Attachment G- STD Group Paid by month.pdf

PDF 278 KB Posted

Attached to
State of Nebraska Short-Term Disability (STD) and Long-Term Disability (LTD) Insurance
Solicitation number
120084 O5
Issued by
Lancaster County, Nebraska

About this file

This document is an Experience Summary by Group by Paid report from UnitedHealthcare for the State of Nebraska's Short Term Disability (STD) insurance program, covering the period from July 1, 2019, to October 25, 2024. The report provides a detailed monthly breakdown of premium/fees, paid claims, covered lives, and volume of coverage for the STD insurance group with customer number 306147. The data spans from July 2019 to October 2024, showing a consistent increase in covered lives from 1,839 in July 2019 to 3,145 in the later months of 2024, with total premiums reaching $8,181,741.13 and total paid claims of $2,167,109.38 across 993 claims.

The report reveals a steady growth in the STD insurance program, with annual premium/fees increasing from $544,708.29 in 2019 to $1,836,267.04 in 2023, and a corresponding rise in the number of claims from 27 in 2019 to 248 in 2023. The data suggests UnitedHealthcare has been the incumbent provider since July 1, 2019, with a voluntary program where employees pay full premiums through post-tax deductions. The business segment is categorized as STD, and the source systems include ACIS, FACETS, Onbase, PRIME, UHOPS, and USP, indicating a comprehensive data collection and management approach for the state's disability insurance program.

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Other files

File Type Posted
120084 O5 SOLICITATION ADDENDUM ONE final.docx DOCX document
Attachment I - STD Payment Details.xlsx XLSX spreadsheet
120084 O5- Addendum Two- Revised Schedule of Events.pdf PDF
120084 O5 RFP STD LTD Insurance.docx DOCX document
Attachment P Claim details for SAE from 07.01.2019.pdf PDF
Attachment A Requirements Matrix.docx DOCX document
Attachment C Current Short Term Disability Benefits.pdf PDF
UnitedHealthCare BAFO cost.pdf PDF
120084 O5 Cost Proposal.xlsx XLSX spreadsheet
BAFO 120084 O5 FinalEvaluationDocument.pdf PDF
Attachment F - LTD Group Paid by month.pdf PDF
Attachment J - LTD Claims Status.pdf PDF
List of Respondents.pdf PDF
120084 O5 RFP STD LTD Insurance.pdf PDF
Attachment K - STD Claims Status.pdf PDF
UnitedHealthCare (stacked).pdf PDF
120084 O5- Addendum Three - Revised Schedule of Events.pdf PDF
Metlife Response (stacked).pdf PDF
Addendum 4 - Revised Schedule of Events.pdf PDF
120084 O5 Intent to Award.pdf PDF
Attachment N Historical LTD and STD Premium Payments.xlsx XLSX spreadsheet
Attachment O October 2024 STD LTD Monthly Invoice.pdf PDF
Attachment E - STD open and closed paid claim summary.pdf PDF
120084 O5 SolicitationEvaluationCriteria.pdf PDF
Metlife Response BAFO cost.pdf PDF
Attachment D - LTD open and closed paid claim summary.pdf PDF
120084 O5 BAFO Cost Proposal.xlsx XLSX spreadsheet
Attachment H - LTD Payment Details.xlsx XLSX spreadsheet
Attachment M EligibilityCensus.xlsx XLSX spreadsheet
Attachment L Census LTD STD.xlsx XLSX spreadsheet
Attachment B Current Long Term Disability Benefits.pdf PDF
120084 O5 RFP STD LTD Insurance.docx DOCX document
Attachment L Census LTD STD.xlsx XLSX spreadsheet
Attachment G- STD Group Paid by month.pdf PDF
120084 O5 SOLICITATION ADDENDUM ONE final.docx DOCX document
Attachment B Current Long Term Disability Benefits.pdf PDF
Attachment I - STD Payment Details.xlsx XLSX spreadsheet
120084 O5 Cost Proposal.xlsx XLSX spreadsheet
Attachment O October 2024 STD LTD Monthly Invoice.pdf PDF
Attachment J - LTD Claims Status.pdf PDF
Metlife Response (stacked).pdf PDF
Attachment H - LTD Payment Details.xlsx XLSX spreadsheet
Attachment K - STD Claims Status.pdf PDF
Metlife Response BAFO cost.pdf PDF
120084 O5 Intent to Award.pdf PDF
Attachment E - STD open and closed paid claim summary.pdf PDF
120084 O5- Addendum Three - Revised Schedule of Events.pdf PDF
Attachment D - LTD open and closed paid claim summary.pdf PDF
Attachment C Current Short Term Disability Benefits.pdf PDF
Attachment M EligibilityCensus.xlsx XLSX spreadsheet
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Text version

Number of Claims

Experience Summary by Group by Paid Selection Parameters

Group/Customer: 306147

Subgroup/Policy: ALL

Paid Date Range: 07/01/2019 to 10/25/2024

Group Effective Date: 07/01/2019

STATE OF NEBRASKA

All Subgroups and Products by Paid Month Paid Month/Year Premium/Fees Paid Claims Covered Lives Volume of

Coverage

Business Segment: STD

Source System: ACIS,FACETS,Onbase,PRIME,UHOPS,USP

$923,281 08/2019 $174,673.63 $0.00 1,860 $946,186 07/2019 $0.00 $0.00 1,839

$961,080 10/2019 $92,936.01 $11,275.03 1,916 $973,111 09/2019 $89,532.35 $6,107.24 1,892

$988,332 12/2019 $94,281.11 $17,433.49 2,001 $1,014,016 11/2019 $93,285.19 $10,204.05 1,957

$1,020,345 02/2020 $98,499.97 $19,734.04 2,044 $1,060,469 01/2020 $97,044.42 $13,788.05 2,032

$1,062,604 04/2020 $99,855.36 $10,819.48 2,114 $1,070,456 03/2020 $100,351.53 $17,658.66 2,072

$1,112,018 06/2020 $104,448.21 $30,527.92 2,181 $1,104,158 05/2020 $104,306.51 $7,907.77 2,174

$1,075,341 08/2020 $102,141.03 $19,901.93 2,089 $1,088,846 07/2020 $108,108.03 $20,968.58 2,108

$1,101,471 10/2020 $104,293.42 $28,527.10 2,148 $1,125,370 09/2020 $102,441.69 $28,683.85 2,103

$1,125,805 12/2020 $105,118.25 $37,055.06 2,158 $1,120,663 11/2020 $107,487.73 $46,735.39 2,158

Run Date: 10/25/2024 4:04:37 PM OFCR-04C; v2.5 Page 1 of 8

Attachment G

Experience Summary by Group by Paid Selection Parameters

Group/Customer: 306147

Subgroup/Policy: ALL

Paid Date Range: 07/01/2019 to 10/25/2024

Group Effective Date: 07/01/2019

STATE OF NEBRASKA

Business Segment: STD

Source System: ACIS,FACETS,Onbase,PRIME,UHOPS,USP

$1,137,117 02/2021 $106,610.74 $29,969.91 2,181 $1,139,865 01/2021 $108,955.37 $34,026.50 2,172

$1,146,700 04/2021 $108,050.40 $15,093.68 2,192 $1,145,895 03/2021 $108,852.76 $51,972.47 2,193

$1,144,063 06/2021 $107,772.14 $34,883.91 2,168 $1,137,905 05/2021 $108,580.46 $37,385.47 2,187

$1,381,561 08/2021 $110,518.72 $60,205.75 2,585 $1,373,214 07/2021 $90,725.53 $25,235.48 2,609

$1,370,843 10/2021 $125,974.20 $24,720.98 2,558 $1,366,530 09/2021 $113,767.09 $23,454.43 2,568

$1,367,357 12/2021 $109,430.97 $39,362.03 2,599 $1,450,268 11/2021 $109,515.33 $18,834.15 2,562

$1,527,959 02/2022 $129,230.23 $21,268.41 2,640 $1,552,560 01/2022 $116,638.37 $25,833.49 2,603

$1,583,825 04/2022 $128,689.18 $45,267.62 2,774 $1,635,118 03/2022 $130,343.98 $36,101.02 2,691

$1,661,933 06/2022 $136,367.68 $17,363.78 2,863 $1,694,187 05/2022 $132,886.24 $25,802.37 2,820

$1,653,166 08/2022 $135,332.94 $40,425.94 2,785 $1,687,638 07/2022 $136,908.04 $42,737.40 2,736

$1,704,63809/2022 $133,383.27 $49,580.03 2,814

Run Date: 10/25/2024 4:04:37 PM

OFCR-04C; v2.5 Page 1 of 8

Group/Customer: 306147

Subgroup/Policy: ALL

Paid Date Range: 07/01/2019 to 10/25/2024

Group Effective Date: 07/01/2019

STATE OF NEBRASKA

Business Segment: STD

Source System: ACIS,FACETS,Onbase,PRIME,UHOPS,USP

10/2022 $136,895.07 $46,569.40 2,834 $1,716,951 $1,732,117

12/2022 $139,997.31 $46,521.07 2,902 $1,758,833 11/2022 $141,964.19 $44,179.74 2,850

$1,768,508 02/2023 $143,804.43 $8,600.12 2,920 $1,782,991 01/2023 $142,074.53 $41,704.24 2,903

$1,810,731 04/2023 $145,935.06 $60,397.54 2,993 $1,817,487 03/2023 $143,511.03 $51,377.56 2,971

$1,847,559 06/2023 $148,158.30 $75,844.99 3,067 $1,858,616 05/2023 $147,473.56 $93,344.67 3,038

$1,949,552 08/2023 $158,231.45 $39,980.71 3,008 $1,979,929 07/2023 $150,745.00 $78,766.47 2,976

$1,977,838 10/2023 $159,382.19 $28,859.63 3,034 $2,002,740 09/2023 $168,298.55 $52,148.82 2,999

$2,033,161 12/2023 $165,308.25 $42,703.42 3,097 $2,038,953 11/2023 $163,344.69 $24,772.54 3,092

$2,031,004 02/2024 $163,253.38 $42,291.86 3,107 $2,037,711 01/2024 $165,804.97 $54,801.64 3,087

$2,036,198 04/2024 $163,502.06 $62,702.48 3,127 $2,061,561 03/2024 $162,749.52 $37,045.64 3,107

$2,058,521 06/2024 $165,740.97 $48,950.09 3,145 $2,055,575 05/2024 $164,895.61 $54,043.91 3,145

Group/Customer: 306147

Subgroup/Policy: ALL

Paid Date Range: 07/01/2019 to 10/25/2024

Group Effective Date: 07/01/2019

STATE OF NEBRASKA

Business Segment: STD

Source System: ACIS,FACETS,Onbase,PRIME,UHOPS,USP

$2,052,747 08/2024 $166,025.73 $33,784.33 3,110 $2,128,751 07/2024 $163,497.52 $29,427.26 3,065

All subgroups and

$8,181,741.13 $2,167,109.38

$2,055,575 10/2024 $171,904.86 $0.00 0 $0 09/2024 $171,904.82 $41,438.79 3,145

Business Segment: STD STD

FACETSSource System: ACIS,FACETS,Onbase,PRIME,UHOPS,USP

Experience Summary by Group by Paid M h Selection Parameters Values on Report

Group/Customer: 306147 00306147 - STATE OF NEBRASKA

Subgroup/Policy: ALL 1002

Paid Date Range: 07/01/2019 to 10/25/2024 07/01/2019 to 10/01/2024

STATE OF NEBRASKA

All Subgroups by Year and Product Summary Year 2019

Number of Claims Short Term Disability $544,708.29 $45,019.81 27 Products Premium/Fees Paid Claims

Year 2020

Products Premium/Fees Paid Claims Number of Claims

Year 2019 Total $544,708.29 $45,019.81

Year 2020 Total $1,234,096.15 $282,307.83 138

Short Term Disability $1,234,096.15 $282,307.83

Year 2021 Products Premium/Fees Paid Claims Number of Claims

Year 2021 Total $1,308,753.71 $395,144.76 208

Short Term Disability $1,308,753.71 $395,144.76

Year 2022 Products Premium/Fees Paid Claims Number of Claims

Year 2022 Total $1,598,636.50 $441,650.27 216

Short Term Disability $1,598,636.50 $441,650.27

Year 2023 Products Premium/Fees Paid Claims Number of Claims

Year 2023 Total $1,836,267.04 $598,500.71 248

Short Term Disability $1,836,267.04 $598,500.71

Year 2024 Products Premium/Fees Paid Claims Number of Claims

156Short Term Disability $1,659,279.44 $404,486.00

OFCR-04C; v2.5 Page 8 of 8

Business Segment: STD STD

FACETSSource System: ACIS,FACETS,Onbase,PRIME,UHOPS,USP

Experience Summary by Group by Paid M h Selection Parameters Values on Report

Group/Customer: 306147 00306147 - STATE OF NEBRASKA

Subgroup/Policy: ALL 1002

Paid Date Range: 07/01/2019 to 10/25/2024 07/01/2019 to 10/01/2024

STATE OF NEBRASKA

L

All Subgroups by Year and Product Total $8,181,741.13 $2,167,109.38 993 Year 2024 Total $1,659,279.44 $404,486.00 156

All Subgroups by Product

993All Subgroups Product Total $8,181,741.13 $2,167,109.38

Number of Claims

Short Term Disability $8,181,741.13 $2,167,109.38 993

Products Premium/Fees Paid Claims

OFCR-04C; v2.5 Page 8 of 8

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