County_of_Orange_Utilization_2024.pdf
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- Solicitation number
- 017-202408-KA
- Issued by
- Orange County, San Francisco City, California
About this file
This is a Utilization Claims and Revenue Summary report for the County of Orange's vision services contract administered by Vision Service Plan (VSP) for the period of January through December 2024. The County of Orange is seeking a qualified vendor to provide comprehensive vision benefits administration for county employees through an RFP process, with proposal submissions due on February 6, 2025, by 4:00 PM Pacific Time. The contract will span three years with two optional one-year renewal terms. The current service population includes 2,589 eligible employees with 2,516 currently enrolled in the vision plan. Services encompass eye examinations, frames, lenses, contact lenses, retinal screening, and low vision services. Potential oral presentations are scheduled for March 13, 2025, with final contract submission to the Board of Supervisors approval targeted for May 21, 2025.
The current annual gross premium totals $350,050.83 with a 12% administrative retention rate and average claim amount of $146.46 per member. The current contract generated a net gain of $5,752.19 for 2024, with total claims paid of $302,292.56 against net premiums of $308,044.75. Monthly utilization data shows claim frequency averaging 98 claims per month across approximately 2,064 annual claims processed. Current premium rates range from $7.41 for employee-only coverage to $26.53 for family coverage. VSP is the incumbent vendor, providing administrative services through existing integration with Alight Solutions LLC, the county's Benefits Administrator. The service population is primarily concentrated in Orange County, California, with potential expansion considerations for other California jurisdictions including San Francisco.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Vision_Benefit_Summary.pdf | ||
| 2025_Vision_RFP_Census_Data.xlsx | XLSX spreadsheet | |
| County_of_Orange_Utilization_2024.pdf | ||
| Evidence_Certificate_of_Coverage_(1.1.24).doc | DOC document | |
| Vision_Benefit_Summary.pdf | ||
| 2025_Vision_RFP_Census_Data.xlsx | XLSX spreadsheet | |
| Evidence_Certificate_of_Coverage_(1.1.24).doc | DOC document | |
| 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
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