Attachment_3_-_PWS_Exhibit_3_-_Claims_History.pdf

Year - 2010 Active Ees Disabled Retirees Non-Disabled

Retirees Grand Total In-Network $1,050,618.00 $19,957.00 $99,723.00 $1,170,298.00 Out of Network $1,759,892.00 $30,223.00 $325,234.00 $2,115,349.00 Total Claims $2,810,510.00 $50,180.00 $424,957.00 $3,285,647.00 Billed Premium $3,568,682.00 $83,214.00 $403,123.00 $4,055,019.00 Loss Ratio 79% 60% 105% 81%

Year - 2011 Active Ees Disabled Retirees Non-Disabled

Retirees Grand Total In-Network $1,091,826.00 $20,174.00 $110,234.00 $1,222,234.00 Out of Network $1,773,982.00 $34,875.00 $349,864.00 $2,158,721.00 Total Claims $2,865,808.00 $55,049.00 $460,098.00 $3,380,955.00 Billed Premium $3,583,005.00 $86,723.00 $425,790.00 $4,095,518.00 Loss Ratio 80% 63% 108% 83%

Year - 2012 Active Ees Disabled Retirees Non-Disabled

Retirees Grand Total In-Network $1,177,172.00 $19,503.00 $135,042.00 $1,331,717.00 Out of Network $1,873,405.00 $31,160.00 $358,172.00 $2,262,737.00 Total Claims $3,050,577.00 $50,663.00 $493,214.00 $3,594,454.00 Billed Premium $3,972,729.00 $88,710.00 $452,891.00 $4,514,330.00 Loss Ratio 77% 57% 109% 80%

Year - 2013 Active Ees Disabled Retirees Non-Disabled

Retirees Grand Total In-Network $1,796,518.00 $41,000.00 $198,469.00 $2,035,987.00 Out of Network $1,785,919.00 $32,222.00 $343,253.00 $2,161,394.00 Total Claims $3,582,437.00 $73,222.00 $541,722.00 $4,197,381.00 Billed Premium $4,726,462.00 $89,486.00 $478,160.00 $5,294,108.00 Loss Ratio 76% 82% 113% 79%

Year - 2014 (Jan - Mar) Active Ees Disabled Retirees

Non-Disabled Retirees Grand Total

In-Network $463,911.00 $7,726.00 $54,559.00 $526,196.00 Out of Network $452,397.00 $6,892.00 $88,250.00 $547,539.00 Total Claims $916,308.00 $14,618.00 $142,809.00 $1,073,735.00 Billed Premium $1,273,203.00 $23,265.00 $131,796.00 $1,428,264.00 Loss Ratio 72% 63% 108% 75%

ATTACHMENT 3 - EXHIBIT 3 of the PWS

5-YEAR CLAIMS HISTORY

Sheet1