Attachment 5B - Claim Run Reference Sheet.pdf
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- Solicitation number
- RFP 680 26-042/DJ 2
- Issued by
- Palm Beach County, Florida
About this file
This is a Claims Experience Report Reference Sheet document for StanCorp Financial Group, Inc.'s 2010 claims data, providing a comprehensive guide for interpreting claim run information and line-by-line item explanations. The document serves as a reference tool for understanding various insurance products and coverage types administered by StanCorp, including State Mandated Disability (SD), Long Term Disability (LTD), Short Term Disability (STD), Life Insurance (TERM), Dependent Life (DEP), and Accidental Death and Dismemberment (AD&D) coverage. The reference sheet details multiple product categories such as Basic Life (BL), Additional Life (AL), Assisted Living Benefit (ALB), Employer and Vendor Reasonable Accommodation Benefits (L1, L2), Employer and Vendor Rehab/Expense Benefits (L4, L6), Lifetime Security Benefit (LSB), and various dependent life options including Child Dependents Life (XCL), Spouse Dependents Life (XSL), and Spouse and Child Dependents Life (XDL).
The document defines all standard data fields used in claims processing and reporting, including Claim Number, Claimant Name, Gender, Coverage Type, Product Code, Birth Date, Incurred Date, Approved Date, and Term Date for tracking claim status. Financial metrics are clearly outlined, including Benefit amounts prior to income reductions, Paid This Period amounts (which may include adjustments and overpayment recoveries as negative values), Paid This Claim totals since incurred date, and Reserve amounts held at both the beginning and end of reporting periods to cover future liabilities. This reference sheet functions as an essential decoder for interpreting StanCorp's claims run reports and managing disability and life insurance benefit administration.
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Text version
© 2010 StanCorp Financial Group, Inc.
Claims Experience Report Information Line by Line
Item Explanation
Claim Number System-assigned number
Claimant Name Last Name of claimant. If Dependent Life claims, last name of covered member.
Gender M = Male, F = Female
Coverage
Type of Coverage:
SD = State Mandated Disability LTD = Long Term Disability STD = Short Term Disability TERM = Life Insurance TPD2 = Life Waiver of Premium DEP = Dependent Life AD&D = Accidental Death and Dismemberment
Product
AA = Additional Accidental Death & Dismemberment BA = Basic Accidental Death & Dismemberment AL = Additional Life ALB = Assisted Living Benefit ASL = Additional Spouse Dependent Life BL = Basic Life DL = Dependent Life L1 = Employer Reasonable Accomodation Benefit L2 = Vendor Reasonable Accomodation Benefit L4 = Employer Rehab Benefit L6 = Vendor Expense Benefit LSB = Lifetime Security Benefit LT = Long Term Disability ST = Short Term Disability XCL = Child Dependents Life XDL = Spouse and Child Dependents Life XSL = Spouse Dependents Life
Birth Date The month and year in which the claimant was born.
Incurred Date The month and year in which death or disability occurred.
Approved Date The month and year the claim was approved by Standard.
Term Date The month and year the claim was closed.
Pending Claim is pending.
Benefit Shown only for STD and LTD – The benefit prior to any reduction for income from other sources (i.e., the gross benefit).
Paid This Period The amount paid during the time period covered by the claims run. Negative amounts reflect adjustment and/or overpayment recoveries.
Paid This Claim The total amount paid since the incurred date of the claim.
Reserve End of Period This is the reserve held by Standard at the end of the time period covered by the claims run (set aside to pay future liabilities).
Reserve Beginning of Period This is the reserve held by Standard at the beginning of the time period covered by the claims run (set aside to pay future liabilities).
File details come from the government source that posted it. Updated .