Data_Included_Aug_2025.zip

This file contains enrollment and claims data for the School Board of Hillsborough County (HCPS), located in Tampa, Florida, supporting a Stop Loss insurance procurement for coverage effective January 1, 2026. HCPS is transitioning from fully insured coverage under Aetna through December 31, 2025, to a self-funded model under Aetna beginning January 1, 2026. The procurement encompasses approximately 24,328 eligible employees with 78.5% enrolled in Medical/Rx coverage. Current enrollment as of August 2025 includes 18,601 active employees, 44 COBRA participants, and 476 pre-65/post-65 retirees and surviving spouses, totaling 19,121 covered lives. HCPS is initially requesting Illustrative Individual Stop Loss (ISL)-only proposals using claims data through July 2025, with plans to firm up quotes using updated data through August and September 2025 as it becomes available.

The data file provided supports the pricing and underwriting process for Stop Loss insurance proposals. HCPS will issue addendums with additional claims data to allow Stop Loss carriers to refine their quotes as more recent information becomes available. This phased approach to data submission enables carriers to provide increasingly accurate pricing as the self-funded transition approaches. The contract represents a significant shift in HCPS's risk management strategy and requires Stop Loss coverage specifically designed for self-funded plans to protect against catastrophic claim costs.