Attachment J – Dental Claims and enrollment history.xlsx

XLSX spreadsheet 14 KB Posted

Attached to
RFP 26-025-CJ GCPS- Employee Medical, Stop Loss, Dental, Vision, Disability & Voluntary Benefits Coverage
Solicitation number
RFP-115259
Issued by
Frederick County, Virginia

About this file

This file contains dental claims and enrollment history data for Gloucester County Public Schools' dental insurance account (Account Number: 0227883) covering the period from December 1, 2023, through November 30, 2025. The document presents two primary datasets: enrollment figures broken down by coverage tier (Single, Two Party, Parent and Child, Parent and Children, and Family) and claims versus premium analysis for the same period. Enrollment data shows monthly contract volumes ranging from a high of 673 contracts in December 2023 to a low of 622 contracts in November 2025, with an account total of 15,664 contracts across all tiers during the coverage period. The Single tier consistently represented the largest enrollment segment with 8,009 total contracts, followed by Family tier coverage at 3,542 contracts.

The claims versus premium data reveals monthly premium payments totaling $950,705 against incurred claims of $769,418, resulting in an overall loss ratio of 80.93% for the 24-month period. Monthly loss ratios fluctuated considerably, ranging from a low of 60.17% in December 2024 to highs exceeding 100% in three months (October 2024 at 102.73%, July 2025 at 102.76%, and October 2025 at 106.43%), indicating periods where claims exceeded premiums paid. Monthly premiums remained relatively stable at approximately $39,000-$40,000 per month, while monthly claims varied between $24,116 and $40,931, reflecting the variable nature of dental service utilization across the member population.

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Other files

File Type Posted
Addendum 1.pdf PDF
external extract for gloucester co.xlsx XLSX spreadsheet
Attachment T – Vision Top Providers for Disruption Analysis.xlsx XLSX spreadsheet
Attachment M – Long Term Disability Claims History.xlsx XLSX spreadsheet
Attachment 2A. HCCs Sept 2023 - Oct 2024-GLOUCESTER COUNTY SCHOOL BOARD(Total Account)_HCC-01_20260318 03_32 PM.xlsx XLSX spreadsheet
Attachment 3 Retiree Dental GCPS Addendum Question.xlsx XLSX spreadsheet
Addendum 3 FINAL.pdf PDF
Attachment O – Medical Claim Repricing File for Discount and Disruption Analysis.xlsx XLSX spreadsheet
Attachment 2B. HCCs Oct 2024 - Sept 2025-GLOUCESTER COUNTY SCHOOL BOARD(Total Account)_HCC-01_20260318 03_31 PM.xlsx XLSX spreadsheet
Addendum 1.pdf PDF
Attachment V - Hybrid STD Benefit Summary.pdf PDF
external extract for gloucester co.xlsx XLSX spreadsheet
Attachment L – Disability Benefits.pdf PDF
Attachment S – Dental Network Utilization for Disruption Analysis .xlsx XLSX spreadsheet
Gloucester County Repricing Summary 02032026 file.xlsx XLSX spreadsheet
Addendum 2.pdf PDF
Attachment 2C. HCCs Oct 2025 - Feb 2026-GLOUCESTER COUNTY SCHOOL BOARD(Total Account)_HCC-01_20260318 03_29 PM.xlsx XLSX spreadsheet
Attachment D – Current census and enrollment for all lines of coverage (including COBRA and Retirees).xlsx XLSX spreadsheet
Attachment 2. HCCS over 50k Feb 2024 - Jan 2025-GLOUCESTER COUNTY SCHOOL BOARD(Total Account)_HCC-01_20260317 03_43 PM.pdf PDF
Attachment H – Vision Benefits.pdf PDF
Attachment B - Price Proposal.xlsx XLSX spreadsheet
Attachment R – Current and Historical Rates - All Lines.pdf PDF
Attachment W - Hybrid LTD Benefit Summary.pdf PDF
Attachment Q – Pharmacy Questionnaire.docx DOCX document
1B Member and claims oct 2025- Feb 2026.xlsx XLSX spreadsheet
Attachment 1. Mem and Claims Oct 2023 - Sept 2024-GLOUCESTER COUNTY SCHOOL BOARD(Total Account)_FIN-01_20260317 03_29 PM (2).xlsx XLSX spreadsheet
Attachment K – Vision Claims and enrollment history.pdf PDF
Attachment U - Supplemental Plan Claims Utilization.pdf PDF
Attachment 1A. Mem and Claims Oct 2024 - Sept 2025-GLOUCESTER COUNTY SCHOOL BOARD(Total Account)_FIN-01_20260317 03_28 PM.xlsx XLSX spreadsheet
Attachment P – Pharmacy Claim Repricing & Disruption Analysis - DELETE YELLOW ONCE APPROVED.xlsx XLSX spreadsheet
Gloucester County Repricing Cover Letter 02032026.docx DOCX document
Attachment N – Accident, Critical Illness, Hospital Benefits.pdf PDF
Attachment I – Medical Claims, Enrollment, HCCs.xlsx XLSX spreadsheet
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Text version

Contracts by Tier

GLOUCESTER COUNTY PUBLIC SCHOOLS
Account Number:0227883Contracts by Tier
Coverage Period:12/01/2023 - 11/30/2025
Activity Period:12/01/2023 - 12/31/2025
Coverage DateSingleTwo PartyParent and ChildParent and ChildrenFamilyTotal Contracts
12/01/20233491024027155673
01/01/20243471053927154672
02/01/20243471053828153671
03/01/20243451033929153669
04/01/20243461043829153670
05/01/20243441043829151666
06/01/20243411053829150663
07/01/20243401043829151662
08/01/20243371023830151658
09/01/20243381013830150657
10/01/20243301013335145644
11/01/20243321003535147649
12/01/20243301013735148651
01/01/20253291053534144647
02/01/20253281053535145648
03/01/20253301053436145650
04/01/20253301043436145649
05/01/20253301023436144646
06/01/20253291023436144645
07/01/20253271043336145645
08/01/20253291013334144641
09/01/20253271023334146642
10/01/20253131003734140624
11/01/20253111013734139622
Account Total:8,0092,4688687773,54215,664

Claims vs Premium

GLOUCESTER COUNTY PUBLIC SCHOOLS
Account:0227883
Incurred Period:12/01/23 - 11/30/25
Finalized Period:12/01/23 - 12/31/25
Incurred DateContractsPremiumPaid ClaimsLoss Ratio
12/01/2023673$40,332$26,42065.51%
01/01/2024672$40,158$37,48593.34%
02/01/2024671$40,178$37,64193.69%
03/01/2024669$40,154$31,70378.95%
04/01/2024670$40,179$32,53480.97%
05/01/2024666$39,865$27,57069.16%
06/01/2024663$39,704$31,51279.37%
07/01/2024662$39,783$32,55781.84%
08/01/2024658$39,554$35,19688.98%
09/01/2024657$39,425$25,47664.62%
10/01/2024644$39,567$40,648102.73%
11/01/2024649$39,933$25,76964.53%
12/01/2024651$40,080$24,11660.17%
01/01/2025647$39,575$30,01975.85%
02/01/2025648$39,604$27,39469.17%
03/01/2025650$39,777$30,68777.15%
04/01/2025649$39,602$35,79990.40%
05/01/2025646$39,453$26,25466.54%
06/01/2025645$39,329$32,57582.83%
07/01/2025645$39,502$40,593102.76%
08/01/2025641$38,993$33,64286.28%
09/01/2025642$39,141$31,20379.72%
10/01/2025624$38,459$40,931106.43%
11/01/2025622$38,359$31,69582.63%
Sum:15664$950,705$769,41880.93%

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