Attachment 9 - Claim Run Reference Sheet_Lot 2.pdf
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- Solicitation number
- RFP 680 26-042/DJ 1
- Issued by
- Palm Beach County, Florida
About this file
This document is a Claims Experience Reference Sheet for 2010 StanCorp Financial Group, Inc., providing a line-by-line explanation of claim data relevant to the State of Florida's Long Term & Short Term Disability Insurance and Term Life contract opportunity. The reference sheet serves as a data dictionary for understanding claims information, detailing claim numbers, claimant demographics, coverage types, and product categories. Coverage types include State Mandated Disability (SD), Long Term Disability (LTD), Short Term Disability (STD), Life Insurance (TERM), and related products such as Dependent Life (DEP) and Accidental Death and Dismemberment (AD&D). Products covered span from Basic Life (BL) and Additional Life (AL) to specialized benefits including Assisted Living Benefit (ALB), Lifetime Security Benefit (LSB), and various Reasonable Accommodation Benefit options for both employer and vendor provisions.
The reference sheet provides definitions for all key data fields used in claims reporting, including Birth Date, Incurred Date, Approved Date, Term Date, and claim status indicators. Financial information tracked includes the Benefit amount (prior to income reductions), amounts Paid This Period (including adjustment recoveries), total Paid This Claim since inception, and Reserve amounts held at both the beginning and end of the reporting period to cover future claim liabilities. This documentation establishes the framework for evaluating StanCorp's historical claims experience and performance metrics under the disability and life insurance contract, enabling the state to assess the vendor's operational capabilities and financial management of claims 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 .