ESBD_379720_1729031136155_Attachment C - UHC Life Experience 032018-current.pdf
PDF 739 KB Posted
- Solicitation number
- 2510-006
- Issued by
- Travis County, Austin City, Texas
About this file
This document is an experience summary for a life insurance contract between the Travis County Healthcare District and UHC. The contract covers life, accidental death and dismemberment (AD&D), basic, supplemental, and voluntary AD&D insurance products from March 2018 through November 2022. The contract has had consistent monthly premium payments and very limited paid claims over the duration, with a total loss ratio of 20.88%. The key products covered are life and AD&D insurance, with the majority of premium payments going towards supplemental life insurance. The contract has seen a steady increase in covered lives and volume of coverage over the term.
Pricing for the contract is detailed by month and benefit type, with no single month exceeding a 3% loss ratio. There are no set-asides or incumbents mentioned. The funding for the contract appears to be from the Travis County Healthcare District, though the specific source is not stated. Overall, this contract has had stable and predictable experience over the multi-year term.
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Text version
Experience Summary by Incurred Month Values on Report Selection Parameters
Group/Customer:
Incurred Date Range:
Business Segment:
03/01/2018 to
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
* - All values
00305532
03/01/2018 to 11/01/2022
Source System: FACETS
Subgroup/Policy: * - All values
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
Subgroup/Policy: 00001002 - L6Z COMMUNITY CARE
Life - AD&D
Incurred Month/Year
Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of Coverage
03/2018 $710.41 $0.00 0.00% 756 $47,360,750
04/2018 $700.48 $0.00 0.00% 745 $46,698,750
05/2018 $707.42 $0.00 0.00% 755 $47,161,750
06/2018 $711.62 $0.00 0.00% 75 $47,441,750
07/2018 $728.91 $0.00 0.00% 773 $48,594,200
08/2018 $753.72 $0.00 0.00% 796 $50,248,200
09/2018 $738.26 $0.00 0.00% 772 $49,217,200
10/2018 $745.50 $0.00 0.00% 784 $49,700,200
11/2018 $750.78 $36,000.00 4,795.01% 798 $50,052,150
12/2018 $754.79 $0.00 0.00% 802 $50,319,150
Benefit Type Total $7,301.89 $36,000.00 493.02%
Run Datetime - 12/6/2022 1:25:27PM Page 1 of 104MCR-01A
(1) Total claim dollars paid according to the month and year in which the claim was originally incurrred. Excludes Reserves and IBNR (Incurred But Not Reported).
(MGM-01A; v2.0)
Group/Customer:
Incurred Date Range:
Business Segment:
03/01/2018 to
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
* - All values
00305532
03/01/2018 to 11/01/2022
Source System: FACETS
Subgroup/Policy: * - All values
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
Subgroup/Policy: 00001002 - L6Z COMMUNITY CARE
Life - AD&D
Incurred Month/Year
Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of Coverage
01/2019 $747.24 $0.00 0.00% 791 $49,816,150
02/2019 $751.85 $0.00 0.00% 798 $50,123,150
03/2019 $760.16 $0.00 0.00% 795 $50,677,600
04/2019 $756.65 $0.00 0.00% 783 $50,443,500
05/2019 $772.82 $0.00 0.00% 801 $51,521,500
06/2019 $776.16 $0.00 0.00% 800 $51,743,800
07/2019 $782.45 $0.00 0.00% 804 $52,163,800
08/2019 $777.51 $0.00 0.00% 793 $51,834,200
09/2019 $781.64 $0.00 0.00% 798 $52,110,200
10/2019 $782.51 $0.00 0.00% 807 $52,167,200
11/2019 $923.26 $0.00 0.00% 985 $61,551,200
12/2019 $923.68 $0.00 0.00% 990 $61,579,200
Benefit Type Total $9,535.93 $0.00 0.00%
Run Datetime - 12/6/2022 1:25:27PM Page 2 of 104MCR-01A
(1) Total claim dollars paid according to the month and year in which the claim was originally incurrred. Excludes Reserves and IBNR (Incurred But Not Reported).
Group/Customer:
Incurred Date Range:
Business Segment:
03/01/2018 to
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
* - All values
00305532
03/01/2018 to 11/01/2022
Source System: FACETS
Subgroup/Policy: * - All values
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
Subgroup/Policy: 00001002 - L6Z COMMUNITY CARE
Life - AD&D
Incurred Month/Year
Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of Coverage
01/2020 $916.90 $0.00 0.00% 984 $61,127,250
02/2020 $927.75 $0.00 0.00% 984 $61,850,250
03/2020 $940.39 $0.00 0.00% 982 $62,692,850
04/2020 $942.30 $0.00 0.00% 990 $62,820,850
05/2020 $951.61 $0.00 0.00% 1,004 $63,440,850
06/2020 $952.56 $0.00 0.00% 1,006 $63,503,700
07/2020 $958.95 $0.00 0.00% 1,019 $63,929,700
08/2020 $944.86 $0.00 0.00% 1,010 $63,440,850
09/2020 $951.61 $0.00 0.00% 1,003 $63,440,850
10/2020 $966.34 $0.00 0.00% 1,035 $64,422,700
11/2020 $969.31 $0.00 0.00% 1,031 $64,620,700
12/2020 $964.27 $0.00 0.00% 1,030 $64,284,700
Benefit Type Total $11,386.85 $0.00 0.00%
Run Datetime - 12/6/2022 1:25:27PM Page 3 of 104MCR-01A
(1) Total claim dollars paid according to the month and year in which the claim was originally incurrred. Excludes Reserves and IBNR (Incurred But Not Reported).
Group/Customer:
Incurred Date Range:
Business Segment:
03/01/2018 to
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
* - All values
00305532
03/01/2018 to 11/01/2022
Source System: FACETS
Subgroup/Policy: * - All values
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
Subgroup/Policy: 00001002 - L6Z COMMUNITY CARE
Life - AD&D
Incurred Month/Year
Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of Coverage
01/2021 $975.51 $0.00 0.00% 1,046 $65,033,700
02/2021 $976.21 $0.00 0.00% 1,051 $65,080,700
03/2021 $993.29 $0.00 0.00% 1,036 $66,218,450
04/2021 $986.09 $0.00 0.00% 1,031 $65,739,350
05/2021 $986.09 $0.00 0.00% 1,031 $65,739,350
06/2021 $1,020.11 $0.00 0.00% 1,074 $68,007,350
07/2021 $1,038.36 $0.00 0.00% 1,099 $69,224,100
08/2021 $1,050.75 $0.00 0.00% 1,118 $70,050,150
09/2021 $1,071.01 $0.00 0.00% 1,129 $71,400,950
10/2021 $1,055.61 $0.00 0.00% 1,116 $70,373,950
11/2021 $1,055.03 $0.00 0.00% 1,115 $70,334,950
12/2021 $1,056.63 $0.00 0.00% 1,110 $70,443,150
Benefit Type Total $12,264.69 $0.00 0.00%
Run Datetime - 12/6/2022 1:25:27PM Page 4 of 104MCR-01A
(1) Total claim dollars paid according to the month and year in which the claim was originally incurrred. Excludes Reserves and IBNR (Incurred But Not Reported).
Group/Customer:
Incurred Date Range:
Business Segment:
03/01/2018 to
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
* - All values
00305532
03/01/2018 to 11/01/2022
Source System: FACETS
Subgroup/Policy: * - All values
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
Subgroup/Policy: 00001002 - L6Z COMMUNITY CARE
Life - AD&D
Incurred Month/Year
Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of Coverage
01/2022 $1,073.54 $0.00 0.00% 1,132 $71,570,150
02/2022 $1,069.02 $0.00 0.00% 1,119 $71,269,150
03/2022 $1,126.07 $0.00 0.00% 1,021 $75,071,150
04/2022 $1,155.96 $0.00 0.00% 1,056 $77,064,150
05/2022 $1,173.56 $0.00 0.00% 1,077 $78,237,150
06/2022 $1,173.98 $0.00 0.00% 1,076 $78,265,150
07/2022 $1,189.04 $0.00 0.00% 1,093 $79,269,150
08/2022 $1,184.01 $0.00 0.00% 1,089 $78,934,150
09/2022 $1,184.01 $0.00 0.00% 1,089 $78,934,150
10/2022 $1,184.01 $0.00 0.00% 1,089 $78,934,150
11/2022 $1,184.01 $0.00 0.00% 0 $0
Benefit Type Total $12,697.20 $0.00 0.00%
Run Datetime - 12/6/2022 1:25:27PM Page 5 of 104MCR-01A
(1) Total claim dollars paid according to the month and year in which the claim was originally incurrred. Excludes Reserves and IBNR (Incurred But Not Reported).
Group/Customer:
Incurred Date Range:
Business Segment:
03/01/2018 to
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
* - All values
00305532
03/01/2018 to 11/01/2022
Source System: FACETS
Subgroup/Policy: * - All values
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
Subgroup/Policy: 00001002 - L6Z COMMUNITY CARE
Life - Basic
Incurred Month/Year
Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of Coverage
03/2018 $1,979.14 $0.00 0.00% 756 $47,360,750
04/2018 $1,947.97 $0.00 0.00% 745 $46,698,750
05/2018 $1,966.49 $0.00 0.00% 755 $47,161,750
06/2018 $1,972.93 $0.00 0.00% 759 $47,441,750
07/2018 $2,023.51 $0.00 0.00% 773 $48,594,200
08/2018 $2,158.89 $0.00 0.00% 796 $50,248,200
09/2018 $2,113.18 $0.00 0.00% 772 $49,217,200
10/2018 $2,132.50 $0.00 0.00% 784 $49,700,200
11/2018 $2,134.32 $36,240.05 1,697.97% 798 $50,052,150
12/2018 $2,149.83 $0.00 0.00% 802 $50,319,150
Benefit Type Total $20,578.76 $36,240.05 176.10%
Run Datetime - 12/6/2022 1:25:27PM Page 6 of 104MCR-01A
(1) Total claim dollars paid according to the month and year in which the claim was originally incurrred. Excludes Reserves and IBNR (Incurred But Not Reported).
Group/Customer:
Incurred Date Range:
Business Segment:
03/01/2018 to
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
* - All values
00305532
03/01/2018 to 11/01/2022
Source System: FACETS
Subgroup/Policy: * - All values
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
Subgroup/Policy: 00001002 - L6Z COMMUNITY CARE
Life - Basic
Incurred Month/Year
Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of Coverage
01/2019 $2,129.71 $0.00 0.00% 791 $49,816,150
02/2019 $2,150.88 $0.00 0.00% 798 $50,123,150
03/2019 $2,209.03 $0.00 0.00% 795 $50,677,600
04/2019 $2,197.57 $0.00 0.00% 783 $50,443,500
05/2019 $2,249.37 $0.00 0.00% 801 $51,521,500
06/2019 $2,258.26 $0.00 0.00% 800 $51,743,800
07/2019 $2,275.06 $0.00 0.00% 804 $52,163,800
08/2019 $2,212.02 $0.00 0.00% 793 $51,834,200
09/2019 $2,267.67 $0.00 0.00% 798 $52,110,200
10/2019 $2,215.10 $0.00 0.00% 807 $52,167,200
11/2019 $2,681.85 $0.00 0.00% 985 $61,551,200
12/2019 $2,682.97 $0.00 0.00% 990 $61,579,200
Benefit Type Total $27,529.49 $0.00 0.00%
Run Datetime - 12/6/2022 1:25:27PM Page 7 of 104MCR-01A
(1) Total claim dollars paid according to the month and year in which the claim was originally incurrred. Excludes Reserves and IBNR (Incurred But Not Reported).
Group/Customer:
Incurred Date Range:
Business Segment:
03/01/2018 to
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
* - All values
00305532
03/01/2018 to 11/01/2022
Source System: FACETS
Subgroup/Policy: * - All values
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
Subgroup/Policy: 00001002 - L6Z COMMUNITY CARE
Life - Basic
Incurred Month/Year
Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of Coverage
01/2020 $2,664.89 $0.00 0.00% 984 $61,127,250
02/2020 $2,614.04 $0.00 0.00% 984 $61,850,250
03/2020 $2,679.37 $0.00 0.00% 982 $62,692,850
04/2020 $2,686.94 $0.00 0.00% 990 $62,820,850
05/2020 $2,711.74 $0.00 0.00% 1,004 $63,440,850
06/2020 $2,714.25 $0.00 0.00% 1,006 $63,503,700
07/2020 $2,731.28 $0.00 0.00% 1,019 $62,820,850
08/2020 $2,602.98 $0.00 0.00% 1,010 $62,990,700
09/2020 $1,999.45 $0.00 0.00% 1,032 $63,440,850
10/2020 $2,744.85 $0.00 0.00% 1,035 $64,422,700
11/2020 $2,860.99 $0.00 0.00% 1,031 $64,620,700
12/2020 $2,739.33 $38,020.29 1,387.94% 1,030 $64,284,700
Benefit Type Total $31,750.11 $38,020.29 119.75%
Run Datetime - 12/6/2022 1:25:27PM Page 8 of 104MCR-01A
(1) Total claim dollars paid according to the month and year in which the claim was originally incurrred. Excludes Reserves and IBNR (Incurred But Not Reported).
Group/Customer:
Incurred Date Range:
Business Segment:
03/01/2018 to
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
* - All values
00305532
03/01/2018 to 11/01/2022
Source System: FACETS
Subgroup/Policy: * - All values
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
Subgroup/Policy: 00001002 - L6Z COMMUNITY CARE
Life - Basic
Incurred Month/Year
Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of Coverage
01/2021 $3,072.40 $0.00 0.00% 1,046 $65,033,700
02/2021 $2,774.02 $38,030.71 1,370.96% 1,051 $65,080,700
03/2021 $2,646.32 $0.00 0.00% 1,036 $66,218,450
04/2021 $2,828.17 $0.00 0.00% 1,031 $65,739,350
05/2021 $2,828.17 $0.00 0.00% 1,031 $65,739,350
06/2021 $2,906.08 $0.00 0.00% 1,074 $68,007,350
07/2021 $2,945.30 $0.00 0.00% 1,099 $69,224,100
08/2021 $2,973.58 $0.00 0.00% 1,118 $70,050,150
09/2021 $3,166.84 $0.00 0.00% 1,129 $71,400,950
10/2021 $3,141.02 $0.00 0.00% 1,116 $70,373,950
11/2021 $3,116.50 $0.00 0.00% 1,115 $70,334,950
12/2021 $3,112.71 $0.00 0.00% 1,110 $70,443,150
Benefit Type Total $35,511.11 $38,030.71 107.10%
Run Datetime - 12/6/2022 1:25:27PM Page 9 of 104MCR-01A
(1) Total claim dollars paid according to the month and year in which the claim was originally incurrred. Excludes Reserves and IBNR (Incurred But Not Reported).
Group/Customer:
Incurred Date Range:
Business Segment:
03/01/2018 to
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
* - All values
00305532
03/01/2018 to 11/01/2022
Source System: FACETS
Subgroup/Policy: * - All values
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
Subgroup/Policy: 00001002 - L6Z COMMUNITY CARE
Life - Basic
Incurred Month/Year
Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of Coverage
01/2022 $3,162.69 $0.00 0.00% 1,132 $71,570,150
02/2022 $3,139.03 $0.00 0.00% 1,119 $71,269,150
03/2022 $3,175.40 $0.00 0.00% 1,021 $75,071,150
04/2022 $3,255.12 $0.00 0.00% 1,056 $77,064,150
05/2022 $3,302.04 $0.00 0.00% 1,077 $78,237,150
06/2022 $3,303.16 $0.00 0.00% 1,076 $78,265,150
07/2022 $3,343.32 $0.00 0.00% 1,093 $79,269,150
08/2022 $3,329.92 $0.00 0.00% 1,089 $78,934,150
09/2022 $3,329.92 $0.00 0.00% 1,089 $78,934,150
10/2022 $3,329.92 $0.00 0.00% 1,089 $78,934,150
11/2022 $3,329.92 $0.00 0.00% 0 $0
Benefit Type Total $36,000.43 $0.00 0.00%
Run Datetime - 12/6/2022 1:25:27PM Page 10 of 104MCR-01A
(1) Total claim dollars paid according to the month and year in which the claim was originally incurrred. Excludes Reserves and IBNR (Incurred But Not Reported).
Group/Customer:
Incurred Date Range:
Business Segment:
03/01/2018 to
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
* - All values
00305532
03/01/2018 to 11/01/2022
Source System: FACETS
Subgroup/Policy: * - All values
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
Subgroup/Policy: 00001002 - L6Z COMMUNITY CARE
Life - Supplemental
Incurred Month/Year
Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of Coverage
03/2018 $7,098.86 $0.00 0.00% 334 $36,584,450
04/2018 $7,048.97 $0.00 0.00% 332 $36,219,450
05/2018 $7,132.46 $0.00 0.00% 335 $36,843,450
06/2018 $7,154.32 $0.00 0.00% 336 $37,222,450
07/2018 $7,256.53 $0.00 0.00% 336 $37,717,450
08/2018 $7,628.34 $0.00 0.00% 339 $38,843,900
09/2018 $7,519.03 $0.00 0.00% 329 $37,850,900
10/2018 $7,520.17 $0.00 0.00% 330 $37,865,900
11/2018 $7,573.14 $0.00 0.00% 334 $38,347,900
12/2018 $7,854.02 $0.00 0.00% 337 $39,654,900
Benefit Type Total $73,785.84 $0.00 0.00%
Run Datetime - 12/6/2022 1:25:27PM Page 11 of 104MCR-01A
(1) Total claim dollars paid according to the month and year in which the claim was originally incurrred. Excludes Reserves and IBNR (Incurred But Not Reported).
Group/Customer:
Incurred Date Range:
Business Segment:
03/01/2018 to
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
* - All values
00305532
03/01/2018 to 11/01/2022
Source System: FACETS
Subgroup/Policy: * - All values
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
Subgroup/Policy: 00001002 - L6Z COMMUNITY CARE
Life - Supplemental
Incurred Month/Year
Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of Coverage
01/2019 $7,810.64 $0.00 0.00% 333 $39,263,900
02/2019 $7,659.82 $0.00 0.00% 332 $38,798,900
03/2019 $8,707.03 $0.00 0.00% 375 $43,822,700
04/2019 $8,816.79 $0.00 0.00% 382 $44,739,700
05/2019 $8,915.23 $0.00 0.00% 389 $45,377,700
06/2019 $8,871.38 $0.00 0.00% 386 $45,226,700
07/2019 $8,983.34 $0.00 0.00% 386 $45,311,700
08/2019 $8,875.31 $0.00 0.00% 379 $45,043,700
09/2019 $8,859.80 $0.00 0.00% 376 $44,723,700
10/2019 $8,771.73 $0.00 0.00% 376 $44,384,700
11/2019 $9,531.62 $0.00 0.00% 432 $49,248,700
12/2019 $9,526.80 $0.00 0.00% 432 $49,011,700
Benefit Type Total $105,329.49 $0.00 0.00%
Run Datetime - 12/6/2022 1:25:27PM Page 12 of 104MCR-01A
(1) Total claim dollars paid according to the month and year in which the claim was originally incurrred. Excludes Reserves and IBNR (Incurred But Not Reported).
Group/Customer:
Incurred Date Range:
Business Segment:
03/01/2018 to
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
* - All values
00305532
03/01/2018 to 11/01/2022
Source System: FACETS
Subgroup/Policy: * - All values
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
Subgroup/Policy: 00001002 - L6Z COMMUNITY CARE
Life - Supplemental
Incurred Month/Year
Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of Coverage
01/2020 $9,501.46 $0.00 0.00% 430 $48,766,700
02/2020 $9,431.93 $0.00 0.00% 429 $48,597,700
03/2020 $12,414.56 $0.00 0.00% 594 $64,836,950
04/2020 $12,075.00 $0.00 0.00% 587 $63,904,950
05/2020 $12,085.43 $0.00 0.00% 586 $63,850,950
06/2020 $11,950.77 $0.00 0.00% 581 $63,397,950
07/2020 $11,978.59 $0.00 0.00% 580 $63,609,950
08/2020 $11,734.52 $0.00 0.00% 566 $62,367,950
09/2020 $12,085.43 $0.00 0.00% 569 $63,850,950
10/2020 $11,753.26 $0.00 0.00% 562 $62,312,950
11/2020 $11,753.00 $0.00 0.00% 555 $62,110,950
12/2020 $11,769.87 $0.00 0.00% 557 $62,219,950
Benefit Type Total $138,533.82 $0.00 0.00%
Run Datetime - 12/6/2022 1:25:27PM Page 13 of 104MCR-01A
(1) Total claim dollars paid according to the month and year in which the claim was originally incurrred. Excludes Reserves and IBNR (Incurred But Not Reported).
Group/Customer:
Incurred Date Range:
Business Segment:
03/01/2018 to
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
* - All values
00305532
03/01/2018 to 11/01/2022
Source System: FACETS
Subgroup/Policy: * - All values
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
Subgroup/Policy: 00001002 - L6Z COMMUNITY CARE
Life - Supplemental
Incurred Month/Year
Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of Coverage
01/2021 $11,815.58 $0.00 0.00% 562 $62,683,950
02/2021 $11,668.20 $57,046.07 488.90% 556 $61,740,950
03/2021 $14,031.55 $0.00 0.00% 649 $71,860,900
04/2021 $14,000.57 $0.00 0.00% 643 $71,212,100
05/2021 $14,000.57 $0.00 0.00% 643 $71,212,100
06/2021 $14,174.58 $0.00 0.00% 637 $70,507,100
07/2021 $14,021.63 $0.00 0.00% 638 $70,786,850
08/2021 $13,806.97 $0.00 0.00% 638 $70,093,900
09/2021 $13,818.85 $0.00 0.00% 636 $70,124,900
10/2021 $13,520.80 $0.00 0.00% 621 $68,388,900
11/2021 $13,520.80 $0.00 0.00% 621 $68,388,900
12/2021 $13,245.97 $0.00 0.00% 616 $67,916,700
Benefit Type Total $161,626.07 $57,046.07 35.30%
Run Datetime - 12/6/2022 1:25:27PM Page 14 of 104MCR-01A
(1) Total claim dollars paid according to the month and year in which the claim was originally incurrred. Excludes Reserves and IBNR (Incurred But Not Reported).
Group/Customer:
Incurred Date Range:
Business Segment:
03/01/2018 to
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
* - All values
00305532
03/01/2018 to 11/01/2022
Source System: FACETS
Subgroup/Policy: * - All values
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
Subgroup/Policy: 00001002 - L6Z COMMUNITY CARE
Life - Supplemental
Incurred Month/Year
Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of Coverage
01/2022 $13,300.81 $0.00 0.00% 621 $68,503,700
02/2022 $13,281.86 $0.00 0.00% 606 $67,561,700
03/2022 $16,371.55 $0.00 0.00% 653 $83,352,800
04/2022 $16,572.94 $0.00 0.00% 1,970 $85,202,800
05/2022 $16,594.21 $0.00 0.00% 678 $85,628,800
06/2022 $16,502.47 $0.00 0.00% 674 $85,325,800
07/2022 $16,533.17 $0.00 0.00% 677 $85,728,800
08/2022 $15,164.98 $0.00 0.00% 670 $73,232,800
09/2022 $15,164.98 $0.00 0.00% 670 $73,232,800
10/2022 $15,164.98 $0.00 0.00% 670 $73,232,800
11/2022 $15,164.98 $0.00 0.00% 0 $0
Benefit Type Total $169,816.93 $0.00 0.00%
Run Datetime - 12/6/2022 1:25:27PM Page 15 of 104MCR-01A
(1) Total claim dollars paid according to the month and year in which the claim was originally incurrred. Excludes Reserves and IBNR (Incurred But Not Reported).
Group/Customer:
Incurred Date Range:
Business Segment:
03/01/2018 to
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
* - All values
00305532
03/01/2018 to 11/01/2022
Source System: FACETS
Subgroup/Policy: * - All values
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
Subgroup/Policy: 00001002 - L6Z COMMUNITY CARE
Life - Supplemental AD&D
Incurred Month/Year
Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of Coverage
04/2018 $0.00 $11,701.37 0.00% 0 $0
Benefit Type Total $0.00 $11,701.37 0.00%
Run Datetime - 12/6/2022 1:25:27PM Page 16 of 104MCR-01A
(1) Total claim dollars paid according to the month and year in which the claim was originally incurrred. Excludes Reserves and IBNR (Incurred But Not Reported).
Group/Customer:
Incurred Date Range:
Business Segment:
03/01/2018 to
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
* - All values
00305532
03/01/2018 to 11/01/2022
Source System: FACETS
Subgroup/Policy: * - All values
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
Subgroup/Policy: 00001002 - L6Z COMMUNITY CARE
Life - Supplemental Dependent
Incurred Month/Year
Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of Coverage
03/2018 $811.74 $0.00 0.00% 169 $4,175,675
04/2018 $807.24 $0.00 0.00% 167 $4,125,675
05/2018 $812.67 $0.00 0.00% 168 $4,170,675
06/2018 $818.55 $0.00 0.00% 170 $4,230,675
07/2018 $821.11 $0.00 0.00% 169 $4,240,675
08/2018 $839.84 $0.00 0.00% 168 $4,254,675
09/2018 $827.06 $0.00 0.00% 163 $4,129,675
10/2018 $825.54 $0.00 0.00% 162 $4,109,675
11/2018 $819.11 $0.00 0.00% 161 $4,059,675
12/2018 $832.51 $0.00 0.00% 163 $5,029,675
Benefit Type Total $8,215.37 $0.00 0.00%
Run Datetime - 12/6/2022 1:25:27PM Page 17 of 104MCR-01A
(1) Total claim dollars paid according to the month and year in which the claim was originally incurrred. Excludes Reserves and IBNR (Incurred But Not Reported).
Group/Customer:
Incurred Date Range:
Business Segment:
03/01/2018 to
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
* - All values
00305532
03/01/2018 to 11/01/2022
Source System: FACETS
Subgroup/Policy: * - All values
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
Subgroup/Policy: 00001002 - L6Z COMMUNITY CARE
Life - Supplemental Dependent
Incurred Month/Year
Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of Coverage
01/2019 $830.92 $0.00 0.00% 162 $5,014,675
02/2019 $821.58 $0.00 0.00% 162 $5,019,675
03/2019 $919.83 $0.00 0.00% 173 $4,425,675
04/2019 $928.47 $0.00 0.00% 174 $4,455,675
05/2019 $942.69 $0.00 0.00% 177 $4,525,675
06/2019 $934.11 $0.00 0.00% 176 $4,495,675
07/2019 $927.78 $0.00 0.00% 174 $4,460,675
08/2019 $896.10 $0.00 0.00% 171 $4,370,675
09/2019 $888.79 $0.00 0.00% 169 $4,305,675
10/2019 $865.86 $0.00 0.00% 163 $4,155,675
11/2019 $932.63 $0.00 0.00% 178 $4,490,675
12/2019 $932.45 $0.00 0.00% 177 $4,455,675
Benefit Type Total $10,821.21 $0.00 0.00%
Run Datetime - 12/6/2022 1:25:27PM Page 18 of 104MCR-01A
(1) Total claim dollars paid according to the month and year in which the claim was originally incurrred. Excludes Reserves and IBNR (Incurred But Not Reported).
Group/Customer:
Incurred Date Range:
Business Segment:
03/01/2018 to
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
* - All values
00305532
03/01/2018 to 11/01/2022
Source System: FACETS
Subgroup/Policy: * - All values
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
Subgroup/Policy: 00001002 - L6Z COMMUNITY CARE
Life - Supplemental Dependent
Incurred Month/Year
Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of Coverage
01/2020 $934.04 $0.00 0.00% 177 $4,470,675
02/2020 $925.36 $0.00 0.00% 175 $4,415,675
03/2020 $1,046.27 $0.00 0.00% 193 $4,904,525
04/2020 $1,047.41 $0.00 0.00% 192 $4,889,525
05/2020 $1,042.85 $0.00 0.00% 192 $4,889,525
06/2020 $1,020.87 $0.00 0.00% 189 $4,804,525
07/2020 $1,020.66 $0.00 0.00% 188 $4,799,525
08/2020 $993.35 $0.00 0.00% 184 $4,674,525
09/2020 $1,042.85 $0.00 0.00% 185 $4,889,525
10/2020 $988.49 $0.00 0.00% 185 $4,674,525
11/2020 $991.58 $0.00 0.00% 184 $4,659,525
12/2020 $992.90 $0.00 0.00% 185 $4,689,525
Benefit Type Total $12,046.63 $0.00 0.00%
Run Datetime - 12/6/2022 1:25:27PM Page 19 of 104MCR-01A
(1) Total claim dollars paid according to the month and year in which the claim was originally incurrred. Excludes Reserves and IBNR (Incurred But Not Reported).
Group/Customer:
Incurred Date Range:
Business Segment:
03/01/2018 to
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
* - All values
00305532
03/01/2018 to 11/01/2022
Source System: FACETS
Subgroup/Policy: * - All values
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
Subgroup/Policy: 00001002 - L6Z COMMUNITY CARE
Life - Supplemental Dependent
Incurred Month/Year
Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of Coverage
01/2021 $992.00 $0.00 0.00% 184 $4,679,525
02/2021 $959.44 $0.00 0.00% 179 $4,519,525
03/2021 $1,054.53 $0.00 0.00% 197 $5,206,863
04/2021 $1,045.50 $0.00 0.00% 194 $5,121,863
05/2021 $1,045.50 $0.00 0.00% 194 $4,856,863
06/2021 $1,037.40 $0.00 0.00% 192 $4,817,863
07/2021 $1,042.12 $0.00 0.00% 194 $4,887,863
08/2021 $1,025.51 $0.00 0.00% 191 $4,802,863
09/2021 $1,018.71 $0.00 0.00% 191 $4,742,863
10/2021 $1,001.89 $0.00 0.00% 186 $4,607,863
11/2021 $1,001.89 $0.00 0.00% 186 $4,607,863
12/2021 $991.89 $0.00 0.00% 184 $4,575,188
Benefit Type Total $12,216.38 $0.00 0.00%
Run Datetime - 12/6/2022 1:25:27PM Page 20 of 104MCR-01A
(1) Total claim dollars paid according to the month and year in which the claim was originally incurrred. Excludes Reserves and IBNR (Incurred But Not Reported).
Group/Customer:
Incurred Date Range:
Business Segment:
03/01/2018 to
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
* - All values
00305532
03/01/2018 to 11/01/2022
Source System: FACETS
Subgroup/Policy: * - All values
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
Subgroup/Policy: 00001002 - L6Z COMMUNITY CARE
Life - Supplemental Dependent
Incurred Month/Year
Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of Coverage
01/2022 $991.89 $0.00 0.00% 184 $4,575,188
02/2022 $990.30 $0.00 0.00% 183 $4,560,188
03/2022 $1,147.72 $0.00 0.00% 191 $5,087,848
04/2022 $1,102.64 $0.00 0.00% 189 $4,850,348
05/2022 $1,116.42 $0.00 0.00% 192 $4,920,348
06/2022 $1,115.97 $0.00 0.00% 191 $4,915,348
07/2022 $1,103.25 $0.00 0.00% 191 $4,895,348
08/2022 $1,081.97 $0.00 0.00% 189 $4,855,348
09/2022 $1,081.97 $0.00 0.00% 189 $4,855,348
10/2022 $1,081.97 $0.00 0.00% 189 $4,855,348
11/2022 $1,081.97 $0.00 0.00% 0 $0
Benefit Type Total $11,896.07 $0.00 0.00%
Run Datetime - 12/6/2022 1:25:27PM Page 21 of 104MCR-01A
(1) Total claim dollars paid according to the month and year in which the claim was originally incurrred. Excludes Reserves and IBNR (Incurred But Not Reported).
Group/Customer:
Incurred Date Range:
Business Segment:
03/01/2018 to
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
* - All values
00305532
03/01/2018 to 11/01/2022
Source System: FACETS
Subgroup/Policy: * - All values
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
Subgroup/Policy: 00001002 - L6Z COMMUNITY CARE
Life - Supplemental Dependent Child
Incurred Month/Year
Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of Coverage
03/2018 $336.00 $0.00 0.00% 168 $1,680,000
04/2018 $332.00 $10,014.99 3,016.56% 166 $1,660,000
05/2018 $334.00 $0.00 0.00% 167 $1,670,000
06/2018 $338.00 $0.00 0.00% 169 $1,690,000
07/2018 $340.00 $0.00 0.00% 170 $1,700,000
08/2018 $340.00 $0.00 0.00% 170 $1,700,000
09/2018 $328.00 $0.00 0.00% 164 $1,640,000
10/2018 $326.00 $0.00 0.00% 163 $1,630,000
11/2018 $326.00 $0.00 0.00% 163 $1,630,000
12/2018 $326.00 $0.00 0.00% 163 $1,630,000
Benefit Type Total $3,326.00 $10,014.99 301.11%
Run Datetime - 12/6/2022 1:25:27PM Page 22 of 104MCR-01A
(1) Total claim dollars paid according to the month and year in which the claim was originally incurrred. Excludes Reserves and IBNR (Incurred But Not Reported).
Group/Customer:
Incurred Date Range:
Business Segment:
03/01/2018 to
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
* - All values
00305532
03/01/2018 to 11/01/2022
Source System: FACETS
Subgroup/Policy: * - All values
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
Subgroup/Policy: 00001002 - L6Z COMMUNITY CARE
Life - Supplemental Dependent Child
Incurred Month/Year
Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of Coverage
01/2019 $320.00 $0.00 0.00% 160 $1,600,000
02/2019 $320.00 $0.00 0.00% 160 $1,600,000
03/2019 $368.00 $0.00 0.00% 184 $1,840,000
04/2019 $372.00 $0.00 0.00% 186 $1,860,000
05/2019 $380.00 $0.00 0.00% 190 $1,900,000
06/2019 $376.00 $0.00 0.00% 188 $1,880,000
07/2019 $376.00 $0.00 0.00% 188 $1,880,000
08/2019 $368.00 $0.00 0.00% 184 $1,840,000
09/2019 $358.00 $0.00 0.00% 179 $1,790,000
10/2019 $350.00 $0.00 0.00% 175 $1,750,000
11/2019 $388.00 $0.00 0.00% 194 $1,940,000
12/2019 $388.00 $0.00 0.00% 194 $1,940,000
Benefit Type Total $4,364.00 $0.00 0.00%
Run Datetime - 12/6/2022 1:25:27PM Page 23 of 104MCR-01A
(1) Total claim dollars paid according to the month and year in which the claim was originally incurrred. Excludes Reserves and IBNR (Incurred But Not Reported).
Group/Customer:
Incurred Date Range:
Business Segment:
03/01/2018 to
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
* - All values
00305532
03/01/2018 to 11/01/2022
Source System: FACETS
Subgroup/Policy: * - All values
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
Subgroup/Policy: 00001002 - L6Z COMMUNITY CARE
Life - Supplemental Dependent Child
Incurred Month/Year
Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of Coverage
01/2020 $388.00 $0.00 0.00% 194 $1,940,000
02/2020 $386.00 $0.00 0.00% 193 $1,930,000
03/2020 $464.00 $0.00 0.00% 232 $2,320,000
04/2020 $462.00 $0.00 0.00% 231 $2,310,000
05/2020 $462.00 $0.00 0.00% 231 $2,310,000
06/2020 $452.00 $0.00 0.00% 226 $2,260,000
07/2020 $454.00 $0.00 0.00% 227 $2,270,000
08/2020 $442.00 $0.00 0.00% 221 $2,210,000
09/2020 $462.00 $0.00 0.00% 221 $2,310,000
10/2020 $434.00 $0.00 0.00% 217 $2,170,000
11/2020 $428.00 $0.00 0.00% 214 $2,140,000
12/2020 $430.00 $0.00 0.00% 215 $2,150,000
Benefit Type Total $5,264.00 $0.00 0.00%
Run Datetime - 12/6/2022 1:25:27PM Page 24 of 104MCR-01A
(1) Total claim dollars paid according to the month and year in which the claim was originally incurrred. Excludes Reserves and IBNR (Incurred But Not Reported).
Group/Customer:
Incurred Date Range:
Business Segment:
03/01/2018 to
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
* - All values
00305532
03/01/2018 to 11/01/2022
Source System: FACETS
Subgroup/Policy: * - All values
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
Subgroup/Policy: 00001002 - L6Z COMMUNITY CARE
Life - Supplemental Dependent Child
Incurred Month/Year
Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of Coverage
01/2021 $432.00 $0.00 0.00% 216 $2,160,000
02/2021 $428.00 $0.00 0.00% 214 $2,140,000
03/2021 $490.00 $0.00 0.00% 245 $2,450,000
04/2021 $488.00 $0.00 0.00% 244 $2,440,000
05/2021 $488.00 $0.00 0.00% 244 $2,440,000
06/2021 $492.00 $0.00 0.00% 246 $2,460,000
07/2021 $494.00 $0.00 0.00% 247 $2,470,000
08/2021 $496.00 $0.00 0.00% 248 $2,480,000
09/2021 $490.00 $0.00 0.00% 245 $2,450,000
10/2021 $472.00 $0.00 0.00% 236 $2,360,000
11/2021 $472.00 $0.00 0.00% 236 $2,360,000
12/2021 $458.00 $0.00 0.00% 229 $2,290,000
Benefit Type Total $5,700.00 $0.00 0.00%
Run Datetime - 12/6/2022 1:25:27PM Page 25 of 104MCR-01A
(1) Total claim dollars paid according to the month and year in which the claim was originally incurrred. Excludes Reserves and IBNR (Incurred But Not Reported).
Group/Customer:
Incurred Date Range:
Business Segment:
03/01/2018 to
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
* - All values
00305532
03/01/2018 to 11/01/2022
Source System: FACETS
Subgroup/Policy: * - All values
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
Subgroup/Policy: 00001002 - L6Z COMMUNITY CARE
Life - Supplemental Dependent Child
Incurred Month/Year
Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of Coverage
01/2022 $466.00 $0.00 0.00% 233 $2,330,000
02/2022 $462.00 $0.00 0.00% 231 $2,310,000
03/2022 $1,266.00 $0.00 0.00% 988 $6,330,000
04/2022 $1,306.00 $0.00 0.00% 1,023 $6,530,000
05/2022 $1,308.00 $0.00 0.00% 1,022 $6,540,000
06/2022 $1,296.00 $0.00 0.00% 1,007 $6,480,000
07/2022 $1,294.00 $0.00 0.00% 1,001 $6,470,000
08/2022 $1,278.00 $0.00 0.00% 980 $6,390,000
09/2022 $1,278.00 $0.00 0.00% 980 $6,390,000
10/2022 $1,278.00 $0.00 0.00% 980 $6,390,000
11/2022 $1,278.00 $0.00 0.00% 0 $0
Benefit Type Total $12,510.00 $0.00 0.00%
Run Datetime - 12/6/2022 1:25:27PM Page 26 of 104MCR-01A
(1) Total claim dollars paid according to the month and year in which the claim was originally incurrred. Excludes Reserves and IBNR (Incurred But Not Reported).
Group/Customer:
Incurred Date Range:
Business Segment:
03/01/2018 to
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
* - All values
00305532
03/01/2018 to 11/01/2022
Source System: FACETS
Subgroup/Policy: * - All values
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
Subgroup/Policy: 00001002 - L6Z COMMUNITY CARE
Voluntary AD&D
Incurred Month/Year
Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of Coverage
03/2018 $2,081.71 $0.00 0.00% 319 $79,655,894
04/2018 $2,061.60 $0.00 0.00% 315 $78,860,494
05/2018 $2,097.23 $0.00 0.00% 320 $80,560,494
06/2018 $2,094.98 $0.00 0.00% 322 $80,610,494
07/2018 $2,093.10 $0.00 0.00% 322 $80,735,494
08/2018 $2,123.84 $0.00 0.00% 319 $80,377,519
09/2018 $2,076.60 $0.00 0.00% 309 $78,728,535
10/2018 $2,081.10 $0.00 0.00% 310 $78,928,535
11/2018 $2,094.60 $0.00 0.00% 318 $80,378,535
12/2018 $2,110.35 $0.00 0.00% 319 $80,978,535
Benefit Type Total $20,915.11 $0.00 0.00%
Run Datetime - 12/6/2022 1:25:27PM Page 27 of 104MCR-01A
(1) Total claim dollars paid according to the month and year in which the claim was originally incurrred. Excludes Reserves and IBNR (Incurred But Not Reported).
Group/Customer:
Incurred Date Range:
Business Segment:
03/01/2018 to
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
* - All values
00305532
03/01/2018 to 11/01/2022
Source System: FACETS
Subgroup/Policy: * - All values
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
Subgroup/Policy: 00001002 - L6Z COMMUNITY CARE
Voluntary AD&D
Incurred Month/Year
Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of Coverage
01/2019 $2,084.85 $0.00 0.00% 315 $79,953,535
02/2019 $2,093.85 $0.00 0.00% 318 $80,628,535
03/2019 $3,238.98 $0.00 0.00% 583 $153,171,877
04/2019 $3,264.10 $0.00 0.00% 588 $154,171,877
05/2019 $3,328.60 $0.00 0.00% 594 $156,421,877
06/2019 $3,294.85 $0.00 0.00% 585 $154,621,877
07/2019 $3,291.48 $0.00 0.00% 582 $154,196,877
08/2019 $3,251.35 $0.00 0.00% 574 $152,346,877
09/2019 $3,199.23 $0.00 0.00% 566 $149,746,877
10/2019 $2,315.58 $0.00 0.00% 364 $91,912,345
11/2019 $2,473.25 $0.00 0.00% 419 $99,123,345
12/2019 $2,471.00 $0.00 0.00% 418 $98,898,345
Benefit Type Total $34,307.12 $0.00 0.00%
Run Datetime - 12/6/2022 1:25:27PM Page 28 of 104MCR-01A
(1) Total claim dollars paid according to the month and year in which the claim was originally incurrred. Excludes Reserves and IBNR (Incurred But Not Reported).
Group/Customer:
Incurred Date Range:
Business Segment:
03/01/2018 to
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
* - All values
00305532
03/01/2018 to 11/01/2022
Source System: FACETS
Subgroup/Policy: * - All values
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
Subgroup/Policy: 00001002 - L6Z COMMUNITY CARE
Voluntary AD&D
Incurred Month/Year
Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of Coverage
01/2020 $2,468.00 $0.00 0.00% 417 $98,373,345
02/2020 $2,430.50 $0.00 0.00% 413 $96,748,345
03/2020 $2,767.65 $0.00 0.00% 530 $115,707,417
04/2020 $2,750.78 $0.00 0.00% 524 $114,807,417
05/2020 $2,760.90 $0.00 0.00% 526 $115,557,417
06/2020 $2,744.73 $0.00 0.00% 520 $115,229,605
07/2020 $2,748.11 $0.00 0.00% 520 $115,154,605
08/2020 $2,730.86 $0.00 0.00% 508 $114,429,605
09/2020 $2,760.90 $0.00 0.00% 509 $115,557,417
10/2020 $2,706.48 $0.00 0.00% 504 $113,554,605
11/2020 $2,709.11 $0.00 0.00% 501 $113,854,605
12/2020 $2,689.98 $0.00 0.00% 502 $112,704,605
Benefit Type Total $32,268.00 $0.00 0.00%
Run Datetime - 12/6/2022 1:25:27PM Page 29 of 104MCR-01A
(1) Total claim dollars paid according to the month and year in which the claim was originally incurrred. Excludes Reserves and IBNR (Incurred But Not Reported).
Group/Customer:
Incurred Date Range:
Business Segment:
03/01/2018 to
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
* - All values
00305532
03/01/2018 to 11/01/2022
Source System: FACETS
Subgroup/Policy: * - All values
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
Subgroup/Policy: 00001002 - L6Z COMMUNITY CARE
Voluntary AD&D
Incurred Month/Year
Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of Coverage
01/2021 $2,723.36 $0.00 0.00% 507 $114,029,605
02/2021 $2,651.92 $0.00 0.00% 502 $111,637,276
03/2021 $2,328.61 $0.00 0.00% 580 $121,174,221
04/2021 $2,292.17 $0.00 0.00% 574 $119,296,721
05/2021 $2,292.17 $0.00 0.00% 574 $119,296,721
06/2021 $2,286.04 $0.00 0.00% 571 $118,479,945
07/2021 $2,307.04 $0.00 0.00% 572 $119,054,945
08/2021 $2,273.90 $0.00 0.00% 578 $117,945,445
09/2021 $2,279.15 $0.00 0.00% 577 $117,995,445
10/2021 $2,251.77 $0.00 0.00% 572 $117,020,445
11/2021 $2,251.77 $0.00 0.00% 572 $117,020,445
12/2021 $2,231.36 $0.00 0.00% 568 $116,059,195
Benefit Type Total $28,169.26 $0.00 0.00%
Run Datetime - 12/6/2022 1:25:27PM Page 30 of 104MCR-01A
(1) Total claim dollars paid according to the month and year in which the claim was originally incurrred. Excludes Reserves and IBNR (Incurred But Not Reported).
Group/Customer:
Incurred Date Range:
Business Segment:
03/01/2018 to
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
* - All values
00305532
03/01/2018 to 11/01/2022
Source System: FACETS
Subgroup/Policy: * - All values
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
Subgroup/Policy: 00001002 - L6Z COMMUNITY CARE
Voluntary AD&D
Incurred Month/Year
Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of Coverage
01/2022 $2,264.36 $0.00 0.00% 574 $117,259,195
02/2022 $2,243.36 $0.00 0.00% 562 $115,709,195
03/2022 $2,957.48 $0.00 0.00% 606 $126,296,376
04/2022 $2,992.73 $0.00 0.00% 625 $128,171,376
05/2022 $3,017.85 $0.00 0.00% 634 $128,746,376
06/2022 $3,017.10 $0.00 0.00% 632 $128,721,376
07/2022 $3,080.11 $0.00 0.00% 637 $131,121,376
08/2022 $3,045.23 $0.00 0.00% 628 $129,521,376
09/2022 $3,045.23 $0.00 0.00% 628 $129,521,376
10/2022 $3,045.23 $0.00 0.00% 628 $129,521,376
11/2022 $3,045.23 $0.00 0.00% 0 $0
Benefit Type Total $31,753.92 $0.00 0.00%
Run Datetime - 12/6/2022 1:25:27PM Page 31 of 104MCR-01A
(1) Total claim dollars paid according to the month and year in which the claim was originally incurrred. Excludes Reserves and IBNR (Incurred But Not Reported).
Group/Customer:
Incurred Date Range:
Business Segment:
03/01/2018 to
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
* - All values
00305532
03/01/2018 to 11/01/2022
Source System: FACETS
Subgroup/Policy: * - All values
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
Subgroup/Policy: 00001002 - L6Z COMMUNITY CARE
Year and Product Summary Subgroup ID: 00001002
Year 2018
Products Premium/Fees Paid Claims (1) Loss Ratio
Life - AD&D $7,301.89 $36,000.00 493.02%
Life - Basic $20,578.76 $36,240.05 176.10%
Life - Supplemental $73,785.84 $0.00 0.00%
Life - Supplemental AD&D $0.00 $11,701.37 0.00%
Life - Supplemental Dependent $8,215.37 $0.00 0.00%
Life - Supplemental Dependent Child $3,326.00 $10,014.99 301.11%
Voluntary AD&D $20,915.11 $0.00 0.00%
Year 2018 Total $134,122.97 $93,956.41 70.05%
Year 2019
Products Premium/Fees Paid Claims (1) Loss Ratio
Life - AD&D $9,535.93 $0.00 0.00%
Life - Basic $27,529.49 $0.00 0.00%
Life - Supplemental $105,329.49 $0.00 0.00%
Life - Supplemental Dependent $10,821.21 $0.00 0.00%
Life - Supplemental Dependent Child $4,364.00 $0.00 0.00%
Voluntary AD&D $34,307.12 $0.00 0.00%
Year 2019 Total $191,887.24 $0.00 0.00%
Run Datetime - 12/6/2022 1:25:27PM Page 32 of 104MCR-01A
(1) Total claim dollars paid according to the month and year in which the claim was originally incurrred. Excludes Reserves and IBNR (Incurred But Not Reported).
Group/Customer:
Incurred Date Range:
Business Segment:
03/01/2018 to
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
* - All values
00305532
03/01/2018 to 11/01/2022
Source System: FACETS
Subgroup/Policy: * - All values
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
Year and Product Summary Subgroup ID: 00001002
Year 2020
Products Premium/Fees Paid Claims (1) Loss Ratio
Life - AD&D $11,386.85 $0.00 0.00%
Life - Basic $31,750.11 $38,020.29 119.75%
Life - Supplemental $138,533.82 $0.00 0.00%
Life - Supplemental Dependent $12,046.63 $0.00 0.00%
Life - Supplemental Dependent Child $5,264.00 $0.00 0.00%
Voluntary AD&D $32,268.00 $0.00 0.00%
Year 2020 Total $231,249.41 $38,020.29 16.44%
Year 2021
Products Premium/Fees Paid Claims (1) Loss Ratio
Life - AD&D $12,264.69 $0.00 0.00%
Life - Basic $35,511.11 $38,030.71 107.10%
Life - Supplemental $161,626.07 $57,046.07 35.30%
Life - Supplemental Dependent $12,216.38 $0.00 0.00%
Life - Supplemental Dependent Child $5,700.00 $0.00 0.00%
Voluntary AD&D $28,169.26 $0.00 0.00%
Year 2021 Total $255,487.51 $95,076.78 37.21%
Run Datetime - 12/6/2022 1:25:27PM Page 33 of 104MCR-01A
(1) Total claim dollars paid according to the month and year in which the claim was originally incurrred. Excludes Reserves and IBNR (Incurred But Not Reported).
Group/Customer:
Incurred Date Range:
Business Segment:
03/01/2018 to
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
* - All values
00305532
03/01/2018 to 11/01/2022
Source System: FACETS
Subgroup/Policy: * - All values
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
Year and Product Summary Subgroup ID: 00001002
Year 2022
Products Premium/Fees Paid Claims (1) Loss Ratio
Life - AD&D $12,697.20 $0.00 0.00%
Life - Basic $36,000.43 $0.00 0.00%
Life - Supplemental $169,816.93 $0.00 0.00%
Life - Supplemental Dependent $11,896.07 $0.00 0.00%
Life - Supplemental Dependent Child $12,510.00 $0.00 0.00%
Voluntary AD&D $31,753.92 $0.00 0.00%
Year 2022 Total $274,674.56 $0.00 0.00%
$1,087,421.69 $227,053.48 20.88%Year and Product Summary Total
Product Summary Subgroup ID: 00001002
Loss RatioPaid Claims (1)Premium/FeesProducts
Life - AD&D $53,186.56 $36,000.00 67.69%
Life - Basic $151,369.91 $112,291.05 74.18%
Life - Supplemental $649,092.15 $57,046.07 8.79%
Life - Supplemental AD&D $0.00 $11,701.37 0.00%
Life - Supplemental Dependent $55,195.66 $0.00 0.00%
Life - Supplemental Dependent Child $31,164.00 $10,014.99 32.14%
Voluntary AD&D $147,413.41 $0.00 0.00%
Product Summary Total $1,087,421.69 $227,053.48 20.88%
Run Datetime - 12/6/2022 1:25:27PM Page 34 of 104MCR-01A
(1) Total claim dollars paid according to the month and year in which the claim was originally incurrred. Excludes Reserves and IBNR (Incurred But Not Reported).
Group/Customer:
Incurred Date Range:
Business Segment:
03/01/2018 to
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
* - All values
00305532
03/01/2018 to 11/01/2022
Source System: FACETS
Subgroup/Policy: * - All values
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
Subgroup/Policy: 00001003 - SLA CENTRAL HEALTH
Life - AD&D
Incurred Month/Year
Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of Coverage
03/2018 $246.20 $0.00 0.00% 196 $16,413,250
04/2018 $245.04 $0.00 0.00% 195 $16,336,250
05/2018 $250.82 $0.00 0.00% 200 $16,721,250
06/2018 $249.54 $0.00 0.00% 199 $16,635,850
07/2018 $249.79 $0.00 0.00% 199 $16,652,850
08/2018 $258.50 $0.00 0.00% 208 $17,232,850
09/2018 $262.44 $0.00 0.00% 211 $17,495,850
10/2018 $260.94 $0.00 0.00% 211 $17,395,850
11/2018 $260.07 $0.00 0.00% 210 $17,337,850
12/2018 $258.15 $0.00 0.00% 210 $17,209,900
Benefit Type Total $2,541.49 $0.00 0.00%
Run Datetime - 12/6/2022 1:25:27PM Page 35 of 104MCR-01A
(1) Total claim dollars paid according to the month and year in which the claim was originally incurrred. Excludes Reserves and IBNR (Incurred But Not Reported).
Group/Customer:
Incurred Date Range:
Business Segment:
03/01/2018 to
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
* - All values
00305532
03/01/2018 to 11/01/2022
Source System: FACETS
Subgroup/Policy: * - All values
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
Subgroup/Policy: 00001003 - SLA CENTRAL HEALTH
Life - AD&D
Incurred Month/Year
Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of Coverage
01/2019 $255.37 $0.00 0.00% 208 $17,024,900
02/2019 $256.12 $0.00 0.00% 209 $17,074,900
03/2019 $271.09 $0.00 0.00% 206 $18,072,600
04/2019 $267.43 $0.00 0.00% 197 $17,828,800
05/2019 $267.87 $0.00 0.00% 197 $17,855,800
06/2019 $265.27 $0.00 0.00% 195 $17,684,800
07/2019 $272.72 $0.00 0.00% 199 $18,181,800
08/2019 $272.44 $0.00 0.00% 200 $18,162,800
09/2019 $275.39 $0.00 0.00% 203 $18,359,800
10/2019 $279.43 $0.00 0.00% 208 $18,628,800
11/2019 $281.35 $0.00 0.00% 210 $18,756,800
12/2019 $278.11 $0.00 0.00% 208 $18,540,800
Benefit Type Total $3,242.59 $0.00 0.00%
Run Datetime - 12/6/2022 1:25:27PM Page 36 of 104MCR-01A
(1) Total claim dollars paid according to the month and year in which the claim was originally incurrred. Excludes Reserves and IBNR (Incurred But Not Reported).
Group/Customer:
Incurred Date Range:
Business Segment:
03/01/2018 to
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
* - All values
00305532
03/01/2018 to 11/01/2022
Source System: FACETS
Subgroup/Policy: * - All values
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
Subgroup/Policy: 00001003 - SLA CENTRAL HEALTH
Life - AD&D
Incurred Month/Year
Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of Coverage
01/2020 $277.03 $0.00 0.00% 208 $18,468,600
02/2020 $280.66 $0.00 0.00% 210 $18,710,600
03/2020 $293.66 $0.00 0.00% 219 $19,577,100
04/2020 $296.51 $0.00 0.00% 225 $19,768,150
05/2020 $296.60 $0.00 0.00% 225 $19,773,150
06/2020 $303.18 $0.00 0.00% 232 $20,212,150
07/2020 $302.90 $0.00 0.00% 231 $20,193,100
08/2020 $310.86 $0.00 0.00% 234 $20,724,200
09/2020 $316.97 $0.00 0.00% 243 $21,131,200
10/2020 $316.20 $0.00 0.00% 242 $21,080,200
11/2020 $319.44 $0.00 0.00% 245 $21,296,200
12/2020 $324.06 $0.00 0.00% 249 $21,604,200
Benefit Type Total $3,638.07 $0.00 0.00%
Run Datetime - 12/6/2022 1:25:27PM Page 37 of 104MCR-01A
(1) Total claim dollars paid according to the month and year in which the claim was originally incurrred. Excludes Reserves and IBNR (Incurred But Not Reported).
Group/Customer:
Incurred Date Range:
Business Segment:
03/01/2018 to
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
* - All values
00305532
03/01/2018 to 11/01/2022
Source System: FACETS
Subgroup/Policy: * - All values
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
Subgroup/Policy: 00001003 - SLA CENTRAL HEALTH
Life - AD&D
Incurred Month/Year
Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of Coverage
01/2021 $329.34 $0.00 0.00% 255 $21,955,100
02/2021 $332.75 $0.00 0.00% 260 $22,183,100
03/2021 $351.60 $0.00 0.00% 268 $23,440,500
04/2021 $348.89 $0.00 0.00% 267 $23,259,500
05/2021 $350.02 $0.00 0.00% 267 $23,334,500
06/2021 $351.73 $0.00 0.00% 270 $23,448,500
07/2021 $352.06 $0.00 0.00% 271 $23,470,500
08/2021 $351.78 $0.00 0.00% 272 $23,452,500
09/2021 $354.12 $0.00 0.00% 276 $23,608,500
10/2021 $359.81 $0.00 0.00% 278 $23,987,500
11/2021 $360.68 $0.00 0.00% 277 $24,045,500
12/2021 $363.83 $0.00 0.00% 279 $24,255,500
Benefit Type Total $4,206.61 $0.00 0.00%
Run Datetime - 12/6/2022 1:25:27PM Page 38 of 104MCR-01A
(1) Total claim dollars paid according to the month and year in which the claim was originally incurrred. Excludes Reserves and IBNR (Incurred But Not Reported).
Group/Customer:
Incurred Date Range:
Business Segment:
03/01/2018 to
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
* - All values
00305532
03/01/2018 to 11/01/2022
Source System: FACETS
Subgroup/Policy: * - All values
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
Subgroup/Policy: 00001003 - SLA CENTRAL HEALTH
Life - AD&D
Incurred Month/Year
Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of Coverage
01/2022 $359.78 $0.00 0.00% 273 $23,985,000
02/2022 $367.98 $0.00 0.00% 281 $24,532,000
03/2022 $372.41 $0.00 0.00% 267 $24,827,550
04/2022 $372.41 $0.00 0.00% 267 $24,827,550
05/2022 $366.71 $0.00 0.00% 268 $24,904,550
06/2022 $376.84 $0.00 0.00% 269 $25,122,550
07/2022 $385.16 $0.00 0.00% 276 $25,677,550
08/2022 $367.98 $0.00 0.00% 281 $24,532,000
09/2022 $367.98 $0.00 0.00% 281 $24,532,000
10/2022 $385.16 $0.00 0.00% 276 $25,677,550
11/2022 $385.16 $0.00 0.00% 0 $0
Benefit Type Total $4,107.57 $0.00 0.00%
Run Datetime - 12/6/2022 1:25:27PM Page 39 of 104MCR-01A
(1) Total claim dollars paid according to the month and year in which the claim was originally incurrred. Excludes Reserves and IBNR (Incurred But Not Reported).
Group/Customer:
Incurred Date Range:
Business Segment:
03/01/2018 to
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
* - All values
00305532
03/01/2018 to 11/01/2022
Source System: FACETS
Subgroup/Policy: * - All values
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
Subgroup/Policy: 00001003 - SLA CENTRAL HEALTH
Life - Basic
Incurred Month/Year
Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of Coverage
03/2018 $660.03 $0.00 0.00% 196 $16,413,250
04/2018 $656.95 $0.00 0.00% 195 $16,336,250
05/2018 $674.35 $0.00 0.00% 201 $16,771,250
06/2018 $672.08 $0.00 0.00% 199 $16,635,850
07/2018 $672.76 $0.00 0.00% 199 $16,652,850
08/2018 $692.81 $0.00 0.00% 208 $17,232,850
09/2018 $703.33 $0.00 0.00% 211 $17,495,850
10/2018 $699.33 $0.00 0.00% 211 $17,395,850
11/2018 $697.01 $0.00 0.00% 210 $17,337,850
12/2018 $691.90 $0.00 0.00% 210 $17,209,900
Benefit Type Total $6,820.55 $0.00 0.00%
Run Datetime - 12/6/2022 1:25:27PM Page 40 of 104MCR-01A
(1) Total claim dollars paid according to the month and year in which the claim was originally incurrred. Excludes Reserves and IBNR (Incurred But Not Reported).
Group/Customer:
Incurred Date Range:
Business Segment:
03/01/2018 to
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
* - All values
00305532
03/01/2018 to 11/01/2022
Source System: FACETS
Subgroup/Policy: * - All values
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
Subgroup/Policy: 00001003 - SLA CENTRAL HEALTH
Life - Basic
Incurred Month/Year
Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of Coverage
01/2019 $684.50 $0.00 0.00% 208 $17,024,900
02/2019 $686.50 $0.00 0.00% 210 $17,074,900
03/2019 $726.54 $0.00 0.00% 206 $18,072,600
04/2019 $716.79 $0.00 0.00% 197 $17,828,800
05/2019 $717.84 $0.00 0.00% 197 $17,855,000
06/2019 $711.03 $0.00 0.00% 195 $17,684,800
07/2019 $730.91 $0.00 0.00% 199 $18,181,800
08/2019 $730.15 $0.00 0.00% 200 $18,162,800
09/2019 $738.03 $0.00 0.00% 203 $18,359,800
10/2019 $686.79 $0.00 0.00% 208 $18,628,800
11/2019 $691.91 $0.00 0.00% 210 $18,756,800
12/2019 $682.41 $0.00 0.00% 208 $18,540,800
Benefit Type Total $8,503.40 $0.00 0.00%
Run Datetime - 12/6/2022 1:25:27PM Page 41 of 104MCR-01A
(1) Total claim dollars paid according to the month and year in which the claim was originally incurrred. Excludes Reserves and IBNR (Incurred But Not Reported).
Group/Customer:
Incurred Date Range:
Business Segment:
03/01/2018 to
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
* - All values
00305532
03/01/2018 to 11/01/2022
Source System: FACETS
Subgroup/Policy: * - All values
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
Subgroup/Policy: 00001003 - SLA CENTRAL HEALTH
Life - Basic
Incurred Month/Year
Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of Coverage
01/2020 $742.38 $0.00 0.00% 208 $18,468,600
02/2020 $752.06 $0.00 0.00% 210 $18,710,600
03/2020 $786.65 $0.00 0.00% 219 $19,577,100
04/2020 $794.30 $0.00 0.00% 225 $19,768,150
05/2020 $770.57 $0.00 0.00% 225 $19,986,150
06/2020 $812.06 $0.00 0.00% 232 $20,212,150
07/2020 $645.34 $0.00 0.00% 231 $20,193,100
08/2020 $832.55 $0.00 0.00% 234 $20,724,200
09/2020 $852.52 $0.00 0.00% 243 $21,131,200
10/2020 $843.10 $0.00 0.00% 242 $21,080,200
11/2020 $859.11 $0.00 0.00% 245 $21,296,200
12/2020 $867.74 $0.00 0.00% 249 $21,604,200
Benefit Type Total $9,558.38 $0.00 0.00%
Run Datetime - 12/6/2022 1:25:27PM Page 42 of 104MCR-01A
(1) Total claim dollars paid according to the month and year in…
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