Attachment M – Long Term Disability Claims History.xlsx

This is a Long Term Disability Claims History report for Gloucester County Public, covering the group claim experience period from January 1, 2023, through December 31, 2025. The document provides a summary of long-term disability (LTD) claims processed under Policy 172963, with claim tracking organized by claim class, claimant information, coverage type, and benefit payment status.

The report documents one active LTD claim (Claim Number LK1492) for a female claimant born in December 1964, with a coverage product type of LT. The claim was incurred in October 2024 and approved in June 2025, with a term date of June 2025. The benefit paid during this period totaled $1,856.42, with cumulative paid benefits on the claim reaching $14,019.60. The ending reserve balance is $10,176.86, and the beginning reserve balance was $10,176.86. The report is marked as confidential and proprietary, accessible only to authorized Standard Insurance Company personnel with legitimate business need, and may not be redisclosed without written authorization.