County_of_Orange_Utilization_2024.pdf
PDF 123 KB Posted
- Solicitation number
- 017-202408-KA
- Issued by
- Orange County, San Francisco City, California
About this file
This document is a Utilization - Claims and Revenue Summary for the County of Orange's vision care services contract with VSP (Vision Service Plan) for December 2024, covering a risk-based contract with 29,588 members. The document provides a monthly breakdown of gross premiums, administration costs, net premiums, claims paid, and other key performance metrics for the entire calendar year 2024. The contract appears to be a comprehensive vision care service agreement with a 12% administrative retention rate and a total gross premium of $350,050.83 for the year.
The financial summary reveals that the county's vision care program experienced varied monthly performance, with some months showing gains and others showing losses. The average claim amount per member is $146.46, with total claims paid of $302,292.56 for the year. The number of claims fluctuated monthly, ranging from a low of 67 claims in October to a high of 125 claims in February. The revenue per member remains consistent at $11.83 throughout the year, indicating a stable pricing model for the vision care services provided by VSP to the County of Orange.
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Other files
| File | Type | Posted |
|---|---|---|
| 2025_Vision_RFP_Census_Data.xlsx | XLSX spreadsheet | |
| Evidence_Certificate_of_Coverage_(1.1.24).doc | DOC document | |
| County_of_Orange_Utilization_2024.pdf | ||
| 2025_Vision_RFP_Census_Data.xlsx | XLSX spreadsheet | |
| Evidence_Certificate_of_Coverage_(1.1.24).doc | DOC document | |
| Vision_Benefit_Summary.pdf | ||
| Vision_Benefit_Summary.pdf | ||
| Request_For_Proposal_for_Provision_of_Vision_Services.pdf | ||
| Request_For_Proposal_for_Provision_of_Vision_Services.pdf |
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Text version
Utilization - Claims and Revenue Summary
COUNTY OF ORANGE - 40156334
December 2024 Contract Type: Risk
Number Gross Retention Net Claim Gain/ Avg. # Claims Paid Revenue/ Period Covered Premium Admin % Premium $ Loss PLR Claim $ Paid Freq Member
2024 29,588 $350,050.83 $42,006.08 12.0% $308,044.75 $302,292.56 $5,752.19 98 $146.46 2,064 70 $11.83
JAN 2,434 $28,352.84 $3,402.36 12.0% $24,950.48 $23,198.05 $1,752.43 92 $147.76 157 65 $11.65
FEB 2,439 $28,540.97 $3,424.91 12.0% $25,116.06 $31,477.40 -$6,361.34 125 $139.28 226 93 $11.70
MAR 2,447 $28,666.23 $3,439.96 12.0% $25,226.27 $25,551.47 -$325.20 101 $143.55 178 73 $11.71
APR 2,435 $28,710.11 $3,445.21 12.0% $25,264.90 $29,347.84 -$4,082.94 116 $166.75 176 72 $11.79
MAY 2,427 $28,762.83 $3,451.53 12.0% $25,311.30 $21,925.16 $3,386.14 86 $151.21 145 60 $11.85
JUN 2,461 $29,147.92 $3,497.74 12.0% $25,650.18 $21,583.92 $4,066.26 84 $127.72 169 69 $11.84
JUL 2,474 $29,350.26 $3,522.01 12.0% $25,828.25 $29,951.57 -$4,123.32 115 $177.23 169 68 $11.86
AUG 2,477 $29,462.45 $3,535.49 12.0% $25,926.96 $25,696.54 $230.42 99 $131.10 196 79 $11.89
SEP 2,483 $29,526.03 $3,543.14 12.0% $25,982.89 $21,530.56 $4,452.33 82 $131.28 164 66 $11.89
OCT 2,495 $29,734.53 $3,568.14 12.0% $26,166.39 $17,567.49 $8,598.90 67 $137.25 128 51 $11.92
NOV 2,500 $29,806.06 $3,576.73 12.0% $26,229.33 $25,676.36 $552.97 97 $156.56 164 66 $11.92
DEC 2,516 $29,990.60 $3,598.86 12.0% $26,391.74 $28,786.20 -$2,394.46 109 $149.93 192 76 $11.92
LTM 29,588 $350,050.83 $42,006.08 12.0% $308,044.75 $302,292.56 $5,752.19 98 $146.46 2,064 70 $11.83
YTD 29,588 $350,050.83 $42,006.08 12.0% $308,044.75 $302,292.56 $5,752.19 98 $146.46 2,064 70 $11.83
CC 29,588 $350,050.83 $42,006.08 12.0% $308,044.75 $302,292.56 $5,752.19 98 $146.46 2,064 70 $11.83
VSP CONFIDENTIAL - Report generated on: 01/17/2025 at 12.10.03
The information contained in this report is confidential and is not intended for distribution outside the VSP client and/or broker partnership.
Information Source: infosrce/UTIL0010 Page: 1
File details come from the government source that posted it. Updated .