691
September24,46326,15927,16328,06429,33431,19133,27635,21137,02738,93140,72742,39743,92745,18246,14347,09547,61247,856
October24,77926,48727,26828,19129,67431,49633,53735,46337,30339,15940,88942,71144,16545,35946,32847,29047,70047,959
November24,93726,48727,35828,29729,81131,65733,68035,60637,37239,30040,97742,78344,23345,46146,38047,31347,74547,986
December25,02326,48727,39228,36829,97331,73933,78135,78737,50939,40441,10242,94544,34145,52346,47147,32247,77348,011

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