Attachment_3_-_STD_LTD_Claims_Data_(re-sorted).xls
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STD_1
| ATTACHMENT 3 - STD CLAIMS DATA | ||||||
| VDT-0980035 - As of 12/31/2014 | ||||||
| Period Description | Fully Revealed Total | |||||
| Start Date | 1/1/10 | 1/1/11 | 1/1/12 | 1/1/13 | 1/1/14 | |
| End Date | 12/31/10 | 12/31/11 | 12/31/12 | 12/31/13 | 12/26/14 | |
| # of months | 12 | 12 | 12 | 12 | 12 | 60 |
| Constant Premium | $ 196,235 | $ 211,067 | $ 249,752 | $ 322,313 | $ 351,823 | $ 1,331,190 |
| Paid Claims | $ 83,351 | $ 111,847 | $ 65,715 | $ 55,707 | $ 97,083 | $ 413,703 |
| IBNR | $ 11,075 | $ 2,414 | $ 2,472 | $ 4,638 | $ 1,886 | $ 22,485 |
| Net Incurred Claims | $ 94,427 | $ 114,262 | $ 68,188 | $ 60,345 | $ 98,969 | $ 436,191 |
| Loss Ratio | 48.3% | 54.2% | 27.3% | 18.8% | 25.8% | 32.8% |
| Total Claims | 14 | 16 | 5 | 11 | 16 | 62 |
STD_2
| ATTACHMENT 3 - STD CLAIMS DATA | ||||||||||
| Claims Reporting - 01/01/2010 - 12/31/2014 | ||||||||||
| Offset 1 Amt | Offset 1 Desc | Offset 2 Amt | Offset 2 Desc | Date of Disability | Gender | Claim Status Description | Claim Status Effec. Date | Employer | Current Net Benefit | Total Benefits Paid |
| $0 | $0 | 2/3/10 | Female | Closed | 3/29/10 | OCC | $ 556 | $ 6,513 | ||
| $0 | $0 | 4/3/10 | Female | Closed | 4/8/10 | OCC | $ 753 | $ 5,163 | ||
| $0 | $0 | 3/23/10 | Female | Closed | 5/14/10 | OCC | $ 1,047 | $ 6,132 | ||
| $0 | $0 | 2/25/10 | Male | Closed | 5/17/10 | OCC | $ 936 | $ 9,494 | ||
| $0 | $0 | 6/1/10 | Male | Closed | 6/9/10 | OCC | $ 680 | $ 2,817 | ||
| $0 | $0 | 4/9/10 | Female | Closed | 7/1/10 | OCC | $ 971 | $ 11,513 | ||
| $0 | $0 | 7/3/10 | Female | Closed | 7/22/10 | OCC | $ 1,589 | $ 5,675 | ||
| $0 | $0 | 7/24/10 | Female | Closed | 8/19/10 | OCC | $ 883 | $ 5,121 | ||
| $0 | $0 | 8/14/10 | Female | Closed | 8/24/10 | OCC | $ 848 | $ 6,178 | ||
| $0 | $0 | 8/13/10 | Female | Closed | 8/30/10 | OCC | $ 1,563 | $ 2,903 | ||
| $0 | $0 | 4/11/10 | Male | Closed | 8/31/10 | OCC | $ 25 | $ - | ||
| $0 | $0 | 6/3/10 | Female | Closed | 9/13/10 | OCC | $ 815 | $ - | ||
| $0 | $0 | 9/24/10 | Female | Closed | 12/1/10 | OCC | $ 1,842 | $ 21,841 | ||
| 2010 Total | $ 12,508 | $ 83,351 | ||||||||
| $0 | $0 | 12/30/10 | Female | Closed | 1/28/11 | OCC | $ 735 | $ 1,050 | ||
| $0 | $0 | 11/20/10 | Female | Closed | 2/2/11 | OCC | $ 1,175 | $ 336 | ||
| $0 | $0 | 11/5/10 | Female | Closed | 2/14/11 | OCC | $ 626 | $ - | ||
| $0 | $0 | 12/24/10 | Female | Closed | 2/16/11 | OCC | $ 740 | $ 846 | ||
| $0 | $0 | 1/28/11 | Female | Closed | 2/16/11 | OCC | $ 688 | $ 4,423 | ||
| $0 | $0 | 3/12/11 | Female | Closed | 3/23/11 | OCC | $ 692 | $ 5,042 | ||
| $559 | Statutory Disability | $0 | 3/21/11 | Male | Closed | 6/13/11 | OCC | $ 914 | $ 17,466 | |
| $559 | Statutory Disability | $0 | 6/22/11 | Female | Closed | 7/15/11 | OCC | $ 1,057 | $ - | |
| $0 | $0 | 4/22/11 | Female | Closed | 8/12/11 | OCC | $ 933 | $ 9,863 | ||
| $0 | $0 | 8/5/11 | Female | Closed | 8/17/11 | OCC | $ 726 | $ 3,111 | ||
| $0 | $0 | 6/29/11 | Female | Closed | 8/19/11 | OCC | $ 625 | $ 2,679 | ||
| $0 | $0 | 8/20/11 | Female | Closed | 9/1/11 | OCC | $ 628 | $ 1,615 | ||
| $587 | Social Security Retirement | $0 | 3/2/11 | Female | Closed | 9/8/11 | OCC | $ 899 | $ 4,624 | |
| $0 | $0 | 9/9/11 | Female | Closed | 9/23/11 | OCC | $ 723 | $ 4,338 | ||
| $0 | $0 | 7/26/11 | Female | Closed | 9/27/11 | OCC | $ 1,022 | $ 13,140 | ||
| $0 | $897 | Salary Continuance | 8/16/11 | Female | Closed | 11/3/11 | OCC | $ 25 | $ 2,704 | |
| $0 | $0 | 9/30/11 | Female | Closed | 11/9/11 | OFR | $ 1,634 | $ 7,003 | ||
| $0 | $0 | 6/9/11 | Female | Closed | 12/5/11 | OCC | $ 1,623 | $ - | ||
| $0 | $492 | Social Security Retirement | 9/6/11 | Male | Closed | 12/21/11 | OCC | $ 1,524 | $ 13,283 | |
| 2011 Total | $ 16,989 | $ 91,522 | ||||||||
| $0 | $0 | 6/17/11 | Female | Closed | 1/26/12 | OCC | $ 777 | $ - | ||
| $0 | $0 | 5/5/11 | Female | Closed | 2/28/12 | OCC | $ 1,899 | $ 18,990 | ||
| $0 | $0 | Statutory Disability | 10/31/11 | Female | Closed | 3/6/12 | OCC | $ 1,622 | $ 8,805 | |
| $170 | Statutory Disability | $0 | 7/8/11 | Female | Closed | 3/9/12 | OCC | $ 787 | $ 5,742 | |
| $0 | $0 | 3/17/12 | Female | Closed | 3/30/12 | OCC | $ 1,622 | $ 10,891 | ||
| $0 | $0 | 5/1/12 | Male | Closed | 5/14/12 | OCC | $ 1,962 | $ - | ||
| $0 | $0 | 5/22/12 | Female | Closed | 6/27/12 | OCC | $ 1,643 | $ 7,980 | ||
| $0 | $0 | 6/24/12 | Female | Closed | 7/20/12 | OCC | $ 2,016 | $ - | ||
| $1,277 | RTW Earnings | $0 | 7/20/12 | Female | Closed | 10/1/12 | OCC | $ 912 | $ 10,039 | |
| $0 | $0 | 9/29/12 | Female | Closed | 10/16/12 | OCC | $ 1,707 | $ 8,047 | ||
| $0 | $0 | Social Security Retirement | 8/15/12 | Male | Closed | 11/13/12 | OCC | $ 2,016 | $ 22,176 | |
| $0 | $0 | 10/18/12 | Female | Closed | 12/6/12 | OCC | $ 694 | $ - | ||
| 2012 Total | $ 17,656 | $ 92,669 | ||||||||
| $0 | $0 | 3/2/13 | Female | Closed | 3/21/13 | OFR | $ 1,185 | $ 677 | ||
| $0 | $0 | 1/11/13 | Female | Closed | 4/2/13 | OCC | $ 986 | $ 9,437 | ||
| $0 | $0 | 4/11/13 | Female | Closed | 7/15/13 | OCC | $ 1,883 | $ 3,844 | ||
| $0 | $0 | 3/27/13 | Female | Closed | 7/23/13 | OCC | $ 637 | $ 7,644 | ||
| $0 | $0 | 11/30/12 | Male | Closed | 8/22/13 | OCC | $ 1,739 | $ - | ||
| $0 | $0 | 3/12/13 | Male | Closed | 8/28/13 | OCC | $ 2,105 | $ - | ||
| $0 | $0 | 7/1/13 | Female | Closed | 10/1/13 | OFR | $ 1,500 | $ - | ||
| $0 | $0 | 7/11/13 | Female | Closed | 10/4/13 | OCC | $ 683 | $ 2,572 | ||
| $0 | $0 | 7/9/13 | Female | Closed | 12/3/13 | OFR | $ 1,370 | $ 5,482 | ||
| $0 | $0 | 8/31/13 | Female | Closed | 12/3/13 | OFR | $ 1,487 | $ 5,948 | ||
| $0 | $0 | 8/7/13 | Male | Closed | 12/24/13 | OCC | $ 1,867 | $ 14,136 | ||
| $0 | $0 | 11/8/13 | Female | Closed | 12/27/13 | OFR | $ 1,367 | $ 6,054 | ||
| 2013 Total | $ 16,809 | $ 55,795 | ||||||||
| $0 | $0 | 10/10/13 | Female | Closed | 1/10/14 | OFR | $ 25 | $ - | ||
| $0 | $0 | 11/2/13 | Male | Closed | 3/13/14 | OCC | $ 1,820 | $ 2,694 | ||
| $0 | $0 | 2/14/14 | Female | Closed | 3/14/14 | OCC | $ 822 | $ 2,818 | ||
| $0 | $0 | 1/1/14 | Female | Closed | 3/14/14 | OFR | $ 1,584 | $ 5,205 | ||
| $0 | $0 | 12/20/13 | Female | Closed | 3/17/14 | OCC | $ 752 | $ 8,487 | ||
| $0 | $0 | 11/30/13 | Male | Closed | 3/24/14 | OCC | $ 2,118 | $ - | ||
| $0 | $0 | 2/12/14 | Female | Closed | 4/11/14 | OFR | $ 1,609 | $ 9,194 | ||
| $0 | $0 | 4/17/14 | Female | Closed | 5/2/14 | OCC | $ 25 | $ - | ||
| $0 | $0 | 2/12/14 | Female | Closed | 5/14/14 | OCC | $ 957 | $ 1,367 | ||
| $0 | $0 | 2/12/14 | Female | Closed | 5/14/14 | OCC | $ 1,849 | $ - | ||
| $0 | $0 | 3/6/14 | Female | Closed | 5/21/14 | OCC | $ 1,305 | $ 4,847 | ||
| $0 | $0 | 4/22/14 | Female | Closed | 6/12/14 | OCC | $ 767 | $ 3,178 | ||
| $0 | $0 | 3/29/14 | Female | Closed | 6/26/14 | OCC | $ 713 | $ - | ||
| $0 | $0 | 7/25/14 | Female | Closed | 9/30/14 | OCC | $ 3,173 | $ - | ||
| $0 | $0 | 8/29/14 | Female | Closed | 10/3/14 | OCC | $ 685 | $ 2,642 | ||
| $0 | $0 | 7/25/14 | Female | Closed | 10/14/14 | OCC | $ 787 | $ 1,462 | ||
| $0 | $0 | 9/16/14 | Female | Closed | 10/22/14 | OCC | $ 1,214 | $ 3,642 | ||
| $0 | $0 | 9/22/14 | Female | Closed | 10/27/14 | OCC | $ 1,578 | $ - | ||
| $0 | $0 | 10/3/14 | Female | Closed | 10/28/14 | OCC | $ 25 | $ - | ||
| $0 | $0 | 8/27/14 | Female | Closed | 10/29/14 | OCC | $ 3,173 | $ 8,612 | ||
| $0 | $0 | 7/18/14 | Male | Closed | 11/4/14 | OCC | $ 841 | $ 9,732 | ||
| $0 | $0 | 9/26/14 | Female | Closed | 11/14/14 | OCC | $ 1,178 | $ 2,356 | ||
| $0 | $0 | 5/17/14 | Female | Closed | 12/3/14 | OCC | $ 1,238 | $ 7,782 | ||
| $0 | $0 | 11/8/14 | Female | Active | 12/5/14 | OCC | $ 865 | $ 9,021 | ||
| $0 | $0 | 10/28/14 | Female | Closed | 12/18/14 | OCC | $ 748 | $ 6,625 | ||
| $0 | $0 | 11/7/14 | Female | Closed | 12/30/14 | OCC | $ 681 | $ 3,794 | ||
| 2014 Total | $ 30,532 | $ 93,457 | ||||||||
| Grand Total | $ 94,495 | $ 416,794 |
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LTD_1
| ATTACHMENT 3 - LTD CLAIMS DATA | ||||||
| LK-0980140 - As of 01/22/2015 | ||||||
| Period Description | (Not included in Fully Revealed Total) | Fully Revealed Total | ||||
| Start Date | 1/1/10 | 1/1/11 | 1/1/12 | 1/1/13 | 1/1/14 | |
| End Date | 12/31/10 | 12/31/11 | 12/31/12 | 12/31/13 | 12/26/14 | |
| # of months | 12 | 12 | 12 | 12 | 12 | 60 |
| Constant Premium | $ 601,564 | $ 611,456 | $ 689,991 | $ 836,245 | $ 867,896 | $ 3,607,152 |
| Paid Claims | $ 429,637 | $ 195,090 | $ 152,538 | $ 91,282 | $ 35,280 | $ 903,827 |
| Reserves | $ 334,339 | $ 103,385 | $ 749,753 | $ - | $ - | $ 1,187,477 |
| IBNR | $ - | $ - | $ 1,067 | $ 6,592 | $ 158,059 | $ 165,718 |
| Net Incurred Claims | $ 763,976 | $ 298,475 | $ 903,358 | $ 97,874 | $ 193,339 | $ 2,257,022 |
| Loss Ratio | 127.0% | 48.8% | 130.9% | 11.7% | 22.3% | 62.6% |
| Open/Pending Claims | 2 | 1 | 2 | 0 | 0 | 5 |
| Closed Claims | 4 | 3 | 1 | 3 | 2 | 13 |
| Total Claims | 6 | 4 | 3 | 3 | 2 | 18 |
LTD_2
| ATTACHMENT 3 - LTD CLAIMS DATA | |||||||||||||
| Claims Reporting 01/01/10 - 12/31/14 | |||||||||||||
| Offset 1 Amt | Offset 1 Desc | Offset 2 Amt | Offset 2 Desc | Offset 3 Amt | Offset 3 Desc | Offset 4 Amt | Date of Disability | Gender | Claim Status Description | Employer | Claim Status Effec. Date | Current Net Benefit | Total Benefits Paid |
| $1,988 | Social Security Disability | $0 | Short Term Disability | $909 | Pension | $0.00 | 2/25/10 | Male | Closed | OCC | 9/6/12 | $1,160 | $95,168 |
| $1,678 | Social Security Disability | $0 | Short Term Disability | $0 | Statutory Disability | $0.00 | 4/9/10 | Female | Closed | OCC | 11/29/11 | $1,024 | $87,078 |
| $1,000 | Social Security Retirement | $0 | Salary Continuance | $0 | RTW Earnings | $0.00 | 4/11/10 | Male | Closed | OCC | 12/13/11 | $3,848 | $56,808 |
| $2,037 | Social Security Disability | $0 | Dependent Social Security Disability | $0 | $0.00 | 6/26/10 | Male | Active | OCC | 5/16/12 | $707 | $44,996 | |
| $0 | Social Security Disability | $0 | RTW Earnings | $5,600 | Pension | $0.00 | 9/3/10 | Male | Active | OCC | 2/27/13 | $2,362 | $114,286 |
| $0 | Social Security Disability | $2,774 | RTW Earnings | $0 | $0.00 | 9/24/10 | Female | Closed | OCC | 6/22/11 | $5,209 | $34,370 | |
| $0 | Social Security Disability | $0 | $0 | $0.00 | 11/5/10 | Female | Closed | OCC | 4/20/11 | $2,714 | $0 | ||
| $0 | Social Security Disability | $0 | $0 | $0.00 | 11/20/10 | Female | Closed | OCC | 5/2/11 | $5,092 | $0 | ||
| Total 2010 | $22,116 | $432,706 | |||||||||||
| $0 | Social Security Disability | $2,431 | Statutory Disability | $0 | $0.00 | 3/22/11 | Male | Closed | OCC | 10/27/11 | $3,953 | $17,261 | |
| $0 | Social Security Disability | $0 | Dependent Social Security Disability | $4,277 | Statutory Disability | $0.00 | 4/22/11 | Female | Closed | OCC | 7/12/11 | $404 | $0 |
| $0 | Social Security Disability | $0 | $0 | $0.00 | 5/5/11 | Female | Closed | OCC | 7/14/11 | $8,231 | $0 | ||
| $0 | Social Security Disability | $0 | Other | $0 | $0.00 | 6/3/11 | Female | Closed | OCC | 1/4/12 | $7,034 | $10,244 | |
| $1,815 | Social Security Disability | $0 | Salary Continuance | $0 | $0.00 | 6/17/11 | Female | Closed | OCC | 7/8/13 | $1,553 | $38,970 | |
| $0 | Social Security Disability | $0 | $0 | $0.00 | 6/29/11 | Female | Closed | OCC | 8/26/11 | $2,707 | $0 | ||
| $0 | Social Security Disability | $737 | Statutory Disability | $0 | $0.00 | 7/8/11 | Female | Closed | OCC | 8/26/11 | $3,408 | $0 | |
| $911 | Social Security Disability | $0 | Short Term Disability | $943 | Pension | $0.00 | 7/14/11 | Female | Active | OCC | 8/20/12 | $2,573 | $131,188 |
| $0 | Social Security Disability | $0 | $0 | $0.00 | 10/31/11 | Female | Closed | OCC | 2/8/12 | $7,027 | $0 | ||
| Total 2011 | $36,890 | $197,663 | |||||||||||
| $1,567 | Social Security Disability | $0 | $0 | $0.00 | 6/6/12 | Female | Active | OCC | 8/14/12 | $1,450 | $42,739 | ||
| $0 | Social Security Disability | $0 | $0 | $0.00 | 6/24/12 | Female | Closed | OCC | 10/24/12 | $8,735 | $0 | ||
| $0 | RTW Earnings | $0 | $0 | $0.00 | 7/20/12 | Female | Closed | OCC | 9/21/12 | $9,484 | $0 | ||
| $2,690 | Social Security Retirement | $0 | $0 | $0.00 | 8/15/12 | Male | Closed | OCC | 11/8/12 | $6,045 | $0 | ||
| $657 | RTW Earnings | $0 | Salary Continuance | $0 | Social Security Disability | $0.00 | 9/14/12 | Female | Closed | OCC | 4/17/14 | $4,393 | $33,900 |
| $2,491 | Social Security Disability | $0 | $0 | $0.00 | 11/30/12 | Male | Active | OCC | 9/26/13 | $4,476 | $80,375 | ||
| Total 2012 | $34,583 | $157,014 | |||||||||||
| $0 | Social Security Disability | $4,624 | Statutory Disability | $0 | $0.00 | 1/11/13 | Female | Closed | OCC | 4/1/13 | $427 | $0 | |
| $0 | Social Security Disability | $0 | $0 | $0.00 | 3/12/13 | Male | Closed | OCC | 8/18/14 | $9,122 | $0 | ||
| $0 | Social Security Disability | $0 | Short Term Disability | $0 | $0.00 | 3/27/13 | Female | Closed | OCC | 7/8/13 | $2,760 | $4,784 | |
| $0 | Social Security Disability | $0 | $0 | $0.00 | 8/7/13 | Male | Closed | OCC | 3/24/14 | $6,474 | $30,212 | ||
| $0 | Social Security Disability | $0 | $0 | $0.00 | 11/22/13 | Male | Closed | OFR | 2/13/14 | $7,850 | $0 | ||
| $0 | Social Security Disability | $0 | Statutory Disability | $0 | $0.00 | 11/30/13 | Male | Closed | OCC | 9/8/14 | $9,177 | $56,286 | |
| $0 | Social Security Disability | $0 | $0 | $0.00 | 12/20/13 | Female | Closed | OCC | 3/12/14 | $3,260 | $0 | ||
| Total 2013 | $39,070 | $91,282 | |||||||||||
| $0 | Social Security Disability | $0 | Salary Continuance | $0 | $0.00 | 3/29/14 | Female | Closed | OCC | 9/10/14 | $3,088 | $2,402 | |
| $0 | Social Security Disability | $0 | $0 | $0.00 | 7/18/14 | Male | Closed | OCC | 10/24/14 | $3,644 | $0 | ||
| Total 2014 | $6,732 | $2,402 | |||||||||||
| Grand Total | $139,391 | $881,067 |
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