Attachment K – Vision Claims and enrollment history.pdf
PDF 1 MB 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 document is an EyeMed vision claims and enrollment utilization report for Gloucester County Public Schools covering the current year period from January through December 2025, compared to the prior year period of 2024. The report provides comprehensive analysis of vision care services including eye exams, eyewear (frames and lenses), and contact lenses across three distinct groups: the Active plan (Group ID 1007160), COBRA plan (Group ID 1007161), and Retiree plan (Group ID 1007162). The contract term is effective October 1, 2016, with a renewal date of September 30, 2028, indicating a fixed-fee voluntary benefit arrangement. The current year membership includes 482 subscribers and 955 total members, with the prior year showing 500 subscribers and 985 total members.
The report demonstrates significant utilization and member savings across the vision benefit plan. Year-to-date member savings totaled $105,220, with total retail claims of $153,397 and member responsibility of $48,205, resulting in a 68.6 percent member discount rate. Exam utilization increased from 27.9 percent in the prior year to 30.1 percent in the current year, while material utilization remained relatively stable at 21.0 percent versus 22.0 percent. The Active group (Group 1007160) represents the primary enrollment with 476 subscribers and 946 members, accounting for the substantial majority of claims activity and utilization. Network utilization shows 71.7 percent of claims processed through independent providers, 24.6 percent through retail chains including LensCrafters and Target Optical, and 3.7 percent out-of-network. Key lens types utilized include single vision (47.9 percent), progressive lenses (45.4 percent), and popular enhancements such as anti-reflective coating (70.6 percent) and polycarbonate lenses (60.5 percent).
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Gloucester County Public Schools
EyeMed provides Gloucester County Public Schools the following utilization reports for your review.
· Summary Page – High Level Comparison of Utilization Percentages, Current vs. Prior Year
· Utilization – Utilization Percentages & Dollars by Month, Current vs. Prior Year
· Network Utilization – Utilization Percentages by Provider Bands, Current vs. Prior Year
· Benefit Utilization – Client Savings by Service/Material Purchased
· Member Experience – Member Savings by Service/Material Purchased
· Glossary – Glossary of Terms and Calculations
Please contact your Account Manager should you have any questions about your utilization. Thank you for your business.
Gloucester County Public Schools YTD Member Savings: $105,220
Date Executed: 1/29/26 CONFIDENTIAL & PROPRIETARY Intended for EyeMed Clients and their brokers/consultants only
Current Year (CY): 2025/01 to 2025/12
Prior Year (PY): 2024/01 to 2024/12Cov:1/1
SummaryGloucester County Public Schools
Benefit Utilization Client BOB
Benefit Type CY % PY % CY % PY %
Exam 30.1% 27.9% 31.7% 30.3%
Material 21.0% 22.0% 32.9% 29.1%
Eyewear (% of Materials) 60.7% 68.7% 68.3% 69.5%
Contacts (% of Materials) 39.3% 31.3% 31.7% 30.5%
Single Vision (% of Lens) 47.9% 40.7% 59.6% 59.0%
Multi-Focal Lined (% of Lens) 6.7% 6.9% 3.9% 4.3%
Progressive (% of Lens) 45.4% 52.4% 36.5% 36.8%
Other Lens (% of Lens) 0.0% 0.0% 0.0% 0.0%
For more information, please review the Benefit Utilization page.
Utilization Membership Exam Utilization Material Utilization
Client Client BOB Client BOB
Member Type CY # PY # CY % PY % CY % PY % CY % PY % CY % PY %
Subscriber 482 500 36.3% 32.4% 34.7% 32.8% 26.5% 26.8% 37.0% 32.7%
Spouse/Partner 169 173 29.5% 26.1% 35.1% 33.5% 18.9% 22.6% 36.8% 32.7%
Child/Other 303 312 20.4% 21.8% 24.1% 23.9% 13.5% 14.1% 23.0% 20.5%
For more information, please review the Utilization page(s).
Network Utilization
Exam & Mat'l Share Exam Share Material Share
Client Client BOB Client BOB
Location Type CY % PY % CY % PY % CY % PY % CY % PY % CY % PY %
Independent 71.7% 66.5% 82.6% 77.8% 47.4% 49.0% 56.2% 52.1% 37.3% 38.6%
Retail 24.6% 30.7% 16.7% 22.2% 51.0% 49.4% 35.8% 41.5% 56.3% 55.2%
Out of Network 3.7% 2.8% 0.7% 0.0% 1.6% 1.5% 8.0% 6.5% 5.0% 4.9%
For more information, please review the Network Utilization page.
Lens Enhancements Client BOB
Top Add-Ons (% of Lens) CY % PY % CY % PY %
Polycarbonate 60.5% 75.9% 66.8% 67.0%
Anti-Reflective Coating 70.6% 76.6% 74.0% 73.4%
Scratch Coating 18.5% 17.9% 21.6% 18.7%
Photochromic 15.1% 24.8% 20.9% 21.6%
For more information, please review the Member Experience page.
Date Executed: 1/29/26 CONFIDENTIAL & PROPRIETARY Intended for EyeMed Clients and their brokers/consultants only
Prior Year (PY): 2024/01 to 2024/12Sum:1/1
UtilizationGloucester County Public Schools
Client Utilization Subscribers Members Members Using Benefit Exam Utilization Material Utilization
By Month CY # PY # CY # PY # CY # PY # CY # CY $ PY # PY $ CY # CY $ PY # PY $
JANUARY 491 508 958 995 36 34 30 $1,320 22 $905 13 $1,407 26 $2,743
FEBRUARY 488 509 963 995 13 22 7 $260 14 $560 8 $954 12 $1,230
MARCH 493 505 971 991 40 16 24 $975 7 $305 20 $1,958 9 $878
APRIL 488 506 966 993 23 32 17 $675 26 $1,135 11 $1,097 19 $1,877
MAY 484 502 958 983 29 21 26 $1,055 17 $750 8 $850 14 $1,109
JUNE 484 499 961 977 27 38 23 $980 28 $1,150 8 $852 15 $1,414
JULY 486 499 964 977 49 49 25 $980 42 $1,680 38 $3,874 21 $2,262
AUGUST 480 504 948 1,001 50 53 34 $1,370 33 $1,335 27 $2,514 29 $2,535
SEPTEMBER 482 501 956 993 35 34 14 $605 20 $795 29 $3,170 24 $2,164
OCTOBER 469 486 931 962 43 47 38 $1,515 34 $1,400 9 $914 17 $1,589
NOVEMBER 471 491 941 974 28 19 20 $835 12 $485 16 $1,708 13 $1,249
DECEMBER 471 491 943 974 37 28 29 $1,210 20 $810 14 $1,351 18 $1,723
482 500 955 985 410 393 287 $11,780 275 $11,310 201 $20,651 217 $20,774
Date Executed: 1/29/26 CONFIDENTIAL & PROPRIETARY Intended for EyeMed Clients and their brokers/consultants only
Prior Year (PY): 2024/01 to 2024/12Utl:1/1
Network
Network Utilization by Band (CY)
Client Combined (Ex & Matls)
Client Exam Share
Client Mat'l Share
Location Type Provider Band CY % PY % CY % PY % CY % PY %
Independent Independent 71.7% 66.5% 82.6% 77.8% 56.2% 52.1%
Total: Independent 71.7% 66.5% 82.6% 77.8% 56.2% 52.1%
Retail LensCrafters 4.5% 4.5% 2.1% 1.8% 8.0% 7.8%
Pearle Vision 0.0% 0.4% 0.0% 0.0% 0.0% 0.9%
Target Optical 4.5% 7.5% 3.8% 6.5% 5.5% 8.8%
Contacts Direct 0.2% 0.4% 0.0% 0.0% 0.5% 0.9%
Other Retail 15.4% 17.9% 10.8% 13.8% 21.9% 23.0%
Total: Retail 24.6% 30.7% 16.7% 22.2% 35.8% 41.5%
Out of Network Out of Network 3.7% 2.8% 0.7% 0.0% 8.0% 6.5%
Total: Out of Network 3.7% 2.8% 0.7% 0.0% 8.0% 6.5%
Frames by Price Point and Network (CY) Independent LensCrafters Pearle Vision
Target Optical Other Retail
Out of Network
Total All Frames
<= $100 11.7% 7.1% 0.0% 0.0% 60.7% 71.4% 25.6%
$100-$110 0.0% 0.0% 0.0% 12.5% 0.0% 0.0% 0.9%
$110-$120 6.7% 14.3% 0.0% 0.0% 10.7% 0.0% 7.7%
$120-$130 1.7% 0.0% 0.0% 12.5% 3.6% 0.0% 2.6%
$130-$140 1.7% 7.1% 0.0% 12.5% 0.0% 0.0% 2.6%
$140-$150 1.7% 14.3% 0.0% 12.5% 7.1% 0.0% 5.1%
$150-$170 1.7% 21.4% 0.0% 0.0% 0.0% 0.0% 3.4%
$170-$200 5.0% 0.0% 0.0% 25.0% 10.7% 14.3% 7.7%
$200-$300 45.0% 28.6% 0.0% 25.0% 7.1% 0.0% 29.9%
$300-$400 18.3% 7.1% 0.0% 0.0% 0.0% 0.0% 10.3%
> $400 6.7% 0.0% 0.0% 0.0% 0.0% 14.3% 4.3%
Frame Count by Network 60 14 0 8 28 7 117
Network Percent of Total 51.3% 12.0% 0.0% 6.8% 23.9% 6.0% 100.0%
Percent of Frames < Allowance 20.0% 21.4% 0.0% 25.0% 75.0% 57.1% 35.9%
Avg Frame Retail Price $243 $176 $0 $164 $115 $151 $193
Date Executed: 1/29/26 CONFIDENTIAL & PROPRIETARY Intended for EyeMed Clients and their brokers/consultants only
Net:1/1 Prior Year (PY): 2024/01 to 2024/12
Benefit
Lens Single Vision 57 6.0% $5,124 $2,575 $2,549 $90 49.7%
Lens Multi-Focal Lined 8 0.4% $1,242 $580 $662 $155 53.3%
Lens Std Progressive 11 0.7% $2,022 $1,521 $501 $184 24.8%
Lens Tiered Prem Progressive - T1 4 0.1% $738 $560 $178 $185 24.1%
Lens Tiered Prem Progressive - T2 9 0.4% $2,256 $1,350 $906 $251 40.2%
Lens Tiered Prem Progressive - T3 26 2.0% $9,735 $4,290 $5,445 $374 55.9%
Lens Other Prem Progressive 4 0.1% $1,417 $1,134 $283 $354 20.0%
Lens Other Lens 0 0.0% $0 $0 $0 $0 0.0%
Total Lenses 119 9.7% $22,534 $12,010 $10,524 $189 46.7%
Average Transaction (CY) Utilization Net to Client Avg Client
Service / Material Lens Type Count Percent Retail Provider Savings Retail Savings
Exam 287 30.1% $47,149 $15,068 $32,081 $164 68.0%
Contacts 79 8.3% $21,503 $21,209 $294 $272 1.4%
Fit & Follow 69 7.2% $6,923 $3,584 $3,339 $100 48.2%
Frame 117 12.3% $22,623 $14,958 $7,665 $193 33.9%
Utilization by Age Break (CY) 1 - 18 19 - 26 27 - 40 41 - 55 56 - 65 Over 65
Membership (as of report CY end date) 201 119 157 250 181 35
Exam 16.9% 28.6% 35.0% 40.4% 30.9% 20.0%
Contacts 1.5% 10.1% 14.6% 13.2% 4.4% 0.0%
Frame 9.5% 7.6% 9.6% 16.0% 15.5% 17.1%
Single Vision 9.5% 6.7% 8.9% 4.8% 1.7% 2.9%
Multi-Focal Lined 0.0% 0.0% 0.0% 1.2% 2.2% 2.9%
Std Progressive 0.0% 0.0% 0.6% 1.6% 3.3% 0.0%
Tiered Prem Progressive - T1 0.0% 0.0% 0.6% 0.8% 0.6% 0.0%
Tiered Prem Progressive - T2 0.0% 0.0% 0.0% 2.0% 2.2% 0.0%
Tiered Prem Progressive - T3 0.0% 0.0% 0.0% 6.4% 4.4% 5.7%
Other Prem Progressive 0.0% 0.0% 0.0% 0.4% 0.6% 5.7%
Other Lens 0.0% 0.0% 0.0% 0.0% 0.0% 0.0%
Date Executed: 1/29/26 CONFIDENTIAL & PROPRIETARY Intended for EyeMed Clients and their brokers/consultants only
Ben:1/1 Prior Year (PY): 2024/01 to 2024/12
Gloucester County Public Schools Member Experience
Single Vision 57 6.0% $5,124 $1,955 $3,169 $90 $34 61.8%
Multi-Focal Lined 8 0.4% $1,242 $315 $927 $155 $39 74.6%
Std Progressive 11 0.7% $2,022 $1,121 $901 $184 $102 44.6%
Tiered Prem Progressive - T1 4 0.1% $738 $440 $298 $185 $110 40.4%
Tiered Prem Progressive - T2 9 0.4% $2,256 $1,080 $1,176 $251 $120 52.1%
Tiered Prem Progressive - T3 26 2.0% $9,735 $3,510 $6,225 $374 $135 63.9%
Other Prem Progressive 4 0.1% $1,417 $1,014 $403 $354 $253 28.5%
Other Lens 0 0.0% $0 $0 $0 $0 $0 0.0%
Total: Lenses 119 9.7% $22,534 $9,435 $13,099 $189 $79 58.1%
Service / Material Averages (CY)
Count Utilization Percent
Retail Member Responsibility
Member Savings
Avg Retail Avg Member Responsibility
Member Discount %
Exam 287 30.1% $47,149 $3,288 $43,861 $164 $11 93.0%
Total: Exams 287 30.1% $47,149 $3,288 $43,861 $164 $11 93.0%
Dilation 84 8.8% $50 $0 $50 $1 $0 100.0%
Retinal Photo 12 1.3% $507 $436 $71 $42 $36 14.0%
Refraction 234 24.5% $10,752 $80 $10,672 $46 $0 99.3%
Total: Exam Services 330 34.6% $11,309 $516 $10,793 $34 $2 95.4%
Contacts 79 8.3% $21,503 $10,841 $10,662 $272 $137 49.6%
Total: Contacts 79 8.3% $21,503 $10,841 $10,662 $272 $137 49.6%
Fit & Follow 69 7.2% $6,923 $3,584 $3,339 $100 $52 48.2%
Total: Fit & Follow 69 7.2% $6,923 $3,584 $3,339 $100 $52 48.2%
Frame 117 12.3% $22,623 $7,250 $15,373 $193 $62 68.0%
Total: Frames 117 12.3% $22,623 $7,250 $15,373 $193 $62 68.0%
Date Executed: 1/29/26 CONFIDENTIAL & PROPRIETARY Intended for EyeMed Clients and their brokers/consultants only
MbrExp:1/2 Prior Year (PY): 2024/01 to 2024/12
Gloucester County Public Schools Member Experience
Service / Material Averages (CY) Count
Utilization Percent Retail
Member Responsibility
Member Savings Avg Retail
Avg Member Responsibility
Member Discount %
Anti-Reflective Coating 34 3.6% $2,370 $1,560 $810 $70 $46 34.2%
Anti-Reflective Coating Tier 1 10 0.6% $1,089 $570 $519 $109 $57 47.7%
Anti-Reflective Coating Tier 2 15 1.2% $2,038 $1,042 $996 $136 $69 48.9%
Anti-Reflective Coating Tier 3 25 2.0% $3,496 $2,797 $699 $140 $112 20.0%
Total: Anti-Reflective Coating 84 8.8% $8,993 $5,969 $3,024 $107 $71 33.6%
Polycarbonate 72 7.5% $4,587 $2,837 $1,750 $64 $39 38.1%
Total: Polycarbonate 72 7.5% $4,587 $2,837 $1,750 $64 $39 38.1%
Photochromic - Plastic 18 1.7% $3,388 $1,350 $2,038 $188 $75 60.2%
Total: Photochromic 18 1.7% $3,388 $1,350 $2,038 $188 $75 60.2%
Premium Scratch Coating 2 0.0% $110 $88 $22 $55 $44 20.0%
Scratch Coating 20 1.7% $20 $15 $5 $1 $1 25.0%
Total: Scratch Coating 22 1.9% $130 $103 $27 $6 $5 20.8%
Other Misc Add-Ons 18 1.4% $520 $384 $136 $29 $21 26.2%
Polarize Lens 5 0.1% $630 $504 $126 $126 $101 20.0%
Prism 1 0.0% $0 $0 $0 $0 $0 0.0%
Rimless/Drill 1 0.0% $80 $64 $16 $80 $64 20.0%
Roll/Polish 6 0.2% $146 $117 $29 $24 $19 20.0%
Ultra-Violet Coating 50 4.8% $653 $520 $133 $13 $10 20.4%
Total: Other 81 8.5% $2,029 $1,589 $440 $25 $20 21.7%
Total: Service / Material (CY) 1,326 48.0% $153,397 $48,205 $105,192 $335 $105 68.6%
Date Executed: 1/29/26 CONFIDENTIAL & PROPRIETARY Intended for EyeMed Clients and their brokers/consultants only
MbrExp:2/2 Prior Year (PY): 2024/01 to 2024/12
Gloucester County Public Schools Client List
Group ID Group Name Effective
Date Renewal
Date Voluntary Indicator Type
1007160 1001 GLOUCESTER CTY PUBLIC SCHOOLS ACTIVE 10/1/2016 9/30/2028 Voluntary Fixed Fee
1007161 1001 GLOUCESTER CTY PUBLIC SCHOOLS COBRA 10/1/2016 9/30/2028 Voluntary Fixed Fee
1007162 1001 GLOUCESTER CTY PUBLIC SCHOOLS RETIREE 10/1/2016 9/30/2028 Voluntary Fixed Fee
Gloucester County Public Schools Glossary
Report Name Field & Definition
General *Claims must include a funded exam, frame, lens or contact to be included within these reports.
*Fit & Follow Up must be attached to a claim with a funded exam or contact to be included within these reports.
CY - Current year reporting period.
PY - Prior year reporting period.
Summary BOB - EyeMed Book of Business.
Exam Utilization - Number of exam claims divided by average member count.
Material Utilization - Number of material claims divided by average member count.
Exam Share - Percentage of exam claims by location type.
Material Share - Percentage of material claims by location type.
Utilization Members Using Benefit - Number of members with claim activity.
Number of Exams - Number of exams billed from claims.
Exam Claim Dollars - Claim dollars billed for the exams as reported on claims received.
Number of Materials - Sum of eyewear and contacts billed from claims.
Material Claim Dollars - Claim dollars billed for eyewear, contacts and fit & follow up as reported on claims received.
Benefit Utilization Retail Dollars - Original cost (before discounts) of services as reported on the claims received.
Net to Provider - Claim dollars billed for service and/or material type as reported on the claims received plus member out of pocket dollars.
Client Savings Dollars - Retail dollars less net to provider dollars.
Avg Retail Dollars - Retail dollars divided by count.
Client Savings % - Client savings divided by retail dollars.
Member Experience *Data includes Out-of-Network transactions.
Member Responsibility - Dollars spent by members (member out of pocket).
Member Savings - Retail dollars less member responsibility.
Member Discount % - Member savings divided by retail dollars.
Utilization by GroupGloucester County Public Schools
1007160 1001 - GLOUCESTER CTY PUBLIC SCHOOLS ACTIVEGroup:
Client Utilization Subscribers Members Members Using Benefit Exam Utilization Material Utilization
By Month CY # PY # CY # PY # CY # PY # CY # CY $ PY # PY $ CY # CY $ PY # PY $
JANUARY 485 498 951 979 36 34 30 $1,320 22 $905 13 $1,407 26 $2,743
FEBRUARY 485 499 959 979 13 22 7 $260 14 $560 8 $954 12 $1,230
MARCH 487 496 963 977 40 16 24 $975 7 $305 20 $1,958 9 $878
APRIL 484 498 959 981 22 32 17 $675 26 $1,135 10 $967 19 $1,877
MAY 482 496 954 976 29 21 26 $1,055 17 $750 8 $850 14 $1,109
JUNE 480 495 954 972 26 38 23 $980 28 $1,150 7 $751 15 $1,414
JULY 481 495 957 972 47 49 25 $980 42 $1,680 36 $3,715 21 $2,262
AUGUST 473 498 936 993 49 50 33 $1,330 33 $1,335 27 $2,514 26 $2,325
SEPTEMBER 475 496 944 987 34 34 13 $565 20 $795 28 $3,070 24 $2,164
OCTOBER 460 478 918 951 41 47 36 $1,435 34 $1,400 9 $914 17 $1,589
NOVEMBER 461 483 927 963 28 19 20 $835 12 $485 16 $1,708 13 $1,249
DECEMBER 461 485 929 967 37 27 29 $1,210 19 $770 14 $1,351 17 $1,622
476 493 946 975 402 389 283 $11,620 274 $11,270 196 $20,160 213 $20,463
Date Executed: 1/29/26 CONFIDENTIAL & PROPRIETARY Intended for EyeMed Clients and their brokers/consultants only
Prior Year (PY): 2024/01 to 2024/12Utl_Grp:1/3
1007161 1001 - GLOUCESTER CTY PUBLIC SCHOOLS COBRAGroup:
Client Utilization Subscribers Members Members Using Benefit Exam Utilization Material Utilization
By Month CY # PY # CY # PY # CY # PY # CY # CY $ PY # PY $ CY # CY $ PY # PY $
JANUARY 2 4 3 7 0 0 0 $0 0 $0 0 $0 0 $0
FEBRUARY 1 4 2 7 0 0 0 $0 0 $0 0 $0 0 $0
MARCH 2 4 4 7 0 0 0 $0 0 $0 0 $0 0 $0
APRIL 2 1 4 1 0 0 0 $0 0 $0 0 $0 0 $0
MAY 2 1 4 1 0 0 0 $0 0 $0 0 $0 0 $0
JUNE 2 0 4 0 0 0 0 $0 0 $0 0 $0 0 $0
JULY 1 0 2 0 0 0 0 $0 0 $0 0 $0 0 $0
AUGUST 3 1 5 1 0 0 0 $0 0 $0 0 $0 0 $0
SEPTEMBER 3 1 5 1 1 0 1 $40 0 $0 1 $100 0 $0
OCTOBER 5 2 6 3 0 0 0 $0 0 $0 0 $0 0 $0
NOVEMBER 6 2 7 3 0 0 0 $0 0 $0 0 $0 0 $0
DECEMBER 6 2 7 3 0 0 0 $0 0 $0 0 $0 0 $0
3 2 4 3 1 0 1 $40 0 $0 1 $100 0 $0
Date Executed: 1/29/26 CONFIDENTIAL & PROPRIETARY Intended for EyeMed Clients and their brokers/consultants only
Prior Year (PY): 2024/01 to 2024/12Utl_Grp:2/3
1007162 1001 - GLOUCESTER CTY PUBLIC SCHOOLS RETIREEGroup:
Client Utilization Subscribers Members Members Using Benefit Exam Utilization Material Utilization
By Month CY # PY # CY # PY # CY # PY # CY # CY $ PY # PY $ CY # CY $ PY # PY $
JANUARY 4 6 4 9 0 0 0 $0 0 $0 0 $0 0 $0
FEBRUARY 2 6 2 9 0 0 0 $0 0 $0 0 $0 0 $0
MARCH 4 5 4 7 0 0 0 $0 0 $0 0 $0 0 $0
APRIL 2 7 3 11 1 0 0 $0 0 $0 1 $130 0 $0
MAY 0 5 0 6 0 0 0 $0 0 $0 0 $0 0 $0
JUNE 2 4 3 5 1 0 0 $0 0 $0 1 $102 0 $0
JULY 4 4 5 5 2 0 0 $0 0 $0 2 $159 0 $0
AUGUST 4 5 7 7 1 3 1 $40 0 $0 0 $0 3 $210
SEPTEMBER 4 4 7 5 0 0 0 $0 0 $0 0 $0 0 $0
OCTOBER 4 6 7 8 2 0 2 $80 0 $0 0 $0 0 $0
NOVEMBER 4 6 7 8 0 0 0 $0 0 $0 0 $0 0 $0
DECEMBER 4 4 7 4 0 1 0 $0 1 $40 0 $0 1 $102
3 5 5 7 7 4 3 $120 1 $40 4 $390 4 $312
Date Executed: 1/29/26 CONFIDENTIAL & PROPRIETARY Intended for EyeMed Clients and their brokers/consultants only
Prior Year (PY): 2024/01 to 2024/12Utl_Grp:3/3
Network Utilization by GroupGloucester County Public Schools
1007160 1001 - GLOUCESTER CTY PUBLIC SCHOOLS ACTIVEGroup:
Network Utilization by Band (CY)
Client Combined (Ex & Matls)
Client Exam Share
Client Mat'l Share
Location Type Provider Band CY % PY % CY % PY % CY % PY %
Independent Independent 72.0% 66.5% 82.7% 78.1% 56.6% 51.6%
Total: Independent 72.0% 66.5% 82.7% 78.1% 56.6% 51.6%
Retail LensCrafters 4.6% 4.5% 2.1% 1.8% 8.2% 8.0%
Pearle Vision 0.0% 0.4% 0.0% 0.0% 0.0% 0.9%
Target Optical 4.4% 7.6% 3.9% 6.6% 5.1% 8.9%
Contacts Direct 0.2% 0.4% 0.0% 0.0% 0.5% 0.9%
Other Retail 15.0% 17.7% 10.6% 13.5% 21.4% 23.0%
Total: Retail 24.2% 30.6% 16.6% 21.9% 35.2% 41.8%
Out of Network Out of Network 3.8% 2.9% 0.7% 0.0% 8.2% 6.6%
Total: Out of Network 3.8% 2.9% 0.7% 0.0% 8.2% 6.6%
Frames by Price Point and Network (CY) Independent LensCrafters Pearle Vision
Target Optical Other Retail
Out of Network
Total All Frames
<= $100 11.9% 7.1% 0.0% 0.0% 57.7% 71.4% 24.8%
$100-$110 0.0% 0.0% 0.0% 14.3% 0.0% 0.0% 0.9%
$110-$120 6.8% 14.3% 0.0% 0.0% 11.5% 0.0% 8.0%
$120-$130 1.7% 0.0% 0.0% 14.3% 3.8% 0.0% 2.7%
$130-$140 1.7% 7.1% 0.0% 14.3% 0.0% 0.0% 2.7%
$140-$150 1.7% 14.3% 0.0% 0.0% 7.7% 0.0% 4.4%
$150-$170 1.7% 21.4% 0.0% 0.0% 0.0% 0.0% 3.5%
$170-$200 5.1% 0.0% 0.0% 28.6% 11.5% 14.3% 8.0%
$200-$300 44.1% 28.6% 0.0% 28.6% 7.7% 0.0% 30.1%
$300-$400 18.6% 7.1% 0.0% 0.0% 0.0% 0.0% 10.6%
> $400 6.8% 0.0% 0.0% 0.0% 0.0% 14.3% 4.4%
Frame Count by Network 59 14 0 7 26 7 113
Network Percent of Total 52.2% 12.4% 0.0% 6.2% 23.0% 6.2% 100.0%
Percent of Frames < Allowance 20.3% 21.4% 0.0% 28.6% 73.1% 57.1% 35.4%
Avg Frame Retail Price $243 $176 $0 $168 $117 $151 $195
Date Executed: 1/29/26 CONFIDENTIAL & PROPRIETARY Intended for EyeMed Clients and their brokers/consultants only
Net_Grp:1/3 Prior Year (PY): 2024/01 to 2024/12
1007161 1001 - GLOUCESTER CTY PUBLIC SCHOOLS COBRAGroup:
Network Utilization by Band (CY)
Client Combined (Ex & Matls)
Client Exam Share
Client Mat'l Share
Location Type Provider Band CY % PY % CY % PY % CY % PY %
Independent Independent 100.0% 0.0% 100.0% 0.0% 100.0% 0.0%
Total: Independent 100.0% 0.0% 100.0% 0.0% 100.0% 0.0%
Frames by Price Point and Network (CY) Independent
Total All Frames
$200-$300 100.0% 100.0%
Frame Count by Network 1 1
Network Percent of Total 100.0% 100.0%
Percent of Frames < Allowance 0.0% 0.0%
Avg Frame Retail Price $233 $233
Date Executed: 1/29/26 CONFIDENTIAL & PROPRIETARY Intended for EyeMed Clients and their brokers/consultants only
Net_Grp:2/3 Prior Year (PY): 2024/01 to 2024/12
1007162 1001 - GLOUCESTER CTY PUBLIC SCHOOLS RETIREEGroup:
Network Utilization by Band (CY)
Client Combined (Ex & Matls)
Client Exam Share
Client Mat'l Share
Location Type Provider Band CY % PY % CY % PY % CY % PY %
Independent Independent 42.9% 60.0% 66.7% 0.0% 25.0% 75.0%
Total: Independent 42.9% 60.0% 66.7% 0.0% 25.0% 75.0%
Retail Target Optical 14.3% 0.0% 0.0% 0.0% 25.0% 0.0%
Other Retail 42.9% 40.0% 33.3% 100.0% 50.0% 25.0%
Total: Retail 57.1% 40.0% 33.3% 100.0% 75.0% 25.0%
Frames by Price Point and Network (CY) Independent
Target Optical Other Retail
Total All Frames
<= $100 0.0% 0.0% 100.0% 66.7%
$140-$150 0.0% 100.0% 0.0% 33.3%
$200-$300 0.0% 0.0% 0.0% 0.0%
Frame Count by Network 0 1 2 3
Network Percent of Total 0.0% 33.3% 66.7% 100.0%
Percent of Frames < Allowance 0.0% 0.0% 100.0% 66.7%
Avg Frame Retail Price $0 $141 $90 $107
Date Executed: 1/29/26 CONFIDENTIAL & PROPRIETARY Intended for EyeMed Clients and their brokers/consultants only
Net_Grp:3/3 Prior Year (PY): 2024/01 to 2024/12
Gloucester County Public Schools Benefit Utilization by Group
1007160 1001 - GLOUCESTER CTY PUBLIC SCHOOLS ACTIVEGroup:
Average Transaction (CY) Utilization Net to Client Avg Client
Service / Material Lens Type Count Percent Retail Provider Savings Retail Savings
Exam 283 29.9% $46,484 $14,868 $31,616 $164 68.0%
Contacts 78 8.2% $21,313 $21,019 $294 $273 1.4%
Fit & Follow 69 7.3% $6,923 $3,584 $3,339 $100 48.2%
Frame 113 11.9% $22,069 $14,627 $7,443 $195 33.7%
Lens Single Vision 57 6.0% $5,124 $2,575 $2,549 $90 49.7%
Lens Multi-Focal Lined 7 0.7% $1,115 $525 $590 $159 52.9%
Lens Std Progressive 11 1.2% $2,022 $1,521 $501 $184 24.8%
Lens Tiered Prem Progressive - T1 3 0.3% $559 $420 $139 $186 24.9%
Lens Tiered Prem Progressive - T2 8 0.8% $2,067 $1,200 $867 $258 41.9%
Lens Tiered Prem Progressive - T3 26 2.7% $9,735 $4,290 $5,445 $374 55.9%
Lens Other Prem Progressive 3 0.3% $1,167 $934 $233 $389 20.0%
Lens Other Lens 0 0.0% $0 $0 $0 $0 0.0%
Total Lenses 115 12.2% $21,789 $11,465 $10,324 $189 47.4%
Utilization by Age Break (CY) 1 - 18 19 - 26 27 - 40 41 - 55 56 - 65 Over 65
Membership (as of report CY end date) 201 117 155 250 173 33
Exam 16.9% 29.1% 35.5% 40.4% 30.1% 21.2%
Contacts 1.5% 10.3% 14.8% 13.2% 4.0% 0.0%
Frame 9.5% 7.7% 9.7% 16.0% 14.5% 15.2%
Single Vision 9.5% 6.8% 9.0% 4.8% 1.7% 3.0%
Multi-Focal Lined 0.0% 0.0% 0.0% 1.2% 1.7% 3.0%
Std Progressive 0.0% 0.0% 0.6% 1.6% 3.5% 0.0%
Tiered Prem Progressive - T1 0.0% 0.0% 0.6% 0.8% 0.0% 0.0%
Tiered Prem Progressive - T2 0.0% 0.0% 0.0% 2.0% 1.7% 0.0%
Tiered Prem Progressive - T3 0.0% 0.0% 0.0% 6.4% 4.6% 6.1%
Other Prem Progressive 0.0% 0.0% 0.0% 0.4% 0.6% 3.0%
Other Lens 0.0% 0.0% 0.0% 0.0% 0.0% 0.0%
Date Executed: 1/29/26 CONFIDENTIAL & PROPRIETARY Intended for EyeMed Clients and their brokers/consultants only
Prior Year (PY): 2024/01 to 2024/12Ben_Grp:1/3
1007161 1001 - GLOUCESTER CTY PUBLIC SCHOOLS COBRAGroup:
Average Transaction (CY) Utilization Net to Client Avg Client
Service / Material Lens Type Count Percent Retail Provider Savings Retail Savings
Exam 1 22.6% $60 $50 $10 $60 16.7%
Contacts 0 0.0% $0 $0 $0 $0 0.0%
Fit & Follow 0 0.0% $0 $0 $0 $0 0.0%
Frame 1 22.6% $233 $152 $81 $233 34.6%
Lens Multi-Focal Lined 1 22.6% $127 $55 $72 $127 56.7%
Total Lenses 1 22.6% $127 $55 $72 $127 56.7%
Utilization by Age Break (CY) 1 - 18 19 - 26 27 - 40 41 - 55 56 - 65 Over 65
Membership (as of report CY end date) 0 0 2 0 4 1
Exam 0.0% 0.0% 0.0% 0.0% 25.0% 0.0%
Contacts 0.0% 0.0% 0.0% 0.0% 0.0% 0.0%
Frame 0.0% 0.0% 0.0% 0.0% 25.0% 0.0%
Multi-Focal Lined 0.0% 0.0% 0.0% 0.0% 25.0% 0.0%
Date Executed: 1/29/26 CONFIDENTIAL & PROPRIETARY Intended for EyeMed Clients and their brokers/consultants only
Prior Year (PY): 2024/01 to 2024/12Ben_Grp:2/3
1007162 1001 - GLOUCESTER CTY PUBLIC SCHOOLS RETIREEGroup:
Average Transaction (CY) Utilization Net to Client Avg Client
Service / Material Lens Type Count Percent Retail Provider Savings Retail Savings
Exam 3 58.9% $605 $150 $455 $202 75.2%
Contacts 1 19.6% $190 $190 $0 $190 0.0%
Fit & Follow 0 0.0% $0 $0 $0 $0 0.0%
Frame 3 58.9% $321 $179 $142 $107 44.1%
Lens Single Vision 0 0.0% $0 $0 $0 $0 0.0%
Lens Tiered Prem Progressive - T1 1 19.6% $179 $140 $39 $179 21.8%
Lens Tiered Prem Progressive - T2 1 19.6% $189 $150 $39 $189 20.6%
Lens Tiered Prem Progressive - T3 0 0.0% $0 $0 $0 $0 0.0%
Lens Other Prem Progressive 1 19.6% $250 $200 $50 $250 20.0%
Lens Other Lens 0 0.0% $0 $0 $0 $0 0.0%
Total Lenses 3 58.9% $618 $490 $128 $206 20.7%
Utilization by Age Break (CY) 1 - 18 19 - 26 27 - 40 41 - 55 56 - 65 Over 65
Membership (as of report CY end date) 0 2 0 0 4 1
Exam 0.0% 0.0% 0.0% 0.0% 75.0% 0.0%
Contacts 0.0% 0.0% 0.0% 0.0% 25.0% 0.0%
Frame 0.0% 0.0% 0.0% 0.0% 50.0% 100.0%
Single Vision 0.0% 0.0% 0.0% 0.0% 0.0% 0.0%
Tiered Prem Progressive - T1 0.0% 0.0% 0.0% 0.0% 25.0% 0.0%
Tiered Prem Progressive - T2 0.0% 0.0% 0.0% 0.0% 25.0% 0.0%
Tiered Prem Progressive - T3 0.0% 0.0% 0.0% 0.0% 0.0% 0.0%
Other Prem Progressive 0.0% 0.0% 0.0% 0.0% 0.0% 100.0%
Other Lens 0.0% 0.0% 0.0% 0.0% 0.0% 0.0%
Date Executed: 1/29/26 CONFIDENTIAL & PROPRIETARY Intended for EyeMed Clients and their brokers/consultants only
Prior Year (PY): 2024/01 to 2024/12Ben_Grp:3/3
Gloucester County Public Schools Member Experience
1007160 1001 - GLOUCESTER CTY PUBLIC SCHOOLS ACTIVEGroup:
Service / Material Averages (CY)
Count Utilization Percent
Retail Member Responsibility
Member Savings
Avg Retail Avg Member Responsibility
Member Discount %
Exam 283 29.9% $46,484 $3,248 $43,236 $164 $11 93.0%
Total: Exams 283 29.9% $46,484 $3,248 $43,236 $164 $11 93.0%
Dilation 83 8.8% $50 $0 $50 $1 $0 100.0%
Retinal Photo 12 1.3% $507 $436 $71 $42 $36 14.0%
Refraction 230 24.3% $10,584 $80 $10,504 $46 $0 99.2%
Total: Exam Services 325 34.4% $11,141 $516 $10,625 $34 $2 95.4%
Contacts 78 8.2% $21,313 $10,781 $10,532 $273 $138 49.4%
Total: Contacts 78 8.2% $21,313 $10,781 $10,532 $273 $138 49.4%
Fit & Follow 69 7.3% $6,923 $3,584 $3,339 $100 $52 48.2%
Total: Fit & Follow 69 7.3% $6,923 $3,584 $3,339 $100 $52 48.2%
Frame 113 11.9% $22,069 $7,159 $14,910 $195 $63 67.6%
Total: Frames 113 11.9% $22,069 $7,159 $14,910 $195 $63 67.6%
Single Vision 57 6.0% $5,124 $1,955 $3,169 $90 $34 61.8%
Multi-Focal Lined 7 0.7% $1,115 $290 $825 $159 $41 74.0%
Std Progressive 11 1.2% $2,022 $1,121 $901 $184 $102 44.6%
Tiered Prem Progressive - T1 3 0.3% $559 $330 $229 $186 $110 41.0%
Tiered Prem Progressive - T2 8 0.8% $2,067 $960 $1,107 $258 $120 53.6%
Tiered Prem Progressive - T3 26 2.7% $9,735 $3,510 $6,225 $374 $135 63.9%
Other Prem Progressive 3 0.3% $1,167 $844 $323 $389 $281 27.7%
Other Lens 0 0.0% $0 $0 $0 $0 $0 0.0%
Total: Lenses 115 12.2% $21,789 $9,010 $12,779 $189 $78 58.6%
Date Executed: 1/29/26 CONFIDENTIAL & PROPRIETARY Intended for EyeMed Clients and their brokers/consultants only
MbrExp_Grp:1/6 Prior Year (PY): 2024/01 to 2024/12
1007160 1001 - GLOUCESTER CTY PUBLIC SCHOOLS ACTIVEGroup:
Service / Material Averages (CY) Count
Utilization Percent Retail
Member Responsibility
Member Savings Avg Retail
Avg Member Responsibility
Member Discount %
Anti-Reflective Coating 34 3.6% $2,370 $1,560 $810 $70 $46 34.2%
Anti-Reflective Coating Tier 1 10 1.1% $1,089 $570 $519 $109 $57 47.7%
Anti-Reflective Coating Tier 2 15 1.6% $2,038 $1,042 $996 $136 $69 48.9%
Anti-Reflective Coating Tier 3 24 2.5% $3,376 $2,701 $675 $141 $113 20.0%
Total: Anti-Reflective Coating 83 8.8% $8,873 $5,873 $3,000 $107 $71 33.8%
Polycarbonate 69 7.3% $4,477 $2,727 $1,750 $65 $40 39.1%
Total: Polycarbonate 69 7.3% $4,477 $2,727 $1,750 $65 $40 39.1%
Photochromic - Plastic 18 1.9% $3,388 $1,350 $2,038 $188 $75 60.2%
Total: Photochromic 18 1.9% $3,388 $1,350 $2,038 $188 $75 60.2%
Premium Scratch Coating 1 0.1% $30 $24 $6 $30 $24 20.0%
Scratch Coating 19 2.0% $20 $15 $5 $1 $1 25.0%
Total: Scratch Coating 20 2.1% $50 $39 $11 $3 $2 22.0%
Other Misc Add-Ons 17 1.8% $520 $384 $136 $31 $23 26.2%
Polarize Lens 3 0.3% $470 $376 $94 $157 $125 20.0%
Prism 1 0.1% $0 $0 $0 $0 $0 0.0%
Rimless/Drill 1 0.1% $80 $64 $16 $80 $64 20.0%
Roll/Polish 6 0.6% $146 $117 $29 $24 $19 20.0%
Ultra-Violet Coating 49 5.2% $638 $505 $133 $13 $10 20.8%
Total: Other 77 8.1% $1,854 $1,446 $408 $24 $19 22.0%
Total: Service / Material (CY) 1,296 47.6% $150,550 $47,160 $103,390 $335 $105 68.7%
Date Executed: 1/29/26 CONFIDENTIAL & PROPRIETARY Intended for EyeMed Clients and their brokers/consultants only
MbrExp_Grp:2/6 Prior Year (PY): 2024/01 to 2024/12
1007161 1001 - GLOUCESTER CTY PUBLIC SCHOOLS COBRAGroup:
Service / Material Averages (CY)
Count Utilization Percent
Retail Member Responsibility
Member Savings
Avg Retail Avg Member Responsibility
Member Discount %
Exam 1 22.6% $60 $10 $50 $60 $10 83.3%
Total: Exams 1 22.6% $60 $10 $50 $60 $10 83.3%
Dilation 0 0.0% $0 $0 $0 $0 $0 0.0%
Retinal Photo 0 0.0% $0 $0 $0 $0 $0 0.0%
Refraction 1 22.6% $28 $0 $28 $28 $0 100.0%
Total: Exam Services 1 22.6% $28 $0 $28 $28 $0 100.0%
Contacts 0 0.0% $0 $0 $0 $0 $0 0.0%
Total: Contacts 0 0.0% $0 $0 $0 $0 $0 0.0%
Fit & Follow 0 0.0% $0 $0 $0 $0 $0 0.0%
Total: Fit & Follow 0 0.0% $0 $0 $0 $0 $0 0.0%
Frame 1 22.6% $233 $82 $151 $233 $82 64.6%
Total: Frames 1 22.6% $233 $82 $151 $233 $82 64.6%
Multi-Focal Lined 1 22.6% $127 $25 $102 $127 $25 80.3%
Total: Lenses 1 22.6% $127 $25 $102 $127 $25 80.3%
Date Executed: 1/29/26 CONFIDENTIAL & PROPRIETARY Intended for EyeMed Clients and their brokers/consultants only
MbrExp_Grp:3/6 Prior Year (PY): 2024/01 to 2024/12
1007161 1001 - GLOUCESTER CTY PUBLIC SCHOOLS COBRAGroup:
Service / Material Averages (CY) Count
Utilization Percent Retail
Member Responsibility
Member Savings Avg Retail
Avg Member Responsibility
Member Discount %
Premium Scratch Coating 1 22.6% $80 $64 $16 $80 $64 20.0%
Total: Scratch Coating 1 22.6% $80 $64 $16 $80 $64 20.0%
Total: Service / Material (CY) 5 22.6% $528 $181 $347 $528 $181 65.6%
Date Executed: 1/29/26 CONFIDENTIAL & PROPRIETARY Intended for EyeMed Clients and their brokers/consultants only
MbrExp_Grp:4/6 Prior Year (PY): 2024/01 to 2024/12
1007162 1001 - GLOUCESTER CTY PUBLIC SCHOOLS RETIREE#MULTIVALUE
Service / Material Averages (CY)
Count Utilization Percent
Retail Member Responsibility
Member Savings
Avg Retail Avg Member Responsibility
Member Discount %
Exam 3 58.9% $605 $30 $575 $202 $10 95.0%
Total: Exams 3 58.9% $605 $30 $575 $202 $10 95.0%
Dilation 1 19.6% $0 $0 $0 $0 $0 0.0%
Retinal Photo 0 0.0% $0 $0 $0 $0 $0 0.0%
Refraction 3 58.9% $140 $0 $140 $47 $0 100.0%
Total: Exam Services 4 78.6% $140 $0 $140 $35 $0 100.0%
Contacts 1 19.6% $190 $60 $130 $190 $60 68.4%
Total: Contacts 1 19.6% $190 $60 $130 $190 $60 68.4%
Fit & Follow 0 0.0% $0 $0 $0 $0 $0 0.0%
Total: Fit & Follow 0 0.0% $0 $0 $0 $0 $0 0.0%
Frame 3 58.9% $321 $9 $312 $107 $3 97.3%
Total: Frames 3 58.9% $321 $9 $312 $107 $3 97.3%
Single Vision 0 0.0% $0 $0 $0 $0 $0 0.0%
Tiered Prem Progressive - T1 1 19.6% $179 $110 $69 $179 $110 38.5%
Tiered Prem Progressive - T2 1 19.6% $189 $120 $69 $189 $120 36.5%
Tiered Prem Progressive - T3 0 0.0% $0 $0 $0 $0 $0 0.0%
Other Prem Progressive 1 19.6% $250 $170 $80 $250 $170 32.0%
Other Lens 0 0.0% $0 $0 $0 $0 $0 0.0%
Total: Lenses 3 58.9% $618 $400 $218 $206 $133 35.3%
Date Executed: 1/29/26 CONFIDENTIAL & PROPRIETARY Intended for EyeMed Clients and their brokers/consultants only
MbrExp_Grp:5/6 Prior Year (PY): 2024/01 to 2024/12
1007162 1001 - GLOUCESTER CTY PUBLIC SCHOOLS RETIREE#MULTIVALUE
Service / Material Averages (CY) Count
Utilization Percent Retail
Member Responsibility
Member Savings Avg Retail
Avg Member Responsibility
Member Discount %
Anti-Reflective Coating 0 0.0% $0 $0 $0 $0 $0 0.0%
Anti-Reflective Coating Tier 2 0 0.0% $0 $0 $0 $0 $0 0.0%
Anti-Reflective Coating Tier 3 1 19.6% $120 $96 $24 $120 $96 20.0%
Total: Anti-Reflective Coating 1 19.6% $120 $96 $24 $120 $96 20.0%
Polycarbonate 3 58.9% $110 $110 $0 $37 $37 0.0%
Total: Polycarbonate 3 58.9% $110 $110 $0 $37 $37 0.0%
Photochromic - Plastic 0 0.0% $0 $0 $0 $0 $0 0.0%
Total: Photochromic 0 0.0% $0 $0 $0 $0 $0 0.0%
Scratch Coating 1 19.6% $0 $0 $0 $0 $0 0.0%
Total: Scratch Coating 1 19.6% $0 $0 $0 $0 $0 0.0%
Other Misc Add-Ons 1 19.6% $0 $0 $0 $0 $0 0.0%
Polarize Lens 2 39.3% $160 $128 $32 $80 $64 20.0%
Ultra-Violet Coating 1 19.6% $15 $15 $0 $15 $15 0.0%
Total: Other 4 78.6% $175 $143 $32 $44 $36 18.3%
Total: Service / Material (CY) 25 150.0% $2,319 $863 $1,456 $331 $123 62.8%
Date Executed: 1/29/26 CONFIDENTIAL & PROPRIETARY Intended for EyeMed Clients and their brokers/consultants only
MbrExp_Grp:6/6 Prior Year (PY): 2024/01 to 2024/12
| Cover |
| Summary |
| Utilization |
| Network Utilization |
| Benefit Utilization |
| Member Experience |
| Client List |
| Glossary |
| Utilization by Breakout |
| 1007160 1001 - GLOUCESTER CTY PUBLIC SCHOOLS ACTIVE |
| 1007161 1001 - GLOUCESTER CTY PUBLIC SCHOOLS COBRA |
| 1007162 1001 - GLOUCESTER CTY PUBLIC SCHOOLS RETIREE |
| Network Util by Breakout |
| 1007160 1001 - GLOUCESTER CTY PUBLIC SCHOOLS ACTIVE |
| 1007161 1001 - GLOUCESTER CTY PUBLIC SCHOOLS COBRA |
| 1007162 1001 - GLOUCESTER CTY PUBLIC SCHOOLS RETIREE |
| Benefit Util by Breakout |
| 1007160 1001 - GLOUCESTER CTY PUBLIC SCHOOLS ACTIVE |
| 1007161 1001 - GLOUCESTER CTY PUBLIC SCHOOLS COBRA |
| 1007162 1001 - GLOUCESTER CTY PUBLIC SCHOOLS RETIREE |
| Member Exp by Breakout |
| 1007160 1001 - GLOUCESTER CTY PUBLIC SCHOOLS ACTIVE |
| 1007161 1001 - GLOUCESTER CTY PUBLIC SCHOOLS COBRA |
| 1007162 1001 - GLOUCESTER CTY PUBLIC SCHOOLS RETIREE |
File details come from the government source that posted it. Updated .