10-NISD 906022 Premium vs Claims Incurred.xlsx
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- Medical and Pharmacy Reinsurance
- Solicitation number
- 2025-133
- Issued by
- Bexar County, Texas
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PVCI Incl IBNR Stnd-Sum
| Premium vs Claims Incurred Including IBNR - Standard |
| NORTHSIDE ISD |
| Please Note: |
| For markets moving to service fees, premiums are shown with service fees included. For markets continuing to pay commissions, premium still includes commissions. |
Year/Month Members Subscribers Premium Premium PMPM
| Medical Payments | Capitation Payments | Managed Pharmacy Payments | ||||||||||
| Total Payments | Claims to Premium Ratio | Total Payments PMPM | 12 Month Rolling Average PMPM | |||||||||
| No data returned for this view. This might be because the applied filter excludes all data. | ||||||||||||
| 2023-01 | 18,749 | 9,949 | $7,817,207 | $416.94 | $3,244,065 | $490,023 | $2,512,190 | $6,246,278 | 79.9% | $333.15 | $333.15 | |
| 2023-02 | 18,212 | 9,771 | $7,602,301 | $417.43 | $3,241,688 | $474,531 | $2,429,418 | $6,145,636 | 80.8% | $337.45 | $335.27 | |
| 2023-03 | 18,183 | 9,760 | $7,594,430 | $417.67 | $4,119,399 | $473,017 | $2,915,624 | $7,508,039 | 98.9% | $412.92 | $360.87 | |
| 2023-04 | 18,158 | 9,742 | $7,667,222 | $422.25 | $4,115,415 | $472,107 | $2,555,366 | $7,142,887 | 93.2% | $393.37 | $368.92 | |
| 2023-05 | 18,122 | 9,729 | $7,657,148 | $422.53 | $4,249,313 | $471,168 | $2,985,558 | $7,706,039 | 100.6% | $425.23 | $380.08 | |
| 2023-06 | 18,132 | 9,718 | $7,659,332 | $422.42 | $4,520,637 | $471,302 | $2,971,561 | $7,963,500 | 104.0% | $439.20 | $389.87 | |
| 2023-07 | 18,110 | 9,696 | $7,617,680 | $420.63 | $4,749,080 | $470,963 | $2,854,906 | $8,074,949 | 106.0% | $445.88 | $397.81 | |
| 2023-08 | 18,075 | 9,677 | $7,601,193 | $420.54 | $4,455,309 | $470,839 | $3,331,474 | $8,257,621 | 108.6% | $456.85 | $405.14 | |
| 2023-09 | 18,023 | 9,655 | $7,557,168 | $419.31 | $3,989,693 | $469,357 | $2,641,780 | $7,100,830 | 94.0% | $393.99 | $403.91 | |
| 2023-10 | 17,977 | 9,637 | $7,575,248 | $421.39 | $4,428,388 | $468,435 | $3,189,212 | $8,086,035 | 106.7% | $449.80 | $408.45 | |
| 2023-11 | 17,996 | 9,640 | $7,579,287 | $421.17 | $4,325,204 | $468,095 | $2,997,159 | $7,790,458 | 102.8% | $432.90 | $410.65 | |
| 2023-12 | 17,930 | 9,597 | $7,549,759 | $421.07 | $5,054,950 | $466,033 | $2,954,182 | $8,475,165 | 112.3% | $472.68 | $415.76 |
| Total by Experience Period | |||||||||
| Current Period | 217,667 | 116,571 | $91,477,975 | $50,493,139 | $5,665,867 | $34,338,430 | $90,497,437 | 98.9% | $415.76 |
Prior Period No data returned for this view. This might be because the applied filter excludes all data.
| Average Membership/PMPM Premium and Payments by Experience Period | |||||||
| Current Period | 18,139 | 9,714 | $420.27 | $231.97 | $26.03 | $157.76 | $415.76 |
Prior Period 0 0 $0.00 $0.00 $0.00 $0.00 $0.00
| % Change | |||||||
| Current Period vs Prior Period | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% |
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