ESBD_379720_1729885624841_Attachment K - UHC Life Experience 122022 - 122023 report.pdf
PDF 225 KB Posted
- Solicitation number
- 2510-006
- Issued by
- Travis County, Austin City, Texas
About this file
This document is a Request for Proposals (RFP) issued by the Travis County Healthcare District d/b/a Central Health for basic life & AD&D, voluntary life & AD&D, employer paid short-term disability, voluntary short-term disability, and employer paid long-term disability insurance coverage. The RFP seeks qualified vendors to provide these benefits to approximately 1,900 Central Health employees, with a proposal due date of November 14, 2024 and a goal of offering high-quality and valuable benefits at affordable pricing. The initial contract term is two years, with optional four one-year renewal periods.
The RFP allows for a one-time open enrollment for all employees with no underwriting up to the guarantee issue amount. Central Health is seeking to bundle the life and disability coverages with the same vendor, but will contract with separate vendors if that is most advantageous. Pricing will be evaluated along with the vendor's ability to perform, quality of services, innovation, and overall value to Central Health. The RFP does not mention any set-aside designations or restrictions on the types of organizations that can respond, and does not provide any information on possible award values or budget ranges, though the historical claims data and premium information suggests this is a significant employee benefits contract for the Travis County Healthcare District.
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Text version
Experience Summary by Incurred Month
Group/Customer:
Incurred Date Range:
Business Segment:
Selection Parameters
12/01/2022 to 12/01/2023
Life
305532
Subgroup/Policy: ALL
Values on Report
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
1002, 1003, 1004
12/01/2022 to 12/01/2023
Life
ACIS,FACETS,Onbase,PRIME,UHOPSSource System:
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
FACETS
All Subgroups and Products by Incurred Month
Incurred Month/Year Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of
Coverage Number of
Claims
12/2022 $35,825.29 $0.00 0.00% 5,773 527,496,274 0
01/2023 $35,410.88 $0.00 0.00% 5,749 441,105,214 0
02/2023 $35,837.27 $0.00 0.00% 5,853 535,094,514 0
03/2023 $38,968.19 $0.00 0.00% 5,161 577,595,002 0
04/2023 $38,851.28 $178,933.85 460.56% 5,178 578,254,702 3
05/2023 $38,908.90 $0.00 0.00% 5,228 579,578,702 0
06/2023 $39,273.40 $20,012.63 50.96% 5,304 585,940,752 2
07/2023 $39,358.29 $0.00 0.00% 5,312 588,244,582 0
08/2023 $39,882.58 $0.00 0.00% 5,429 603,588,082 0
09/2023 $39,907.24 $0.00 0.00% 5,483 608,001,002 0
10/2023 $40,018.34 $0.00 0.00% 5,531 613,061,402 0
11/2023 $40,428.23 $0.00 0.00% 5,581 620,023,202 0
12/2023 $40,678.95 $0.00 0.00% 5,652 625,535,202 0
All subgroups and Products Total
$503,348.84 $198,946.48 39.52% 71234 $7,483,518,632 5
Page 1 of 47OFCR-01A; v3.6Run Date: 9/13/2024 8:32:17 AM
(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).
Incurred Date Range:
Business Segment:
Selection Parameters
12/01/2022 to 12/01/2023
Life
305532
Subgroup/Policy: ALL
Values on Report
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
1002, 1003, 1004
12/01/2022 to 12/01/2023
Life
ACIS,FACETS,Onbase,PRIME,UHOPSSource System:
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
FACETS
Subgroup/Policy: 00001002 - L6Z COMMUNITY CARE
Life - AD&D
Incurred Month/Year Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of
Coverage Number of
Claims
12/2022 $1,305.06 $0.00 0.00% 1,144 $82,702,250 0
Benefit Type Total $1,305.06 $0.00 0.00% 0
Page 2 of 47OFCR-01A; v3.6Run Date: 9/13/2024 8:32:17 AM
(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).
Incurred Date Range:
Business Segment:
Selection Parameters
12/01/2022 to 12/01/2023
Life
305532
Subgroup/Policy: ALL
Values on Report
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
1002, 1003, 1004
12/01/2022 to 12/01/2023
Life
ACIS,FACETS,Onbase,PRIME,UHOPSSource System:
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
FACETS
Subgroup/Policy: 00001002 - L6Z COMMUNITY CARE
Life - AD&D
Incurred Month/Year Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of
Coverage Number of
Claims
01/2023 $1,236.17 $0.00 0.00% 1,144 $0 0
02/2023 $1,296.17 $0.00 0.00% 1,190 $86,411,300 0
03/2023 $1,315.87 $0.00 0.00% 1,141 $87,724,650 0
04/2023 $1,324.40 $0.00 0.00% 1,152 $88,293,500 0
05/2023 $1,340.84 $0.00 0.00% 1,172 $89,389,500 0
06/2023 $1,354.34 $0.00 0.00% 1,190 $90,289,500 0
07/2023 $1,353.40 $0.00 0.00% 1,185 $90,226,500 0
08/2023 $1,391.85 $0.00 0.00% 1,219 $92,790,000 0
09/2023 $1,416.66 $0.00 0.00% 1,233 $94,444,000 0
10/2023 $1,431.67 $0.00 0.00% 1,248 $95,444,600 0
11/2023 $1,439.79 $0.00 0.00% 1,255 $95,985,900 0
12/2023 $1,449.96 $0.00 0.00% 1,266 $96,663,900 0
Benefit Type Total $16,351.12 $0.00 0.00% 0
Page 3 of 47OFCR-01A; v3.6Run Date: 9/13/2024 8:32:17 AM
(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).
Incurred Date Range:
Business Segment:
Selection Parameters
12/01/2022 to 12/01/2023
Life
305532
Subgroup/Policy: ALL
Values on Report
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
1002, 1003, 1004
12/01/2022 to 12/01/2023
Life
ACIS,FACETS,Onbase,PRIME,UHOPSSource System:
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
FACETS
Subgroup/Policy: 00001002 - L6Z COMMUNITY CARE
Life - Basic
Incurred Month/Year Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of
Coverage Number of
Claims
12/2022 $3,505.92 $0.00 0.00% 1,144 $82,702,250 0
Benefit Type Total $3,505.92 $0.00 0.00% 0
Page 4 of 47OFCR-01A; v3.6Run Date: 9/13/2024 8:32:17 AM
(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).
Incurred Date Range:
Business Segment:
Selection Parameters
12/01/2022 to 12/01/2023
Life
305532
Subgroup/Policy: ALL
Values on Report
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
1002, 1003, 1004
12/01/2022 to 12/01/2023
Life
ACIS,FACETS,Onbase,PRIME,UHOPSSource System:
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
FACETS
Subgroup/Policy: 00001002 - L6Z COMMUNITY CARE
Life - Basic
Incurred Month/Year Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of
Coverage Number of
Claims
01/2023 $3,494.28 $0.00 0.00% 1,143 $82,411,300 0
02/2023 $3,663.87 $0.00 0.00% 1,190 $86,411,300 0
03/2023 $3,508.98 $0.00 0.00% 1,141 $87,724,650 0
04/2023 $3,531.74 $133,839.72 3789.63% 1,153 $88,293,500 1
05/2023 $3,575.58 $0.00 0.00% 1,173 $89,389,500 0
06/2023 $3,611.58 $0.00 0.00% 1,191 $90,289,500 0
07/2023 $3,609.06 $0.00 0.00% 1,186 $90,226,500 0
08/2023 $3,711.60 $0.00 0.00% 1,220 $92,790,000 0
09/2023 $3,777.76 $0.00 0.00% 1,234 $94,444,000 0
10/2023 $3,817.79 $0.00 0.00% 1,249 $95,444,600 0
11/2023 $3,839.44 $0.00 0.00% 1,256 $95,985,900 0
12/2023 $3,866.56 $0.00 0.00% 1,266 $96,663,900 0
Benefit Type Total $44,008.24 $133,839.72 304.12% 1
Page 5 of 47OFCR-01A; v3.6Run Date: 9/13/2024 8:32:17 AM
(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).
Incurred Date Range:
Business Segment:
Selection Parameters
12/01/2022 to 12/01/2023
Life
305532
Subgroup/Policy: ALL
Values on Report
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
1002, 1003, 1004
12/01/2022 to 12/01/2023
Life
ACIS,FACETS,Onbase,PRIME,UHOPSSource System:
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
FACETS
Subgroup/Policy: 00001002 - L6Z COMMUNITY CARE
Life - Supplemental
Incurred Month/Year Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of
Coverage Number of
Claims
12/2022 $16,125.05 $0.00 0.00% 665 $84,342,800 0
Benefit Type Total $16,125.05 $0.00 0.00% 0
Page 6 of 47OFCR-01A; v3.6Run Date: 9/13/2024 8:32:17 AM
(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).
Incurred Date Range:
Business Segment:
Selection Parameters
12/01/2022 to 12/01/2023
Life
305532
Subgroup/Policy: ALL
Values on Report
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
1002, 1003, 1004
12/01/2022 to 12/01/2023
Life
ACIS,FACETS,Onbase,PRIME,UHOPSSource System:
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
FACETS
Subgroup/Policy: 00001002 - L6Z COMMUNITY CARE
Life - Supplemental
Incurred Month/Year Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of
Coverage Number of
Claims
01/2023 $15,981.10 $0.00 0.00% 658 $84,025,850 0
02/2023 $16,047.15 $0.00 0.00% 655 $84,596,850 0
03/2023 $17,247.16 $0.00 0.00% 650 $88,236,700 0
04/2023 $17,133.55 $0.00 0.00% 650 $87,711,700 0
05/2023 $17,080.88 $0.00 0.00% 645 $87,034,700 0
06/2023 $17,127.54 $0.00 0.00% 647 $87,499,700 0
07/2023 $17,089.28 $0.00 0.00% 645 $86,930,700 0
08/2023 $17,096.15 $0.00 0.00% 642 $86,867,200 0
09/2023 $16,963.61 $0.00 0.00% 637 $85,864,200 0
10/2023 $16,926.76 $0.00 0.00% 638 $85,840,200 0
11/2023 $17,062.34 $0.00 0.00% 639 $86,292,200 0
12/2023 $17,010.18 $0.00 0.00% 640 $86,119,200 0
Benefit Type Total $202,765.70 $0.00 0.00% 0
Page 7 of 47OFCR-01A; v3.6Run Date: 9/13/2024 8:32:17 AM
(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).
Incurred Date Range:
Business Segment:
Selection Parameters
12/01/2022 to 12/01/2023
Life
305532
Subgroup/Policy: ALL
Values on Report
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
1002, 1003, 1004
12/01/2022 to 12/01/2023
Life
ACIS,FACETS,Onbase,PRIME,UHOPSSource System:
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
FACETS
Subgroup/Policy: 00001002 - L6Z COMMUNITY CARE
Life - Supplemental Dependent
Incurred Month/Year Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of
Coverage Number of
Claims
12/2022 $1,021.36 $0.00 0.00% 184 $4,725,348 0
Benefit Type Total $1,021.36 $0.00 0.00% 0
Page 8 of 47OFCR-01A; v3.6Run Date: 9/13/2024 8:32:17 AM
(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).
Incurred Date Range:
Business Segment:
Selection Parameters
12/01/2022 to 12/01/2023
Life
305532
Subgroup/Policy: ALL
Values on Report
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
1002, 1003, 1004
12/01/2022 to 12/01/2023
Life
ACIS,FACETS,Onbase,PRIME,UHOPSSource System:
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
FACETS
Subgroup/Policy: 00001002 - L6Z COMMUNITY CARE
Life - Supplemental Dependent
Incurred Month/Year Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of
Coverage Number of
Claims
01/2023 $989.41 $0.00 0.00% 181 $4,671,688 0
02/2023 $1,007.18 $0.00 0.00% 184 $4,726,688 0
03/2023 $1,046.26 $0.00 0.00% 188 $4,846,688 0
04/2023 $1,052.46 $20,048.21 1904.89% 190 $4,896,688 1
05/2023 $1,030.74 $0.00 0.00% 189 $4,866,688 0
06/2023 $1,043.42 $0.00 0.00% 191 $4,946,688 0
07/2023 $1,043.82 $0.00 0.00% 191 $4,921,688 0
08/2023 $1,055.19 $0.00 0.00% 192 $4,924,688 0
09/2023 $1,051.59 $0.00 0.00% 190 $4,874,688 0
10/2023 $1,052.49 $0.00 0.00% 191 $4,904,688 0
11/2023 $1,046.59 $0.00 0.00% 189 $4,854,688 0
12/2023 $1,045.33 $0.00 0.00% 190 $4,869,688 0
Benefit Type Total $12,464.48 $20,048.21 160.84% 1
Page 9 of 47OFCR-01A; v3.6Run Date: 9/13/2024 8:32:17 AM
(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).
Incurred Date Range:
Business Segment:
Selection Parameters
12/01/2022 to 12/01/2023
Life
305532
Subgroup/Policy: ALL
Values on Report
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
1002, 1003, 1004
12/01/2022 to 12/01/2023
Life
ACIS,FACETS,Onbase,PRIME,UHOPSSource System:
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
FACETS
Subgroup/Policy: 00001002 - L6Z COMMUNITY CARE
Life - Supplemental Dependent AD&D
Incurred Month/Year Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of
Coverage Number of
Claims
04/2023 $0.00 $25,045.92 0.00% 0 $0 1
Benefit Type Total $0.00 $25,045.92 0.00% 1
Page 10 of 47OFCR-01A; v3.6Run Date: 9/13/2024 8:32:17 AM
(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).
Incurred Date Range:
Business Segment:
Selection Parameters
12/01/2022 to 12/01/2023
Life
305532
Subgroup/Policy: ALL
Values on Report
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
1002, 1003, 1004
12/01/2022 to 12/01/2023
Life
ACIS,FACETS,Onbase,PRIME,UHOPSSource System:
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
FACETS
Subgroup/Policy: 00001002 - L6Z COMMUNITY CARE
Life - Supplemental Dependent AD&D Child
Incurred Month/Year Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of
Coverage Number of
Claims
06/2023 $0.00 $10,000.00 0.00% 0 $0 1
Benefit Type Total $0.00 $10,000.00 0.00% 1
Page 11 of 47OFCR-01A; v3.6Run Date: 9/13/2024 8:32:17 AM
(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).
Incurred Date Range:
Business Segment:
Selection Parameters
12/01/2022 to 12/01/2023
Life
305532
Subgroup/Policy: ALL
Values on Report
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
1002, 1003, 1004
12/01/2022 to 12/01/2023
Life
ACIS,FACETS,Onbase,PRIME,UHOPSSource System:
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
FACETS
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 Number of
Claims
12/2022 $1,244.00 $0.00 0.00% 942 $6,220,000 0
Benefit Type Total $1,244.00 $0.00 0.00% 0
Page 12 of 47OFCR-01A; v3.6Run Date: 9/13/2024 8:32:17 AM
(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).
Incurred Date Range:
Business Segment:
Selection Parameters
12/01/2022 to 12/01/2023
Life
305532
Subgroup/Policy: ALL
Values on Report
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
1002, 1003, 1004
12/01/2022 to 12/01/2023
Life
ACIS,FACETS,Onbase,PRIME,UHOPSSource System:
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
FACETS
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 Number of
Claims
01/2023 $1,228.00 $0.00 0.00% 928 $6,140,000 0
02/2023 $1,218.00 $0.00 0.00% 920 $6,090,000 0
03/2023 $498.00 $0.00 0.00% 249 $2,490,000 0
04/2023 $492.00 $0.00 0.00% 246 $2,460,000 0
05/2023 $492.00 $0.00 0.00% 246 $2,460,000 0
06/2023 $490.00 $10,012.63 2043.39% 245 $2,450,000 1
07/2023 $488.00 $0.00 0.00% 244 $2,440,000 0
08/2023 $490.00 $0.00 0.00% 245 $2,450,000 0
09/2023 $486.00 $0.00 0.00% 243 $2,430,000 0
10/2023 $486.00 $0.00 0.00% 243 $2,430,000 0
11/2023 $488.00 $0.00 0.00% 244 $2,440,000 0
12/2023 $488.00 $0.00 0.00% 244 $2,440,000 0
Benefit Type Total $7,344.00 $10,012.63 136.34% 1
Page 13 of 47OFCR-01A; v3.6Run Date: 9/13/2024 8:32:17 AM
(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).
Incurred Date Range:
Business Segment:
Selection Parameters
12/01/2022 to 12/01/2023
Life
305532
Subgroup/Policy: ALL
Values on Report
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
1002, 1003, 1004
12/01/2022 to 12/01/2023
Life
ACIS,FACETS,Onbase,PRIME,UHOPSSource System:
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
FACETS
Subgroup/Policy: 00001002 - L6Z COMMUNITY CARE
Voluntary AD&D
Incurred Month/Year Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of
Coverage Number of
Claims
12/2022 $3,075.23 $0.00 0.00% 621 $130,546,376 0
Benefit Type Total $3,075.23 $0.00 0.00% 0
Page 14 of 47OFCR-01A; v3.6Run Date: 9/13/2024 8:32:17 AM
(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).
Incurred Date Range:
Business Segment:
Selection Parameters
12/01/2022 to 12/01/2023
Life
305532
Subgroup/Policy: ALL
Values on Report
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
1002, 1003, 1004
12/01/2022 to 12/01/2023
Life
ACIS,FACETS,Onbase,PRIME,UHOPSSource System:
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
FACETS
Subgroup/Policy: 00001002 - L6Z COMMUNITY CARE
Voluntary AD&D
Incurred Month/Year Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of
Coverage Number of
Claims
01/2023 $3,031.57 $0.00 0.00% 615 $128,766,126 0
02/2023 $3,057.45 $0.00 0.00% 612 $129,166,126 0
03/2023 $3,576.96 $0.00 0.00% 588 $143,450,130 0
04/2023 $3,573.21 $0.00 0.00% 586 $144,025,130 0
05/2023 $3,526.33 $0.00 0.00% 582 $142,050,130 0
06/2023 $3,524.55 $0.00 0.00% 583 $142,131,380 0
07/2023 $3,525.82 $0.00 0.00% 581 $142,258,130 0
08/2023 $3,548.02 $0.00 0.00% 579 $143,548,130 0
09/2023 $3,491.60 $0.00 0.00% 571 $141,105,050 0
10/2023 $3,512.21 $0.00 0.00% 572 $142,029,250 0
11/2023 $3,495.71 $0.00 0.00% 573 $141,579,250 0
12/2023 $3,491.96 $0.00 0.00% 574 $141,529,250 0
Benefit Type Total $41,355.39 $0.00 0.00% 0
Page 15 of 47OFCR-01A; v3.6Run Date: 9/13/2024 8:32:17 AM
(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).
Incurred Date Range:
Business Segment:
Selection Parameters
12/01/2022 to 12/01/2023
Life
305532
Subgroup/Policy: ALL
Values on Report
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
1002, 1003, 1004
12/01/2022 to 12/01/2023
Life
ACIS,FACETS,Onbase,PRIME,UHOPSSource System:
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
FACETS
Year and Product Summary Subgroup ID: 00001002
Year 2022
Products Premium/Fees Paid Claims (1) Loss Ratio Number of Claims
Life - AD&D $1,305.06 $0.00 0.00% 0
Life - Basic $3,505.92 $0.00 0.00% 0
Life - Supplemental $16,125.05 $0.00 0.00% 0
Life - Supplemental Dependent $1,021.36 $0.00 0.00% 0
Life - Supplemental Dependent Child $1,244.00 $0.00 0.00% 0
Voluntary AD&D $3,075.23 $0.00 0.00% 0
Year 2022 Total $26,276.62 $0.00 0.00% 0
Year 2023
Products Premium/Fees Paid Claims (1) Loss Ratio Number of Claims
Life - AD&D $16,351.12 $0.00 0.00% 0
Life - Basic $44,008.24 $133,839.72 304.12% 1
Life - Supplemental $202,765.70 $0.00 0.00% 0
Life - Supplemental Dependent $12,464.48 $20,048.21 160.84% 1
Life - Supplemental Dependent AD&D $0.00 $25,045.92 0.00% 1
Life - Supplemental Dependent AD&D Child
$0.00 $10,000.00 0.00% 1
Life - Supplemental Dependent Child $7,344.00 $10,012.63 136.34% 1
Voluntary AD&D $41,355.39 $0.00 0.00% 0
Year 2023 Total $324,288.93 $198,946.48 61.35% 5
Page 16 of 47OFCR-01A; v3.6Run Date: 9/13/2024 8:32:17 AM
(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).
Incurred Date Range:
Business Segment:
Selection Parameters
12/01/2022 to 12/01/2023
Life
305532
Subgroup/Policy: ALL
Values on Report
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
1002, 1003, 1004
12/01/2022 to 12/01/2023
Life
ACIS,FACETS,Onbase,PRIME,UHOPSSource System:
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
FACETS
Year and Product Summary Total $350,565.55 $198,946.48 56.75% 5
Product Summary Subgroup ID: 00001002
Products Premium/Fees Paid Claims (1) Loss Ratio Number of Claims
Life - AD&D $17,656.18 $0.00 0.00% 0
Life - Basic $47,514.16 $133,839.72 281.68% 1
Life - Supplemental $218,890.75 $0.00 0.00% 0
Life - Supplemental Dependent $13,485.84 $20,048.21 148.66% 1
Life - Supplemental Dependent AD&D $0.00 $25,045.92 0.00% 1
Life - Supplemental Dependent AD&D Child $0.00 $10,000.00 0.00% 1
Life - Supplemental Dependent Child $8,588.00 $10,012.63 116.59% 1
Voluntary AD&D $44,430.62 $0.00 0.00% 0
Product Summary Total $350,565.55 $198,946.48 56.75% 5
Page 17 of 47OFCR-01A; v3.6Run Date: 9/13/2024 8:32:17 AM
(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).
Incurred Date Range:
Business Segment:
Selection Parameters
12/01/2022 to 12/01/2023
Life
305532
Subgroup/Policy: ALL
Values on Report
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
1002, 1003, 1004
12/01/2022 to 12/01/2023
Life
ACIS,FACETS,Onbase,PRIME,UHOPSSource System:
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
FACETS
Subgroup/Policy: 00001003 - SLA CENTRAL HEALTH
Life - AD&D
Incurred Month/Year Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of
Coverage Number of
Claims
12/2022 $405.70 $0.00 0.00% 289 $26,841,950 0
Benefit Type Total $405.70 $0.00 0.00% 0
Page 18 of 47OFCR-01A; v3.6Run Date: 9/13/2024 8:32:17 AM
(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).
Incurred Date Range:
Business Segment:
Selection Parameters
12/01/2022 to 12/01/2023
Life
305532
Subgroup/Policy: ALL
Values on Report
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
1002, 1003, 1004
12/01/2022 to 12/01/2023
Life
ACIS,FACETS,Onbase,PRIME,UHOPSSource System:
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
FACETS
Subgroup/Policy: 00001003 - SLA CENTRAL HEALTH
Life - AD&D
Incurred Month/Year Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of
Coverage Number of
Claims
01/2023 $400.45 $0.00 0.00% 290 $26,696,950 0
02/2023 $408.38 $0.00 0.00% 297 $27,224,950 0
03/2023 $485.08 $0.00 0.00% 319 $32,339,200 0
04/2023 $486.81 $0.00 0.00% 320 $32,454,200 0
05/2023 $498.00 $0.00 0.00% 329 $33,200,200 0
06/2023 $516.78 $0.00 0.00% 342 $34,452,100 0
07/2023 $530.36 $0.00 0.00% 351 $35,357,100 0
08/2023 $555.86 $0.00 0.00% 368 $37,057,100 0
09/2023 $572.72 $0.00 0.00% 385 $38,181,100 0
10/2023 $587.73 $0.00 0.00% 394 $39,182,100 0
11/2023 $605.04 $0.00 0.00% 405 $40,335,700 0
12/2023 $626.67 $0.00 0.00% 422 $41,777,700 0
Benefit Type Total $6,273.88 $0.00 0.00% 0
Page 19 of 47OFCR-01A; v3.6Run Date: 9/13/2024 8:32:17 AM
(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).
Incurred Date Range:
Business Segment:
Selection Parameters
12/01/2022 to 12/01/2023
Life
305532
Subgroup/Policy: ALL
Values on Report
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
1002, 1003, 1004
12/01/2022 to 12/01/2023
Life
ACIS,FACETS,Onbase,PRIME,UHOPSSource System:
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
FACETS
Subgroup/Policy: 00001003 - SLA CENTRAL HEALTH
Life - Basic
Incurred Month/Year Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of
Coverage Number of
Claims
12/2022 $1,065.59 $0.00 0.00% 289 $26,841,950 0
Benefit Type Total $1,065.59 $0.00 0.00% 0
Page 20 of 47OFCR-01A; v3.6Run Date: 9/13/2024 8:32:17 AM
(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).
Incurred Date Range:
Business Segment:
Selection Parameters
12/01/2022 to 12/01/2023
Life
305532
Subgroup/Policy: ALL
Values on Report
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
1002, 1003, 1004
12/01/2022 to 12/01/2023
Life
ACIS,FACETS,Onbase,PRIME,UHOPSSource System:
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
FACETS
Subgroup/Policy: 00001003 - SLA CENTRAL HEALTH
Life - Basic
Incurred Month/Year Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of
Coverage Number of
Claims
01/2023 $1,095.79 $0.00 0.00% 290 $26,696,950 0
02/2023 $1,116.91 $0.00 0.00% 297 $27,224,950 0
03/2023 $1,293.57 $0.00 0.00% 320 $32,339,200 0
04/2023 $1,298.17 $0.00 0.00% 321 $32,454,200 0
05/2023 $1,328.01 $0.00 0.00% 330 $33,200,200 0
06/2023 $1,378.08 $0.00 0.00% 343 $34,452,100 0
07/2023 $1,414.29 $0.00 0.00% 352 $35,357,100 0
08/2023 $1,482.29 $0.00 0.00% 369 $37,057,100 0
09/2023 $1,527.24 $0.00 0.00% 386 $38,181,100 0
10/2023 $1,567.29 $0.00 0.00% 394 $39,182,100 0
11/2023 $1,613.43 $0.00 0.00% 406 $40,335,700 0
12/2023 $1,671.11 $0.00 0.00% 422 $41,777,700 0
Benefit Type Total $16,786.18 $0.00 0.00% 0
Page 21 of 47OFCR-01A; v3.6Run Date: 9/13/2024 8:32:17 AM
(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).
Incurred Date Range:
Business Segment:
Selection Parameters
12/01/2022 to 12/01/2023
Life
305532
Subgroup/Policy: ALL
Values on Report
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
1002, 1003, 1004
12/01/2022 to 12/01/2023
Life
ACIS,FACETS,Onbase,PRIME,UHOPSSource System:
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
FACETS
Subgroup/Policy: 00001003 - SLA CENTRAL HEALTH
Life - Supplemental
Incurred Month/Year Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of
Coverage Number of
Claims
12/2022 $6,322.73 $0.00 0.00% 180 $30,260,850 0
Benefit Type Total $6,322.73 $0.00 0.00% 0
Page 22 of 47OFCR-01A; v3.6Run Date: 9/13/2024 8:32:17 AM
(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).
Incurred Date Range:
Business Segment:
Selection Parameters
12/01/2022 to 12/01/2023
Life
305532
Subgroup/Policy: ALL
Values on Report
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
1002, 1003, 1004
12/01/2022 to 12/01/2023
Life
ACIS,FACETS,Onbase,PRIME,UHOPSSource System:
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
FACETS
Subgroup/Policy: 00001003 - SLA CENTRAL HEALTH
Life - Supplemental
Incurred Month/Year Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of
Coverage Number of
Claims
01/2023 $6,163.14 $0.00 0.00% 181 $28,563,850 0
02/2023 $6,206.62 $0.00 0.00% 184 $29,044,850 0
03/2023 $7,838.55 $0.00 0.00% 211 $34,461,350 0
04/2023 $7,814.99 $0.00 0.00% 209 $34,198,350 0
05/2023 $7,890.32 $0.00 0.00% 210 $34,370,350 0
06/2023 $8,033.90 $0.00 0.00% 213 $34,987,350 0
07/2023 $8,079.73 $0.00 0.00% 214 $35,065,350 0
08/2023 $8,235.21 $0.00 0.00% 222 $36,652,350 0
09/2023 $8,264.09 $0.00 0.00% 225 $37,070,350 0
10/2023 $8,301.03 $0.00 0.00% 225 $37,157,350 0
11/2023 $8,413.59 $0.00 0.00% 229 $37,932,100 0
12/2023 $8,554.11 $0.00 0.00% 234 $38,632,100 0
Benefit Type Total $93,795.28 $0.00 0.00% 0
Page 23 of 47OFCR-01A; v3.6Run Date: 9/13/2024 8:32:17 AM
(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).
Incurred Date Range:
Business Segment:
Selection Parameters
12/01/2022 to 12/01/2023
Life
305532
Subgroup/Policy: ALL
Values on Report
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
1002, 1003, 1004
12/01/2022 to 12/01/2023
Life
ACIS,FACETS,Onbase,PRIME,UHOPSSource System:
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
FACETS
Subgroup/Policy: 00001003 - SLA CENTRAL HEALTH
Life - Supplemental Dependent
Incurred Month/Year Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of
Coverage Number of
Claims
12/2022 $421.13 $0.00 0.00% 69 $1,843,000 0
Benefit Type Total $421.13 $0.00 0.00% 0
Page 24 of 47OFCR-01A; v3.6Run Date: 9/13/2024 8:32:17 AM
(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).
Incurred Date Range:
Business Segment:
Selection Parameters
12/01/2022 to 12/01/2023
Life
305532
Subgroup/Policy: ALL
Values on Report
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
1002, 1003, 1004
12/01/2022 to 12/01/2023
Life
ACIS,FACETS,Onbase,PRIME,UHOPSSource System:
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
FACETS
Subgroup/Policy: 00001003 - SLA CENTRAL HEALTH
Life - Supplemental Dependent
Incurred Month/Year Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of
Coverage Number of
Claims
01/2023 $432.95 $0.00 0.00% 71 $1,903,000 0
02/2023 $435.65 $0.00 0.00% 72 $1,933,000 0
03/2023 $484.69 $0.00 0.00% 77 $2,034,563 0
04/2023 $481.51 $0.00 0.00% 76 $2,004,563 0
05/2023 $481.51 $0.00 0.00% 76 $2,004,563 0
06/2023 $504.64 $0.00 0.00% 80 $2,109,563 0
07/2023 $508.72 $0.00 0.00% 81 $2,139,563 0
08/2023 $519.60 $0.00 0.00% 83 $2,229,563 0
09/2023 $522.78 $0.00 0.00% 84 $2,259,563 0
10/2023 $510.06 $0.00 0.00% 82 $2,199,563 0
11/2023 $534.06 $0.00 0.00% 83 $2,229,563 0
12/2023 $553.08 $0.00 0.00% 85 $2,289,563 0
Benefit Type Total $5,969.25 $0.00 0.00% 0
Page 25 of 47OFCR-01A; v3.6Run Date: 9/13/2024 8:32:17 AM
(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).
Incurred Date Range:
Business Segment:
Selection Parameters
12/01/2022 to 12/01/2023
Life
305532
Subgroup/Policy: ALL
Values on Report
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
1002, 1003, 1004
12/01/2022 to 12/01/2023
Life
ACIS,FACETS,Onbase,PRIME,UHOPSSource System:
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
FACETS
Subgroup/Policy: 00001003 - SLA CENTRAL HEALTH
Life - Supplemental Dependent Child
Incurred Month/Year Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of
Coverage Number of
Claims
12/2022 $142.00 $0.00 0.00% 71 $710,000 0
Benefit Type Total $142.00 $0.00 0.00% 0
Page 26 of 47OFCR-01A; v3.6Run Date: 9/13/2024 8:32:17 AM
(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).
Incurred Date Range:
Business Segment:
Selection Parameters
12/01/2022 to 12/01/2023
Life
305532
Subgroup/Policy: ALL
Values on Report
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
1002, 1003, 1004
12/01/2022 to 12/01/2023
Life
ACIS,FACETS,Onbase,PRIME,UHOPSSource System:
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
FACETS
Subgroup/Policy: 00001003 - SLA CENTRAL HEALTH
Life - Supplemental Dependent Child
Incurred Month/Year Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of
Coverage Number of
Claims
01/2023 $144.00 $0.00 0.00% 72 $720,000 0
02/2023 $146.00 $0.00 0.00% 73 $730,000 0
03/2023 $158.00 $0.00 0.00% 79 $790,000 0
04/2023 $156.00 $0.00 0.00% 78 $780,000 0
05/2023 $156.00 $0.00 0.00% 78 $780,000 0
06/2023 $160.00 $0.00 0.00% 80 $800,000 0
07/2023 $162.00 $0.00 0.00% 81 $810,000 0
08/2023 $162.00 $0.00 0.00% 81 $810,000 0
09/2023 $162.00 $0.00 0.00% 81 $810,000 0
10/2023 $162.00 $0.00 0.00% 81 $810,000 0
11/2023 $164.00 $0.00 0.00% 82 $820,000 0
12/2023 $168.00 $0.00 0.00% 84 $840,000 0
Benefit Type Total $1,900.00 $0.00 0.00% 0
Page 27 of 47OFCR-01A; v3.6Run Date: 9/13/2024 8:32:17 AM
(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).
Incurred Date Range:
Business Segment:
Selection Parameters
12/01/2022 to 12/01/2023
Life
305532
Subgroup/Policy: ALL
Values on Report
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
1002, 1003, 1004
12/01/2022 to 12/01/2023
Life
ACIS,FACETS,Onbase,PRIME,UHOPSSource System:
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
FACETS
Subgroup/Policy: 00001003 - SLA CENTRAL HEALTH
Voluntary AD&D
Incurred Month/Year Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of
Coverage Number of
Claims
12/2022 $1,191.52 $0.00 0.00% 175 $49,759,500 0
Benefit Type Total $1,191.52 $0.00 0.00% 0
Page 28 of 47OFCR-01A; v3.6Run Date: 9/13/2024 8:32:17 AM
(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).
Incurred Date Range:
Business Segment:
Selection Parameters
12/01/2022 to 12/01/2023
Life
305532
Subgroup/Policy: ALL
Values on Report
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
1002, 1003, 1004
12/01/2022 to 12/01/2023
Life
ACIS,FACETS,Onbase,PRIME,UHOPSSource System:
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
FACETS
Subgroup/Policy: 00001003 - SLA CENTRAL HEALTH
Voluntary AD&D
Incurred Month/Year Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of
Coverage Number of
Claims
01/2023 $1,214.02 $0.00 0.00% 176 $50,509,500 0
02/2023 $1,233.89 $0.00 0.00% 179 $51,534,500 0
03/2023 $1,515.07 $0.00 0.00% 198 $61,157,871 0
04/2023 $1,506.44 $0.00 0.00% 197 $60,682,871 0
05/2023 $1,508.69 $0.00 0.00% 198 $60,832,871 0
06/2023 $1,528.57 $0.00 0.00% 199 $61,532,871 0
07/2023 $1,553.81 $0.00 0.00% 201 $62,511,951 0
08/2023 $1,634.81 $0.00 0.00% 209 $66,411,951 0
09/2023 $1,671.19 $0.00 0.00% 214 $68,336,951 0
10/2023 $1,663.31 $0.00 0.00% 214 $68,436,951 0
11/2023 $1,726.24 $0.00 0.00% 220 $71,232,201 0
12/2023 $1,753.99 $0.00 0.00% 225 $71,932,201 0
Benefit Type Total $18,510.03 $0.00 0.00% 0
Page 29 of 47OFCR-01A; v3.6Run Date: 9/13/2024 8:32:17 AM
(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).
Incurred Date Range:
Business Segment:
Selection Parameters
12/01/2022 to 12/01/2023
Life
305532
Subgroup/Policy: ALL
Values on Report
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
1002, 1003, 1004
12/01/2022 to 12/01/2023
Life
ACIS,FACETS,Onbase,PRIME,UHOPSSource System:
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
FACETS
Year and Product Summary Subgroup ID: 00001003
Year 2022
Products Premium/Fees Paid Claims (1) Loss Ratio Number of Claims
Life - AD&D $405.70 $0.00 0.00% 0
Life - Basic $1,065.59 $0.00 0.00% 0
Life - Supplemental $6,322.73 $0.00 0.00% 0
Life - Supplemental Dependent $421.13 $0.00 0.00% 0
Life - Supplemental Dependent Child $142.00 $0.00 0.00% 0
Voluntary AD&D $1,191.52 $0.00 0.00% 0
Year 2022 Total $9,548.67 $0.00 0.00% 0
Year 2023
Products Premium/Fees Paid Claims (1) Loss Ratio Number of Claims
Life - AD&D $6,273.88 $0.00 0.00% 0
Life - Basic $16,786.18 $0.00 0.00% 0
Life - Supplemental $93,795.28 $0.00 0.00% 0
Life - Supplemental Dependent $5,969.25 $0.00 0.00% 0
Life - Supplemental Dependent Child $1,900.00 $0.00 0.00% 0
Voluntary AD&D $18,510.03 $0.00 0.00% 0
Year 2023 Total $143,234.62 $0.00 0.00% 0
Year and Product Summary Total $152,783.29 $0.00 0.00% 0
Page 30 of 47OFCR-01A; v3.6Run Date: 9/13/2024 8:32:17 AM
(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).
Incurred Date Range:
Business Segment:
Selection Parameters
12/01/2022 to 12/01/2023
Life
305532
Subgroup/Policy: ALL
Values on Report
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
1002, 1003, 1004
12/01/2022 to 12/01/2023
Life
ACIS,FACETS,Onbase,PRIME,UHOPSSource System:
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
FACETS
Product Summary Subgroup ID: 00001003
Products Premium/Fees Paid Claims (1) Loss Ratio Number of Claims
Life - AD&D $6,679.58 $0.00 0.00% 0
Life - Basic $17,851.77 $0.00 0.00% 0
Life - Supplemental $100,118.01 $0.00 0.00% 0
Life - Supplemental Dependent $6,390.38 $0.00 0.00% 0
Life - Supplemental Dependent Child $2,042.00 $0.00 0.00% 0
Voluntary AD&D $19,701.55 $0.00 0.00% 0
Product Summary Total $152,783.29 $0.00 0.00% 0
Page 31 of 47OFCR-01A; v3.6Run Date: 9/13/2024 8:32:17 AM
(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).
Incurred Date Range:
Business Segment:
Selection Parameters
12/01/2022 to 12/01/2023
Life
305532
Subgroup/Policy: ALL
Values on Report
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
1002, 1003, 1004
12/01/2022 to 12/01/2023
Life
ACIS,FACETS,Onbase,PRIME,UHOPSSource System:
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
FACETS
Subgroup/Policy: 00001004 - QZQ COMMUNITY CARE COLLABORATIVE
Life - AD&D
Incurred Month/Year Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of
Coverage Number of
Claims
12/2022 $0.00 $0.00 0.00% 0 $0 0
Benefit Type Total $0.00 $0.00 0.00% 0
Page 32 of 47OFCR-01A; v3.6Run Date: 9/13/2024 8:32:17 AM
(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).
Incurred Date Range:
Business Segment:
Selection Parameters
12/01/2022 to 12/01/2023
Life
305532
Subgroup/Policy: ALL
Values on Report
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
1002, 1003, 1004
12/01/2022 to 12/01/2023
Life
ACIS,FACETS,Onbase,PRIME,UHOPSSource System:
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
FACETS
Subgroup/Policy: 00001004 - QZQ COMMUNITY CARE COLLABORATIVE
Life - AD&D
Incurred Month/Year Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of
Coverage Number of
Claims
01/2023 $0.00 $0.00 0.00% 0 $0 0
Benefit Type Total $0.00 $0.00 0.00% 0
Page 33 of 47OFCR-01A; v3.6Run Date: 9/13/2024 8:32:17 AM
(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).
Incurred Date Range:
Business Segment:
Selection Parameters
12/01/2022 to 12/01/2023
Life
305532
Subgroup/Policy: ALL
Values on Report
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
1002, 1003, 1004
12/01/2022 to 12/01/2023
Life
ACIS,FACETS,Onbase,PRIME,UHOPSSource System:
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
FACETS
Subgroup/Policy: 00001004 - QZQ COMMUNITY CARE COLLABORATIVE
Life - Basic
Incurred Month/Year Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of
Coverage Number of
Claims
12/2022 $0.00 $0.00 0.00% 0 $0 0
Benefit Type Total $0.00 $0.00 0.00% 0
Page 34 of 47OFCR-01A; v3.6Run Date: 9/13/2024 8:32:17 AM
(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).
Incurred Date Range:
Business Segment:
Selection Parameters
12/01/2022 to 12/01/2023
Life
305532
Subgroup/Policy: ALL
Values on Report
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
1002, 1003, 1004
12/01/2022 to 12/01/2023
Life
ACIS,FACETS,Onbase,PRIME,UHOPSSource System:
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
FACETS
Subgroup/Policy: 00001004 - QZQ COMMUNITY CARE COLLABORATIVE
Life - Basic
Incurred Month/Year Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of
Coverage Number of
Claims
01/2023 $0.00 $0.00 0.00% 0 $0 0
Benefit Type Total $0.00 $0.00 0.00% 0
Page 35 of 47OFCR-01A; v3.6Run Date: 9/13/2024 8:32:17 AM
(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).
Incurred Date Range:
Business Segment:
Selection Parameters
12/01/2022 to 12/01/2023
Life
305532
Subgroup/Policy: ALL
Values on Report
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
1002, 1003, 1004
12/01/2022 to 12/01/2023
Life
ACIS,FACETS,Onbase,PRIME,UHOPSSource System:
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
FACETS
Subgroup/Policy: 00001004 - QZQ COMMUNITY CARE COLLABORATIVE
Life - Supplemental
Incurred Month/Year Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of
Coverage Number of
Claims
12/2022 $0.00 $0.00 0.00% 0 $0 0
Benefit Type Total $0.00 $0.00 0.00% 0
Page 36 of 47OFCR-01A; v3.6Run Date: 9/13/2024 8:32:17 AM
(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).
Incurred Date Range:
Business Segment:
Selection Parameters
12/01/2022 to 12/01/2023
Life
305532
Subgroup/Policy: ALL
Values on Report
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
1002, 1003, 1004
12/01/2022 to 12/01/2023
Life
ACIS,FACETS,Onbase,PRIME,UHOPSSource System:
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
FACETS
Subgroup/Policy: 00001004 - QZQ COMMUNITY CARE COLLABORATIVE
Life - Supplemental
Incurred Month/Year Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of
Coverage Number of
Claims
01/2023 $0.00 $0.00 0.00% 0 $0 0
Benefit Type Total $0.00 $0.00 0.00% 0
Page 37 of 47OFCR-01A; v3.6Run Date: 9/13/2024 8:32:17 AM
(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).
Incurred Date Range:
Business Segment:
Selection Parameters
12/01/2022 to 12/01/2023
Life
305532
Subgroup/Policy: ALL
Values on Report
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
1002, 1003, 1004
12/01/2022 to 12/01/2023
Life
ACIS,FACETS,Onbase,PRIME,UHOPSSource System:
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
FACETS
Subgroup/Policy: 00001004 - QZQ COMMUNITY CARE COLLABORATIVE
Life - Supplemental Dependent
Incurred Month/Year Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of
Coverage Number of
Claims
12/2022 $0.00 $0.00 0.00% 0 $0 0
Benefit Type Total $0.00 $0.00 0.00% 0
Page 38 of 47OFCR-01A; v3.6Run Date: 9/13/2024 8:32:17 AM
(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).
Incurred Date Range:
Business Segment:
Selection Parameters
12/01/2022 to 12/01/2023
Life
305532
Subgroup/Policy: ALL
Values on Report
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
1002, 1003, 1004
12/01/2022 to 12/01/2023
Life
ACIS,FACETS,Onbase,PRIME,UHOPSSource System:
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
FACETS
Subgroup/Policy: 00001004 - QZQ COMMUNITY CARE COLLABORATIVE
Life - Supplemental Dependent
Incurred Month/Year Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of
Coverage Number of
Claims
01/2023 $0.00 $0.00 0.00% 0 $0 0
Benefit Type Total $0.00 $0.00 0.00% 0
Page 39 of 47OFCR-01A; v3.6Run Date: 9/13/2024 8:32:17 AM
(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).
Incurred Date Range:
Business Segment:
Selection Parameters
12/01/2022 to 12/01/2023
Life
305532
Subgroup/Policy: ALL
Values on Report
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
1002, 1003, 1004
12/01/2022 to 12/01/2023
Life
ACIS,FACETS,Onbase,PRIME,UHOPSSource System:
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
FACETS
Subgroup/Policy: 00001004 - QZQ COMMUNITY CARE COLLABORATIVE
Life - Supplemental Dependent Child
Incurred Month/Year Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of
Coverage Number of
Claims
12/2022 $0.00 $0.00 0.00% 0 $0 0
Benefit Type Total $0.00 $0.00 0.00% 0
Page 40 of 47OFCR-01A; v3.6Run Date: 9/13/2024 8:32:17 AM
(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).
Incurred Date Range:
Business Segment:
Selection Parameters
12/01/2022 to 12/01/2023
Life
305532
Subgroup/Policy: ALL
Values on Report
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
1002, 1003, 1004
12/01/2022 to 12/01/2023
Life
ACIS,FACETS,Onbase,PRIME,UHOPSSource System:
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
FACETS
Subgroup/Policy: 00001004 - QZQ COMMUNITY CARE COLLABORATIVE
Life - Supplemental Dependent Child
Incurred Month/Year Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of
Coverage Number of
Claims
01/2023 $0.00 $0.00 0.00% 0 $0 0
Benefit Type Total $0.00 $0.00 0.00% 0
Page 41 of 47OFCR-01A; v3.6Run Date: 9/13/2024 8:32:17 AM
(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).
Incurred Date Range:
Business Segment:
Selection Parameters
12/01/2022 to 12/01/2023
Life
305532
Subgroup/Policy: ALL
Values on Report
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
1002, 1003, 1004
12/01/2022 to 12/01/2023
Life
ACIS,FACETS,Onbase,PRIME,UHOPSSource System:
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
FACETS
Subgroup/Policy: 00001004 - QZQ COMMUNITY CARE COLLABORATIVE
Voluntary AD&D
Incurred Month/Year Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of
Coverage Number of
Claims
12/2022 $0.00 $0.00 0.00% 0 $0 0
Benefit Type Total $0.00 $0.00 0.00% 0
Page 42 of 47OFCR-01A; v3.6Run Date: 9/13/2024 8:32:17 AM
(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).
Incurred Date Range:
Business Segment:
Selection Parameters
12/01/2022 to 12/01/2023
Life
305532
Subgroup/Policy: ALL
Values on Report
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
1002, 1003, 1004
12/01/2022 to 12/01/2023
Life
ACIS,FACETS,Onbase,PRIME,UHOPSSource System:
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
FACETS
Subgroup/Policy: 00001004 - QZQ COMMUNITY CARE COLLABORATIVE
Voluntary AD&D
Incurred Month/Year Premium/Fees Paid Claims (1) Loss Ratio Covered Lives Volume of
Coverage Number of
Claims
01/2023 $0.00 $0.00 0.00% 0 $0 0
Benefit Type Total $0.00 $0.00 0.00% 0
Page 43 of 47OFCR-01A; v3.6Run Date: 9/13/2024 8:32:17 AM
(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).
Incurred Date Range:
Business Segment:
Selection Parameters
12/01/2022 to 12/01/2023
Life
305532
Subgroup/Policy: ALL
Values on Report
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
1002, 1003, 1004
12/01/2022 to 12/01/2023
Life
ACIS,FACETS,Onbase,PRIME,UHOPSSource System:
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
FACETS
Year and Product Summary Subgroup ID: 00001004
Year 2022
Products Premium/Fees Paid Claims (1) Loss Ratio Number of Claims
Life - AD&D $0.00 $0.00 0.00% 0
Life - Basic $0.00 $0.00 0.00% 0
Life - Supplemental $0.00 $0.00 0.00% 0
Life - Supplemental Dependent $0.00 $0.00 0.00% 0
Life - Supplemental Dependent Child $0.00 $0.00 0.00% 0
Voluntary AD&D $0.00 $0.00 0.00% 0
Year 2022 Total $0.00 $0.00 0.00% 0
Year 2023
Products Premium/Fees Paid Claims (1) Loss Ratio Number of Claims
Life - AD&D $0.00 $0.00 0.00% 0
Life - Basic $0.00 $0.00 0.00% 0
Life - Supplemental $0.00 $0.00 0.00% 0
Life - Supplemental Dependent $0.00 $0.00 0.00% 0
Life - Supplemental Dependent Child $0.00 $0.00 0.00% 0
Voluntary AD&D $0.00 $0.00 0.00% 0
Year 2023 Total $0.00 $0.00 0.00% 0
Year and Product Summary Total $0.00 $0.00 0.00% 0
Page 44 of 47OFCR-01A; v3.6Run Date: 9/13/2024 8:32:17 AM
(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).
Incurred Date Range:
Business Segment:
Selection Parameters
12/01/2022 to 12/01/2023
Life
305532
Subgroup/Policy: ALL
Values on Report
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
1002, 1003, 1004
12/01/2022 to 12/01/2023
Life
ACIS,FACETS,Onbase,PRIME,UHOPSSource System:
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
FACETS
Product Summary Subgroup ID: 00001004
Products Premium/Fees Paid Claims (1) Loss Ratio Number of Claims
Life - AD&D $0.00 $0.00 0.00% 0
Life - Basic $0.00 $0.00 0.00% 0
Life - Supplemental $0.00 $0.00 0.00% 0
Life - Supplemental Dependent $0.00 $0.00 0.00% 0
Life - Supplemental Dependent Child $0.00 $0.00 0.00% 0
Voluntary AD&D $0.00 $0.00 0.00% 0
Product Summary Total $0.00 $0.00 0.00% 0
All Subgroups by Year and Product Summary
Year 2022
Products Premium/Fees Paid Claims (1) Loss Ratio Number of Claims
Life - AD&D $1,710.76 $0.00 0.00% 0
Life - Basic $4,571.51 $0.00 0.00% 0
Life - Supplemental $22,447.78 $0.00 0.00% 0
Life - Supplemental Dependent $1,442.49 $0.00 0.00% 0
Life - Supplemental Dependent Child $1,386.00 $0.00 0.00% 0
Voluntary AD&D $4,266.75 $0.00 0.00% 0
Year 2022 Total $35,825.29 $0.00 0.00% 0
Page 45 of 47OFCR-01A; v3.6Run Date: 9/13/2024 8:32:17 AM
(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).
Incurred Date Range:
Business Segment:
Selection Parameters
12/01/2022 to 12/01/2023
Life
305532
Subgroup/Policy: ALL
Values on Report
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
1002, 1003, 1004
12/01/2022 to 12/01/2023
Life
ACIS,FACETS,Onbase,PRIME,UHOPSSource System:
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
FACETS
Year 2023
Products Premium/Fees Paid Claims (1) Loss Ratio Number of Claims
Life - AD&D $22,625.00 $0.00 0.00% 0
Life - Basic $60,794.42 $133,839.72 220.15% 1
Life - Supplemental $296,560.98 $0.00 0.00% 0
Life - Supplemental Dependent $18,433.73 $20,048.21 108.76% 1
Life - Supplemental Dependent AD&D $0.00 $25,045.92 0.00% 1
Life - Supplemental Dependent AD&D Child
$0.00 $10,000.00 0.00% 1
Life - Supplemental Dependent Child $9,244.00 $10,012.63 108.31% 1
Voluntary AD&D $59,865.42 $0.00 0.00% 0
Year 2023 Total $467,523.55 $198,946.48 42.55% 5
All Subgroups by Year and Product Total $503,348.84 $198,946.48 39.52% 5
All Subgroups by Product
Products Premium/Fees Paid Claims (1) Loss Ratio Number of Claims
Life - AD&D $24,335.76 $0.00 0.00% 0
Life - Basic $65,365.93 $133,839.72 204.75% 1
Life - Supplemental $319,008.76 $0.00 0.00% 0
Life - Supplemental Dependent $19,876.22 $20,048.21 100.87% 1
Page 46 of 47OFCR-01A; v3.6Run Date: 9/13/2024 8:32:17 AM
(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).
Incurred Date Range:
Business Segment:
Selection Parameters
12/01/2022 to 12/01/2023
Life
305532
Subgroup/Policy: ALL
Values on Report
00305532 - TRAVIS COUNTY HEALTHCARE DISTRICT
1002, 1003, 1004
12/01/2022 to 12/01/2023
Life
ACIS,FACETS,Onbase,PRIME,UHOPSSource System:
TRAVIS COUNTY HEALTHCARE DISTRICT Group Effective Date: 03/01/2018
FACETS
Life - Supplemental Dependent AD&D $0.00 $25,045.92 0.00% 1
Life - Supplemental Dependent AD&D Child $0.00 $10,000.00 0.00% 1
Life - Supplemental Dependent Child $10,630.00 $10,012.63 94.19% 1
Voluntary AD&D $64,132.17 $0.00 0.00% 0
All Subgroups Product Total $503,348.84 $198,946.48 39.52% 5
Page 47 of 47OFCR-01A; v3.6Run Date: 9/13/2024 8:32:17 AM
(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).
File details come from the government source that posted it. Updated .