Attachment H - LTD Payment Details.xlsx

This is a Long Term Disability (LTD) payment details spreadsheet for the State of Nebraska, tracking disability claims and payments from 2019-2024. The file contains detailed payment records for multiple LTD claims, including payment dates, coverage periods, benefit amounts, and claim statuses. The claims range from July 2019 through October 2024, with both open and closed claims tracked.

The spreadsheet shows varying monthly benefit amounts across different claims, ranging from $100 to over $2,000 per month. Several claims have total benefit amounts in the $20,000-$97,000 range. The data includes claim status indicators showing whether claims are open, closed due to maximum benefit duration being reached, closed due to failure to provide proof, or closed for other reasons. The payment details include both regular monthly disbursements and occasional adjustments or recoveries. Each claim record includes demographic information such as gender, date of birth, and age at incurred date, along with specific payment tracking information including payment cover dates, net benefit amounts, and cumulative claim totals.