Att H - Demographic Information - Enrollment by Tier.pdf

PDF 593 KB Posted

Attached to
RFP #2021-03 Health and Wellness Services
Solicitation number
2021 - 03
Issued by
Wisconsin

About this file

This is a demographic enrollment report detailing member coverage tier distribution as of January 2021 across multiple organizational groups and divisions. The report tracks subscriber and member counts segmented by coverage tier (Single and Family) across sixteen department/PVRC groups (SG01 through SG16) and four group divisions (MTK25340, MTK25343, MTK25344, and MTK25355). The data was generated on March 18, 2021, and reflects active members as of the Monday refresh for COSMOS groups and Friday refresh for UP groups. The report encompasses enrollment information from the Integrated Data Management (IDM) system, which is updated weekly to ensure current member status across all tracked groups and divisions.

The report indicates significant enrollment variation across groups, with MTK25355 representing the largest enrollment group containing 1,199 total members across multiple divisions, while smaller groups such as SG05 and SG09 contain minimal enrollment. The document notes that member counts may differ from other reporting tools due to varying data refresh cycles and reporting timeframes, with IDM providing the most current weekly data compared to monthly or quarterly updates from alternative reporting sources. No pricing terms, contract awards, funding sources, or set-asides are specified in this demographic enrollment document, which serves primarily as a data reference for health benefits coverage tier distribution and member population analysis.

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Text version

Enrollment by Coverage Tier Date run: 3/18/2021

Member Counts may differ from other reporting tools for the following reasons:

1) The report data source (IDM) is updated weekly. Other reports may be updated monthly/quarterly.

2) IDM is refreshed every Monday for COSMOS groups and every Friday for UP groups.

3) The report includes only COSMOS members who were active as of Monday, and UP members who were active as of Friday.

2021-01 2021-01

Dept/PVRC Grp DivGrpNbr 2 Tier Subscribers Members

SG01 MTK25340 FAMILY 2 6

SG01 2 6

SG01 MTK25343 SINGLE 1 1

SG01 MTK25343 FAMILY 8 31

SG01 9 32

SG01 MTK25344 SINGLE 2 2

SG01 MTK25344 FAMILY 5 14

SG01 7 16

SG01 MTK25355 SINGLE 14 14

SG01 MTK25355 FAMILY 43 131

SG01 57 145

SG02 MTK25343 FAMILY 3 12

SG02 3 12

SG02 MTK25344 SINGLE 1 1

SG02 1 1

SG02 MTK25355 SINGLE 7 7

SG02 MTK25355 FAMILY 27 94

SG02 34 101

SG03 MTK25340 FAMILY 1 4

SG03 1 4

SG03 MTK25343 SINGLE 3 3

SG03 MTK25343 FAMILY 5 16

SG03 8 19

SG03 MTK25344 SINGLE 1 1

SG03 MTK25344 FAMILY 2 10

SG03 3 11

SG03 MTK25355 SINGLE 13 13

SG03 MTK25355 FAMILY 23 62

SG03 36 75

SG04 MTK25343 SINGLE 2 2

SG04 MTK25343 FAMILY 1 4

SG04 3 6

SG04 MTK25344 SINGLE 1 1

SG04 MTK25344 FAMILY 1 2

SG04 2 3

SG04 MTK25355 SINGLE 9 9

SG04 MTK25355 FAMILY 18 56

SG04 27 65

SG05 MTK25343 SINGLE 1 1

SG05 1 1

SG07 MTK25340 SINGLE 1 1

SG07 1 1

SG07 MTK25343 SINGLE 5 5

SG07 MTK25343 FAMILY 5 16

SG07 10 21

SG07 MTK25344 SINGLE 1 1

SG07 1 1

SG07 MTK25355 SINGLE 5 5

SG07 MTK25355 FAMILY 6 22

SG07 11 27

SG08 MTK25340 SINGLE 1 1

SG08 1 1

SG09 MTK25355 SINGLE 1 1

MTK25340 Total

MTK25343 Total

MTK25344 Total

MTK25355 Total

MTK25340 Total

MTK25344 Total

MTK25355 Total

MTK25340 Total

MTK25343 Total

MTK25344 Total

MTK25355 Total

MTK25343 Total

MTK25344 Total

MTK25355 Total

MTK25343 Total

MTK25340 Total

MTK25343 Total

MTK25344 Total

MTK25355 Total

MTK25343 Total

SG09 1 1

SG10 MTK25340 FAMILY 2 4

SG10 2 4

SG10 MTK25343 SINGLE 2 2

SG10 MTK25343 FAMILY 2 4

SG10 4 6

SG10 MTK25344 SINGLE 1 1

SG10 MTK25344 FAMILY 2 4

SG10 3 5

SG10 MTK25355 SINGLE 2 2

SG10 MTK25355 FAMILY 16 51

SG10 18 53

SG11 MTK25355 FAMILY 4 16

SG11 4 16

SG12 MTK25343 FAMILY 4 14

SG12 4 14

SG12 MTK25355 SINGLE 1 1

SG12 MTK25355 FAMILY 4 15

SG12 5 16

SG13 MTK25344 SINGLE 1 1

SG13 1 1

SG13 MTK25355 SINGLE 3 3

SG13 MTK25355 FAMILY 2 6

SG13 5 9

SG14 MTK25355 SINGLE 1 1

SG14 1 1

SG16 MTK25343 SINGLE 1 1

SG16 1 1

SG16 MTK25355 FAMILY 2 10

SG16 2 10

Grp DivGrpNbr is equal to MTK25343 , MTK25355 , MTK25340 , MTK25344 and Mbr RI Code is equal to / is in N and YYYY-MM is between 2021-01 and 2021-01 and Mbr Mnth Enroll 15th Indc is equal to / is in 1

MTK25355 Total

MTK25343 Total

MTK25355 Total

MTK25355 Total

MTK25343 Total

MTK25355 Total

MTK25344 Total

MTK25355 Total

MTK25355 Total

MTK25340 Total

MTK25343 Total

MTK25344 Total

MTK25355 Total

File details come from the government source that posted it. Updated .