Attachment 10 - Incurred and Paid 1-1-2025 through 3-31-2026_Lot 2.pdf

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Attached to
Long Term & Short Term Disability Insurance, & Term Life
Solicitation number
RFP 680 26-042/DJ 1
Issued by
Palm Beach County, Florida

About this file

This document is an experience report for Palm Beach County Board of County Commissioners Contract 760741, detailing incurred and paid claims data for various life and accidental death & dismemberment (AD&D) insurance coverages from January 1, 2025 through March 31, 2026. The report encompasses five distinct coverage types: Basic Life, Basic AD&D, Additional Life, Additional AD&D, and Dependents Life insurance. The data reflects enrollment figures ranging from 2,427 to 4,995 lives across the different coverage categories, with total volume across all coverages exceeding $1.8 billion in earned premium. The report documents paid claims, reserve changes, and incurred claims calculations for two distinct periods: January 1, 2025 through December 31, 2025, and January 1, 2026 through March 31, 2026.

The loss ratios across all coverages demonstrate variable performance during the reporting periods, with Basic Life experiencing elevated loss ratios of 140% and 43% in the respective periods, while Additional Life and Dependents Life showed more controlled loss ratios of 52% and 94% respectively for the full period. Total incurred claims across all five coverage types reached $460,805 for Basic Life, $17,118 for Basic AD&D, $967,688 for Additional Life, $131,464 for Additional AD&D, and $237,013 for Dependents Life. The reserve adjustments, including reported and incurred but not reported (IBNR) reserves, indicate ongoing actuarial adjustments throughout the contract period, reflecting claims development and experience modifications.

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Text version

Palm Beach County Board Of County Commissioners

Contract number - 760741

Coverage Effective Date: 1/1/2025

Basic Life

Experience: Paid Basis

From 1/1/2025 1/1/2026

Through 12/31/2025 3/31/2026

Lives * 4,995 4,972 9,967

Volume * 120,085,000 119,500,000 239,585,000

Earned Premium 304,992 79,612 384,604

Paid Claims 310,000 60,000 370,000

Conversions 0 0 0

Change in Reported Reserves 50,000 -25,000 25,000

Change in IBNR Reserves 66,273 -468 65,805

Incurred Claims 426,273 34,532 460,805

Loss Ratio 140% 43% 120%

* Data pulled from end of period

Totals

Coverage Effective Date: 1/1/2025

Basic AD&D

Experience: Paid Basis

From 1/1/2025 1/1/2026

Through 12/31/2025 3/31/2026

Lives * 4,758 4,739 9,497

Volume * 70,560,000 70,230,000 140,790,000

Earned Premium 26,459 6,745 33,204

Paid Claims 15,000 0 15,000

Conversions 0 0 0

Change in Reported Reserves 15,000 -15,000 0

Change in IBNR Reserves 2,136 -18 2,118

Incurred Claims 32,136 -15,018 17,118

Loss Ratio 121% -223% 52%

Coverage Effective Date: 1/1/2025

Additional Life

Experience: Paid Basis

From 1/1/2025 1/1/2026

Through 12/31/2025 3/31/2026

Lives * 2,927 2,915 5,842

Volume * 357,235,000 354,400,000 711,635,000

Earned Premium 1,480,004 367,558 1,847,562

Paid Claims 655,000 0 655,000

Conversions 0 0 0

Change in Reported Reserves 0 0 0

Change in IBNR Reserves 315,189 -2,501 312,688

Incurred Claims 970,189 -2,501 967,688

Loss Ratio 66% -1% 52%

Coverage Effective Date: 1/1/2025

Additional AD&D

Experience: Paid Basis

From 1/1/2025 1/1/2026

Through 12/31/2025 3/31/2026

Lives * 2,927 2,915 5,842

Volume * 357,235,000 354,400,000 711,635,000

Earned Premium 81,344 20,145 101,489

Paid Claims 100,000 0 100,000

Conversions 0 0 0

Change in Reported Reserves 0 25,000 25,000

Change in IBNR Reserves 6,516 -52 6,464

Incurred Claims 106,516 24,948 131,464

Loss Ratio 131% 124% 130%

Coverage Effective Date: 1/1/2025

Dependents Life

Experience: Paid Basis

From 1/1/2025 1/1/2026

Through 12/31/2025 3/31/2026

Lives * 2,446 2,427 4,873

Volume * 57,855,000 57,005,000 114,860,000

Earned Premium 203,397 49,691 253,088

Paid Claims 200,000 25,000 225,000

Conversions 0 0 0

Change in Reported Reserves 0 0 0

Change in IBNR Reserves 12,185 -172 12,013

Incurred Claims 212,185 24,828 237,013

Loss Ratio 104% 50% 94%

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