Exhibit 01a - Cal Yr 2025 YTD as of June City of Miami Monthly Healthcare Detail Experience - Stop Loss ALL claims.xlsx

XLSX spreadsheet 53 KB Posted

Attached to
RFP No. 2130386 - Employee Health Benefits Plan
Solicitation number
RFP No. 2130386
Issued by
Florida

About this file

The document is a monthly healthcare detail experience report for the City of Miami's healthcare benefits plan, covering January through June 2025. The report provides a comprehensive breakdown of healthcare claims, premiums, and membership across various benefit options and employee categories, including executives, active employees, retirees, and Medicare-eligible participants. The data is structured by employee classification, showing monthly and year-to-date totals for different healthcare plans such as OAP Plan, Network Open Access POS, and Cigna Vision.

The report reveals a self-funded, retrospectively experience-rated healthcare plan with total gross claims of $26,066,714 for the first six months of 2025, with net claims after stop-loss adjustments of $25,541,684. The City of Miami's healthcare plan covers approximately 5,600-6,700 subscribers and 11,000-12,000 total members monthly, with benefit options tailored to different employee groups like executives, active employees, retirees, and those with Medicare eligibility. The plan includes various coverage tiers with fixed charges, in-network and out-of-network benefits, and prescription drug components, with monthly administrative service organization (ASO) fees ranging from approximately $76,000 to $83,000.

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PYTD BenOpt - Stop Loss-1

CITY OF MIAMI
MONTHLY HEALTHCARE DETAIL EXPERIENCE REPORT
January 2025 thru June 2025
EXHIBIT 01a
Funding Type : SELF-FUNDED (ASO)
Rating Type : RETROSPECTIVE EXPERIENCE RATED
Reported Premium: ASO Fees
Reported Claims: All Claims
Note: Paid claim dollars include amounts deducted from your account and paid to vendors for cost containment services.
YTD/MONTHBENEFIT OPTIONBRANCHFIXED CHARGESIN NETWORKOUT OF NETWORKDRUGTOTAL GROSS CLAIMSSTOP LOSSTOTAL NET CLAIMSTOTAL ASO FEESTOTAL SUBSTOTAL MBRS
Jan-25COH-CIGNA ONSITE HEALTHE1211-EXECUTIVES/ELECTED OFFICIALS$0$0$0$0$0$0$0$0106249
E2221-FOP EXECUTIVES$0$0$0$0$0$0$0$0414
MDIS-ALL MEDICARE ELIGIBLES UNDER 65$0$0$0$0$0$0$0$012
MRETE2-EXECUTIVES MEDICARE RETIREE W/DEP 65 +$0$0$0$0$0$0$0$011
MRG1-MEDICARE RETIREE 65+ W/ DEP UNDER 65$0$0$0$0$0$0$0$01625
MRG2-MEDICARE RETIREE 65+ W/ DEP 65+$0$0$0$0$0$0$0$022
NAGEN-ACTIVE EMPLOYEES (GENERAL)$0$0$0$0$0$0$0$01,5013,164
NAMC-ACTIVE EMPLOYEES (M/C)$0$0$0$0$0$0$0$0170344
NASEA-ACTIVE EMPLOYEES (SEA)$0$0$0$0$0$0$0$0157304
NCOB-COBRA PARTICIPANTS$0$0$0$0$0$0$0$011
NRETE1-NON-MEDICARE RETIREE W/DEP - 65$0$0$0$0$0$0$0$047
NRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$0$0$0$0$0$0$0$03748
NRETG2-NON-MEDICARE RETIREE - 65 W/ DEP 65 +$0$0$0$0$0$0$0$022
NRMC1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$0$0$0$0$0$0$0$036
NRSEA1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$0$0$0$0$0$0$0$023
BENEFIT OPTION Total$0$0$0$0$0$0$0$02,0074,172
NPOS-NETWORK OPEN ACCESS POS (ALL EMPLOYEES)E1211-EXECUTIVES/ELECTED OFFICIALS$0($3,648)$0$0($3,648)$0($3,648)$000
NAGEN-ACTIVE EMPLOYEES (GENERAL)$0$4,739$288($384)$4,643$0$4,643$000
NAMC-ACTIVE EMPLOYEES (M/C)$0$465$0$0$465$0$465$000
NASEA-ACTIVE EMPLOYEES (SEA)$0$8,331$0$0$8,331$0$8,331$000
NRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$0$38$0$0$38$0$38$000
BENEFIT OPTION Total$0$9,925$288($384)$9,829$0$9,829$000
OAPAE-OAP PLAN ALL EMPLOYEESEXEC1-ALL EXECUTIVES$0$0$0$0$0$0$0$4,02500
E1211-EXECUTIVES/ELECTED OFFICIALS$13,050$204,933$3,268$52,039$273,290$5$273,295$0106249
E2221-FOP EXECUTIVES$590$3,794$0$0$4,384$0$4,384$0414
MDIS-ALL MEDICARE ELIGIBLES UNDER 65$107$344$0$0$451$0$451$3612
MRET-ALL MEDICARE ELIGIBLES 65+ RETIRED$0$0$0$0$0$0$0$83400
MRETE2-EXECUTIVES MEDICARE RETIREE W/DEP 65 +$114($198)$0$0($84)$0($84)$022
MRG1-MEDICARE RETIREE 65+ W/ DEP UNDER 65$1,398$5,485$0$10,072$16,955$0$16,955$01828
MRG2-MEDICARE RETIREE 65+ W/ DEP 65+$211$218$0$5,419$5,849$0$5,849$044
NAGEN-ACTIVE EMPLOYEES (GENERAL)$168,997$1,755,630$28,730$747,920$2,701,278($987)$2,700,291$01,5013,164
NAMC-ACTIVE EMPLOYEES (M/C)$18,242$121,219$33,376$75,837$248,674($146)$248,528$0170344
NASEA-ACTIVE EMPLOYEES (SEA)$15,244$269,963$12$49,642$334,861$0$334,861$0157304
NATC-ALL ACTIVE EMPLOYEES$0$0$0$0$0$0$0$66,57300
NRET-RETIRED -65 OR OTHERWISE NOT ELIGIBLE FOR MEDICARE$0$0$0$0$0$0$0$5,14900
NRETE1-NON-MEDICARE RETIREE W/DEP - 65$1,052$51,514($365)$7,164$59,365($40)$59,325$01218
NRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$8,194$116,294$256$74,989$199,731$0$199,731$0116152
NRETG2-NON-MEDICARE RETIREE - 65 W/ DEP 65 +$170$329$0$284$784$0$784$033
NRMC1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$562$2,159$19$882$3,622$0$3,622$0711
NRSEA1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$218$501$0$1,237$1,956$0$1,956$034
BENEFIT OPTION Total$228,150$2,532,186$65,295$1,025,484$3,851,116($1,169)$3,849,947$76,6172,1044,299
OAPCE-OAP PLAN COMP EESNRET-RETIRED -65 OR OTHERWISE NOT ELIGIBLE FOR MEDICARE$0$0$0$0$0$0$0$2900
NRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$39$0$0$0$39$0$39$011
BENEFIT OPTION Total$39$0$0$0$39$0$39$2911
OAPCX-OAP COMP EES NO RXMRG2-MEDICARE RETIREE 65+ W/ DEP 65+$0$0$0$0$0$0$0$011
RMEPDP-RETIRED MEDICARE ELIGIBLE W/PDP PLAN$165$381$0$0$546$0$546$11533
BENEFIT OPTION Total$165$381$0$0$546$0$546$11544
OAPNX-OAP PLAN NO RXMDIS-ALL MEDICARE ELIGIBLES UNDER 65$0$0$0$0$0$0$0$011
MRG1-MEDICARE RETIREE 65+ W/ DEP UNDER 65$0$0$0$0$0$0$0$022
MRG2-MEDICARE RETIREE 65+ W/ DEP 65+$0$0$0$0$0$0$0$034
NAMC-ACTIVE EMPLOYEES (M/C)$0$0$0$0$0$0$0$011
NRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$0$0$0$0$0$0$0$012
RMEPDP-RETIRED MEDICARE ELIGIBLE W/PDP PLAN$9,265$19,631$4,594$0$33,490$0$33,490$5,584146170
RMEXEC-RETIRED MEDICARE ELIGIBLE EXECUTIVES W/PDP PLAN$365$900$0$0$1,265$0$1,265$21867
BENEFIT OPTION Total$9,630$20,531$4,594$0$34,755$0$34,755$5,802160187
VIS-CIGNA VISION FOR NETWORK PARTICIPANTS (BEXEC1-ALL EXECUTIVES$0$0$0$0$0$0$0$2000
E1211-EXECUTIVES/ELECTED OFFICIALS$0$1,180$0$0$1,180$0$1,180$056126
E2221-FOP EXECUTIVES$0$0$0$0$0$0$0$013
MDIS-ALL MEDICARE ELIGIBLES UNDER 65$0$0$0$0$0$0$0$023
MRET-ALL MEDICARE ELIGIBLES 65+ RETIRED$0$0$0$0$0$0$0$100
MRG1-MEDICARE RETIREE 65+ W/ DEP UNDER 65$0$0$0$0$0$0$0$0427
MRG2-MEDICARE RETIREE 65+ W/ DEP 65+$0$60$0$0$60$0$60$069
NAGEN-ACTIVE EMPLOYEES (GENERAL)$0$22,665$0$0$22,665$0$22,665$08321,728
NAMC-ACTIVE EMPLOYEES (M/C)$0$2,991$0$0$2,991$0$2,991$076151
NASEA-ACTIVE EMPLOYEES (SEA)$0$2,044$0$0$2,044$0$2,044$0121231
NATC-ALL ACTIVE EMPLOYEES$0$0$0$0$0$0$0$36100
NRET-RETIRED -65 OR OTHERWISE NOT ELIGIBLE FOR MEDICARE$0$0$0$0$0$0$0$4700
NRETE1-NON-MEDICARE RETIREE W/DEP - 65$0$0$0$0$0$0$0$01218
NRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$0$369$0$0$369$0$369$0109145
NRETG2-NON-MEDICARE RETIREE - 65 W/ DEP 65 +$0$0$0$0$0$0$0$022
NRMC1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$0$0$0$0$0$0$0$0711
NRSEA1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$0$0$0$0$0$0$0$034
RMEPDP-RETIRED MEDICARE ELIGIBLE W/PDP PLAN$0$171$0$0$171$0$171$55148178
RMEXEC-RETIRED MEDICARE ELIGIBLE EXECUTIVES W/PDP PLAN$0$0$0$0$0$0$0$267
BENEFIT OPTION Total$0$29,479$0$0$29,479$0$29,479$4861,3852,643
Jan-2025 Total$237,984$2,592,503$70,177$1,025,100$3,925,764($1,169)$3,924,595$83,0495,66111,306
Feb-25COH-CIGNA ONSITE HEALTHE1211-EXECUTIVES/ELECTED OFFICIALS$0$0$0$0$0$0$0$0103243
E2221-FOP EXECUTIVES$0$0$0$0$0$0$0$0415
MDIS-ALL MEDICARE ELIGIBLES UNDER 65$0$0$0$0$0$0$0$012
MRETE2-EXECUTIVES MEDICARE RETIREE W/DEP 65 +$0$0$0$0$0$0$0$011
MRG1-MEDICARE RETIREE 65+ W/ DEP UNDER 65$0$0$0$0$0$0$0$01625
MRG2-MEDICARE RETIREE 65+ W/ DEP 65+$0$0$0$0$0$0$0$022
NAGEN-ACTIVE EMPLOYEES (GENERAL)$0$0$0$0$0$0$0$01,4993,156
NAMC-ACTIVE EMPLOYEES (M/C)$0$0$0$0$0$0$0$0169343
NASEA-ACTIVE EMPLOYEES (SEA)$0$0$0$0$0$0$0$0155301
NCOB-COBRA PARTICIPANTS$0$0$0$0$0$0$0$011
NRETE1-NON-MEDICARE RETIREE W/DEP - 65$0$0$0$0$0$0$0$047
NRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$0$0$0$0$0$0$0$03850
NRETG2-NON-MEDICARE RETIREE - 65 W/ DEP 65 +$0$0$0$0$0$0$0$022
NRMC1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$0$0$0$0$0$0$0$036
NRSEA1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$0$0$0$0$0$0$0$023
BENEFIT OPTION Total$0$0$0$0$0$0$0$02,0004,157
NPOS-NETWORK OPEN ACCESS POS (ALL EMPLOYEES)E1211-EXECUTIVES/ELECTED OFFICIALS$0($91)$0$0($91)$0($91)$000
MRG1-MEDICARE RETIREE 65+ W/ DEP UNDER 65$0$373$0$0$373$0$373$000
NAGEN-ACTIVE EMPLOYEES (GENERAL)$0$24,577$79$0$24,656$0$24,656$000
NASEA-ACTIVE EMPLOYEES (SEA)$0($812)$0$86($725)$0($725)$000
NRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$0$1,990$0$0$1,990$0$1,990$000
BENEFIT OPTION Total$0$26,037$79$86$26,202$0$26,202$000
NPOS2-STANDALONE NETWORK POS PLAN COPY NO RXRMEPDP-RETIRED MEDICARE ELIGIBLE W/PDP PLAN$0$161$0$0$161$0$161$000
BENEFIT OPTION Total$0$161$0$0$161$0$161$000
OAPAE-OAP PLAN ALL EMPLOYEESBOARD-ACTIVE BOARD MEMBERS($47)$0$0$0($47)$0($47)$000
EXEC1-ALL EXECUTIVES$0$0$0$0$0$0$0$3,88000
E1211-EXECUTIVES/ELECTED OFFICIALS$13,586$273,404$0$108,580$395,570$0$395,570$0103243
E2221-FOP EXECUTIVES$754$12,077$0$0$12,830$0$12,830$0415
MDIS-ALL MEDICARE ELIGIBLES UNDER 65$108$104$0$310$522$0$522$3612
MRET-ALL MEDICARE ELIGIBLES 65+ RETIRED$0$0$0$0$0$0$0$83400
MRETE2-EXECUTIVES MEDICARE RETIREE W/DEP 65 +$115$275$0$5,024$5,414$0$5,414$022
MRG1-MEDICARE RETIREE 65+ W/ DEP UNDER 65$1,380$6,523$0$22,067$29,970$0$29,970$01828
MRG2-MEDICARE RETIREE 65+ W/ DEP 65+$213$0$0$7,105$7,318$0$7,318$044
NAGEN-ACTIVE EMPLOYEES (GENERAL)$174,061$1,701,049$14,618$764,275$2,654,003$0$2,654,003$01,4993,156
NAMC-ACTIVE EMPLOYEES (M/C)$19,024$377,683$28,491$129,998$555,195$0$555,195$0169343
NASEA-ACTIVE EMPLOYEES (SEA)$16,330$61,983$0$80,348$158,661$0$158,661$0155301
NATC-ALL ACTIVE EMPLOYEES$0$0$0$0$0$0$0$66,06600
NRET-RETIRED -65 OR OTHERWISE NOT ELIGIBLE FOR MEDICARE$0$0$0$0$0$0$0$5,18500
NRETE1-NON-MEDICARE RETIREE W/DEP - 65$1,007$88,839$0$12,192$102,038$0$102,038$01218
NRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$8,350$53,533$303$91,495$153,681$0$153,681$0117154
NRETG2-NON-MEDICARE RETIREE - 65 W/ DEP 65 +$171$65$0$326$562$0$562$033
NRMC1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$568$6,954$0$28$7,550$0$7,550$0711
NRSEA1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$267$401$0$4,705$5,373$0$5,373$034
BENEFIT OPTION Total$235,886$2,582,890$43,412$1,226,454$4,088,643$0$4,088,643$76,0012,0974,284
OAPCE-OAP PLAN COMP EESNRET-RETIRED -65 OR OTHERWISE NOT ELIGIBLE FOR MEDICARE$0$0$0$0$0$0$0$2900
NRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$40$0$0$10$50$0$50$011
BENEFIT OPTION Total$40$0$0$10$50$0$50$2911
OAPCX-OAP COMP EES NO RXMRG2-MEDICARE RETIREE 65+ W/ DEP 65+$0$0$0$0$0$0$0$011
RMEPDP-RETIRED MEDICARE ELIGIBLE W/PDP PLAN$166$83$0$0$249$0$249$11533
BENEFIT OPTION Total$166$83$0$0$249$0$249$11544
OAPNX-OAP PLAN NO RXMDIS-ALL MEDICARE ELIGIBLES UNDER 65$0$0$0$0$0$0$0$011
MRG1-MEDICARE RETIREE 65+ W/ DEP UNDER 65$0$0$0$0$0$0$0$022
MRG2-MEDICARE RETIREE 65+ W/ DEP 65+$0$0$0$0$0$0$0$034
NAMC-ACTIVE EMPLOYEES (M/C)$0$0$0$0$0$0$0$011
NRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$0$0$0$0$0$0$0$012
RMEPDP-RETIRED MEDICARE ELIGIBLE W/PDP PLAN$10,329$41,801$3,288$0$55,418$0$55,418$5,584146170
RMEXEC-RETIRED MEDICARE ELIGIBLE EXECUTIVES W/PDP PLAN$370$6,211$2$0$6,582$0$6,582$25478
BENEFIT OPTION Total$10,699$48,012$3,290$0$62,000$0$62,000$5,838161188
VIS-CIGNA VISION FOR NETWORK PARTICIPANTS (BEXEC1-ALL EXECUTIVES$0$0$0$0$0$0$0$2000
E1211-EXECUTIVES/ELECTED OFFICIALS$0$370$0$0$370$0$370$055123
E2221-FOP EXECUTIVES$0$0$0$0$0$0$0$013
MDIS-ALL MEDICARE ELIGIBLES UNDER 65$0$0$0$0$0$0$0$023
MRET-ALL MEDICARE ELIGIBLES 65+ RETIRED$0$0$0$0$0$0$0$100
MRG1-MEDICARE RETIREE 65+ W/ DEP UNDER 65$0$45$0$0$45$0$45$0427
MRG2-MEDICARE RETIREE 65+ W/ DEP 65+$0$0$0$0$0$0$0$069
NAGEN-ACTIVE EMPLOYEES (GENERAL)$0$19,079$0$0$19,079$0$19,079$08311,723
NAMC-ACTIVE EMPLOYEES (M/C)$0$4,542$0$0$4,542$0$4,542$076151
NASEA-ACTIVE EMPLOYEES (SEA)$0$2,282$0$0$2,282$0$2,282$0119228
NATC-ALL ACTIVE EMPLOYEES$0$0$0$0$0$0$0$35800
NRET-RETIRED -65 OR OTHERWISE NOT ELIGIBLE FOR MEDICARE$0$0$0$0$0$0$0$4700
NRETE1-NON-MEDICARE RETIREE W/DEP - 65$0$63$0$0$63$0$63$01218
NRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$0$345$0$0$345$0$345$0110147
NRETG2-NON-MEDICARE RETIREE - 65 W/ DEP 65 +$0$0$0$0$0$0$0$022
NRMC1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$0$0$0$0$0$0$0$0711
NRSEA1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$0$0$0$0$0$0$0$034
RMEPDP-RETIRED MEDICARE ELIGIBLE W/PDP PLAN$0$328$0$0$328$0$328$55148178
RMEXEC-RETIRED MEDICARE ELIGIBLE EXECUTIVES W/PDP PLAN$0$25$0$0$25$0$25$278
BENEFIT OPTION Total$0$27,080$0$0$27,080$0$27,080$4841,3832,635
Feb-2025 Total$246,791$2,684,262$46,781$1,226,551$4,204,384$0$4,204,384$82,4665,64611,269
Mar-25COH-CIGNA ONSITE HEALTHE1211-EXECUTIVES/ELECTED OFFICIALS$0$0$0$0$0$0$0$0102245
E2221-FOP EXECUTIVES$0$0$0$0$0$0$0$0415
MDIS-ALL MEDICARE ELIGIBLES UNDER 65$0$0$0$0$0$0$0$012
MRETE2-EXECUTIVES MEDICARE RETIREE W/DEP 65 +$0$0$0$0$0$0$0$011
MRG1-MEDICARE RETIREE 65+ W/ DEP UNDER 65$0$0$0$0$0$0$0$01625
MRG2-MEDICARE RETIREE 65+ W/ DEP 65+$0$0$0$0$0$0$0$022
NAGEN-ACTIVE EMPLOYEES (GENERAL)$0$0$0$0$0$0$0$01,5023,166
NAMC-ACTIVE EMPLOYEES (M/C)$0$0$0$0$0$0$0$0170345
NASEA-ACTIVE EMPLOYEES (SEA)$0$0$0$0$0$0$0$0155301
NCOB-COBRA PARTICIPANTS$0$0$0$0$0$0$0$011
NRETE1-NON-MEDICARE RETIREE W/DEP - 65$0$0$0$0$0$0$0$047
NRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$0$0$0$0$0$0$0$03951
NRETG2-NON-MEDICARE RETIREE - 65 W/ DEP 65 +$0$0$0$0$0$0$0$022
NRMC1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$0$0$0$0$0$0$0$036
NRSEA1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$0$0$0$0$0$0$0$023
BENEFIT OPTION Total$0$0$0$0$0$0$0$02,0044,172
NPOS-NETWORK OPEN ACCESS POS (ALL EMPLOYEES)E1211-EXECUTIVES/ELECTED OFFICIALS($118)$104$143$0$129$0$129$000
MRETE2-EXECUTIVES MEDICARE RETIREE W/DEP 65 +$11$0$0$0$11$0$11$000
NAGEN-ACTIVE EMPLOYEES (GENERAL)$553$16,598$428$0$17,578$0$17,578$000
NAIAFF-ACTIVE EMPLOYEES (IAFF)$0($468)$0$0($468)$0($468)$000
NAMC-ACTIVE EMPLOYEES (M/C)$4($59)$0$0($55)$0($55)$000
NASEA-ACTIVE EMPLOYEES (SEA)$455$22$0$0$477$0$477$000
NRETE1-NON-MEDICARE RETIREE W/DEP - 65$17$0$0$0$17$0$17$000
NRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$0$223$0$0$223$0$223$000
BENEFIT OPTION Total$921$16,420$571$0$17,911$0$17,911$000
NPOS2-STANDALONE NETWORK POS PLAN COPY NO RXRMEPDP-RETIRED MEDICARE ELIGIBLE W/PDP PLAN$0($20,344)$0$0($20,344)$0($20,344)$000
BENEFIT OPTION Total$0($20,344)$0$0($20,344)$0($20,344)$000
OAPAE-OAP PLAN ALL EMPLOYEESEXEC1-ALL EXECUTIVES$0$0$0$0$0$0$0$3,88000
E1211-EXECUTIVES/ELECTED OFFICIALS$12,533$218,542$1,573$111,620$344,268$0$344,268$0103246
E2221-FOP EXECUTIVES$765$6,181$0$98$7,044$0$7,044$0415
MDIS-ALL MEDICARE ELIGIBLES UNDER 65$95$402$0$15$512$0$512$3612
MRET-ALL MEDICARE ELIGIBLES 65+ RETIRED$0$0$0$0$0$0$0$83400
MRETE2-EXECUTIVES MEDICARE RETIREE W/DEP 65 +$101$0$0$0$101$0$101$022
MRG1-MEDICARE RETIREE 65+ W/ DEP UNDER 65$1,237$10,826$0$9,441$21,505$0$21,505$01828
MRG2-MEDICARE RETIREE 65+ W/ DEP 65+$193$445$490$6,086$7,215$0$7,215$044
NAGEN-ACTIVE EMPLOYEES (GENERAL)$166,004$1,761,191$21,229$773,366$2,721,790$0$2,721,790$01,5023,166
NAMC-ACTIVE EMPLOYEES (M/C)$18,395$208,239$18,088$109,876$354,598$0$354,598$0170345
NASEA-ACTIVE EMPLOYEES (SEA)$16,055$158,373$0$55,164$229,593$0$229,593$0155301
NATC-ALL ACTIVE EMPLOYEES$0$0$0$0$0$0$0$66,21100
NCOB-COBRA PARTICIPANTS($3)$0$0$0($3)$0($3)$000
NRET-RETIRED -65 OR OTHERWISE NOT ELIGIBLE FOR MEDICARE$0$0$0$0$0$0$0$5,22100
NRETE1-NON-MEDICARE RETIREE W/DEP - 65$1,452$25,358$0$6,891$33,702$0$33,702$01218
NRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$8,034$155,999$4,450$88,030$256,512$0$256,512$0118155
NRETG2-NON-MEDICARE RETIREE - 65 W/ DEP 65 +$151$22$0($236)($63)$0($63)$033
NRMC1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$503$1,947$0$550$3,000$0$3,000$0711
NRSEA1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$234$16,756$0$1,930$18,919$0$18,919$034
BENEFIT OPTION Total$225,751$2,564,282$45,829$1,162,830$3,998,693$0$3,998,693$76,1822,1024,300
OAPCE-OAP PLAN COMP EESNRET-RETIRED -65 OR OTHERWISE NOT ELIGIBLE FOR MEDICARE$0$0$0$0$0$0$0$2900
NRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$34$499$0$5$538$0$538$011
BENEFIT OPTION Total$34$499$0$5$538$0$538$2911
OAPCX-OAP COMP EES NO RXMRG2-MEDICARE RETIREE 65+ W/ DEP 65+$0$0$0$0$0$0$0$011
RMEPDP-RETIRED MEDICARE ELIGIBLE W/PDP PLAN$144$197$0$0$341$0$341$11533
BENEFIT OPTION Total$144$197$0$0$341$0$341$11544
OAPNX-OAP PLAN NO RXMDIS-ALL MEDICARE ELIGIBLES UNDER 65$0$0$0$0$0$0$0$011
MRG1-MEDICARE RETIREE 65+ W/ DEP UNDER 65$0$0$0$0$0$0$0$022
MRG2-MEDICARE RETIREE 65+ W/ DEP 65+$0$0$0$0$0$0$0$034
NAMC-ACTIVE EMPLOYEES (M/C)$0$0$0$0$0$0$0$011
NRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$0$0$0$0$0$0$0$012
RMEPDP-RETIRED MEDICARE ELIGIBLE W/PDP PLAN$9,308$78,350$3,664$0$91,322$0$91,322$5,512144168
RMEXEC-RETIRED MEDICARE ELIGIBLE EXECUTIVES W/PDP PLAN$381$1,306$484$0$2,171$0$2,171$21867
BENEFIT OPTION Total$9,689$79,656$4,148$0$93,493$0$93,493$5,729158185
VIS-CIGNA VISION FOR NETWORK PARTICIPANTS (BEXEC1-ALL EXECUTIVES$0$0$0$0$0$0$0$1900
E1211-EXECUTIVES/ELECTED OFFICIALS$0$150$0$0$150$0$150$054122
E2221-FOP EXECUTIVES$0$0$0$0$0$0$0$013
MDIS-ALL MEDICARE ELIGIBLES UNDER 65$0$0$0$0$0$0$0$023
MRET-ALL MEDICARE ELIGIBLES 65+ RETIRED$0$0$0$0$0$0$0$100
MRG1-MEDICARE RETIREE 65+ W/ DEP UNDER 65$0$0$0$0$0$0$0$0427
MRG2-MEDICARE RETIREE 65+ W/ DEP 65+$0$0$0$0$0$0$0$069
NAGEN-ACTIVE EMPLOYEES (GENERAL)$0$8,738$0$0$8,738$0$8,738$08341,728
NAMC-ACTIVE EMPLOYEES (M/C)$0$1,976$0$0$1,976$0$1,976$076151
NASEA-ACTIVE EMPLOYEES (SEA)$0$2,960$0$0$2,960$0$2,960$0119228
NATC-ALL ACTIVE EMPLOYEES$0$0$0$0$0$0$0$35900
NRET-RETIRED -65 OR OTHERWISE NOT ELIGIBLE FOR MEDICARE$0$0$0$0$0$0$0$4700
NRETE1-NON-MEDICARE RETIREE W/DEP - 65$0$70$0$0$70$0$70$01218
NRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$0$834$0$0$834$0$834$0111148
NRETG2-NON-MEDICARE RETIREE - 65 W/ DEP 65 +$0$0$0$0$0$0$0$022
NRMC1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$0$0$0$0$0$0$0$0711
NRSEA1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$0$0$0$0$0$0$0$034
RMEPDP-RETIRED MEDICARE ELIGIBLE W/PDP PLAN$0$60$0$0$60$0$60$54146176
RMEXEC-RETIRED MEDICARE ELIGIBLE EXECUTIVES W/PDP PLAN$0$0$0$0$0$0$0$267
BENEFIT OPTION Total$0$14,787$0$0$14,787$0$14,787$4841,3832,637
Mar-2025 Total$236,539$2,655,497$50,548$1,162,835$4,105,419$0$4,105,419$82,5395,65211,299
Apr-25COH-CIGNA ONSITE HEALTHE1211-EXECUTIVES/ELECTED OFFICIALS$0$0$0$0$0$0$0$0103246
E2221-FOP EXECUTIVES$0$0$0$0$0$0$0$0415
MDIS-ALL MEDICARE ELIGIBLES UNDER 65$0$0$0$0$0$0$0$012
MRETE2-EXECUTIVES MEDICARE RETIREE W/DEP 65 +$0$0$0$0$0$0$0$011
MRG1-MEDICARE RETIREE 65+ W/ DEP UNDER 65$0$0$0$0$0$0$0$01625
MRG2-MEDICARE RETIREE 65+ W/ DEP 65+$0$0$0$0$0$0$0$022
NAGEN-ACTIVE EMPLOYEES (GENERAL)$0$0$0$0$0$0$0$01,4973,161
NAMC-ACTIVE EMPLOYEES (M/C)$0$0$0$0$0$0$0$0171343
NASEA-ACTIVE EMPLOYEES (SEA)$0$0$0$0$0$0$0$0155301
NCOB-COBRA PARTICIPANTS$0$0$0$0$0$0$0$011
NRETE1-NON-MEDICARE RETIREE W/DEP - 65$0$0$0$0$0$0$0$047
NRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$0$0$0$0$0$0$0$03951
NRETG2-NON-MEDICARE RETIREE - 65 W/ DEP 65 +$0$0$0$0$0$0$0$022
NRMC1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$0$0$0$0$0$0$0$036
NRSEA1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$0$0$0$0$0$0$0$023
BENEFIT OPTION Total$0$0$0$0$0$0$0$02,0014,166
NPOS-NETWORK OPEN ACCESS POS (ALL EMPLOYEES)E1211-EXECUTIVES/ELECTED OFFICIALS$0($849)$143$0($706)$0($706)$000
MRIAF1-MEDICARE RETIREE 65 + W/ DEP UNDER 65$0($95)($158)$0($253)$0($253)$000
NAGEN-ACTIVE EMPLOYEES (GENERAL)$0$5,962$1,227$65$7,254$0$7,254$000
NAMC-ACTIVE EMPLOYEES (M/C)$0($6,618)$0$0($6,618)$0($6,618)$000
NASEA-ACTIVE EMPLOYEES (SEA)$0($1,066)$0$0($1,066)$0($1,066)$000
NRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$0$1,840$0$0$1,840$0$1,840$000
BENEFIT OPTION Total$0($826)$1,212$65$451$0$451$000
NPOS2-STANDALONE NETWORK POS PLAN COPY NO RXRMEPDP-RETIRED MEDICARE ELIGIBLE W/PDP PLAN$0$42$0$0$42$0$42$000
BENEFIT OPTION Total$0$42$0$0$42$0$42$000
OAPAE-OAP PLAN ALL EMPLOYEESEXEC1-ALL EXECUTIVES$0$0$0$0$0$0$0$3,88000
E1211-EXECUTIVES/ELECTED OFFICIALS$13,289$279,173$1,126$71,093$364,682($22,032)$342,650$0103246
E2221-FOP EXECUTIVES$802$2,196$0$1,367$4,365$0$4,365$0415
MDIS-ALL MEDICARE ELIGIBLES UNDER 65$107$3$0$207$317$0$317$3612
MRET-ALL MEDICARE ELIGIBLES 65+ RETIRED$0$0$0$0$0$0$0$83400
MRETE2-EXECUTIVES MEDICARE RETIREE W/DEP 65 +$113$0$0$4,893$5,006$0$5,006$022
MRG1-MEDICARE RETIREE 65+ W/ DEP UNDER 65$1,366$18,877$40$11,143$31,426$0$31,426$01828
MRG2-MEDICARE RETIREE 65+ W/ DEP 65+$211$25$0$6,646$6,882$0$6,882$044
NAGEN-ACTIVE EMPLOYEES (GENERAL)$168,999$2,284,809$52,091$800,566$3,306,465$0$3,306,465$01,4973,161
NAIAFF-ACTIVE EMPLOYEES (IAFF)$0$9,433$0$0$9,433$0$9,433$000
NAMC-ACTIVE EMPLOYEES (M/C)$19,337$236,330$1,537$87,439$344,643$0$344,643$0171343
NASEA-ACTIVE EMPLOYEES (SEA)$15,998$159,440$0$64,858$240,295$0$240,295$0155301
NATC-ALL ACTIVE EMPLOYEES$0$0$0$0$0$0$0$66,10200
NRET-RETIRED -65 OR OTHERWISE NOT ELIGIBLE FOR MEDICARE$0$0$0$0$0$0$0$5,18500
NRETE1-NON-MEDICARE RETIREE W/DEP - 65$997$5,027$29$4,710$10,762$0$10,762$01218
NRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$8,367$284,452$495$64,155$357,469$0$357,469$0117154
NRETG2-NON-MEDICARE RETIREE - 65 W/ DEP 65 +$169$157$0$44$370$0$370$033
NRMC1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$561$6,126$0$248$6,936$0$6,936$0711
NRSEA1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$218$148$0$2,834$3,200$0$3,200$034
BENEFIT OPTION Total$230,534$3,286,196$55,318$1,120,203$4,692,251($22,032)$4,670,219$76,0372,0974,292
OAPCE-OAP PLAN COMP EESNRET-RETIRED -65 OR OTHERWISE NOT ELIGIBLE FOR MEDICARE$0$0$0$0$0$0$0$2900
NRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$40$1,758$0($5)$1,792$0$1,792$011
BENEFIT OPTION Total$40$1,758$0($5)$1,792$0$1,792$2911
OAPCX-OAP COMP EES NO RXMRG2-MEDICARE RETIREE 65+ W/ DEP 65+$0$0$0$0$0$0$0$011
RMEPDP-RETIRED MEDICARE ELIGIBLE W/PDP PLAN$166$527$8$0$701$0$701$11533
BENEFIT OPTION Total$166$527$8$0$701$0$701$11544
OAPNX-OAP PLAN NO RXMDIS-ALL MEDICARE ELIGIBLES UNDER 65$0$0$0$0$0$0$0$011
MRG1-MEDICARE RETIREE 65+ W/ DEP UNDER 65$0$0$0$0$0$0$0$022
MRG2-MEDICARE RETIREE 65+ W/ DEP 65+$0$0$0$0$0$0$0$034
NAMC-ACTIVE EMPLOYEES (M/C)$0$0$0$0$0$0$0$011
NRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$0$0$0$0$0$0$0$012
RMEPDP-RETIRED MEDICARE ELIGIBLE W/PDP PLAN$9,222$78,111$4,100$0$91,432$0$91,432$5,475143167
RMEXEC-RETIRED MEDICARE ELIGIBLE EXECUTIVES W/PDP PLAN$367$914$287$0$1,568$0$1,568$21867
BENEFIT OPTION Total$9,589$79,024$4,387$0$93,000$0$93,000$5,693157184
VIS-CIGNA VISION FOR NETWORK PARTICIPANTS (BEXEC1-ALL EXECUTIVES$0$0$0$0$0$0$0$1900
E1211-EXECUTIVES/ELECTED OFFICIALS$0$240$0$0$240$0$240$054121
E2221-FOP EXECUTIVES$0$0$0$0$0$0$0$013
MDIS-ALL MEDICARE ELIGIBLES UNDER 65$0$0$0$0$0$0$0$023
MRET-ALL MEDICARE ELIGIBLES 65+ RETIRED$0$0$0$0$0$0$0$100
MRG1-MEDICARE RETIREE 65+ W/ DEP UNDER 65$0$0$0$0$0$0$0$0427
MRG2-MEDICARE RETIREE 65+ W/ DEP 65+$0$0$0$0$0$0$0$069
NAGEN-ACTIVE EMPLOYEES (GENERAL)$0$2,425$0$0$2,425$0$2,425$08341,729
NAMC-ACTIVE EMPLOYEES (M/C)$0$680$0$0$680$0$680$076151
NASEA-ACTIVE EMPLOYEES (SEA)$0$200$0$0$200$0$200$0119228
NATC-ALL ACTIVE EMPLOYEES$0$0$0$0$0$0$0$35900
NRET-RETIRED -65 OR OTHERWISE NOT ELIGIBLE FOR MEDICARE$0$0$0$0$0$0$0$4700
NRETE1-NON-MEDICARE RETIREE W/DEP - 65$0$0$0$0$0$0$0$01218
NRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$0$362$0$0$362$0$362$0110147
NRETG2-NON-MEDICARE RETIREE - 65 W/ DEP 65 +$0$0$0$0$0$0$0$022
NRMC1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$0$140$0$0$140$0$140$0711
NRSEA1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$0$0$0$0$0$0$0$034
RMEPDP-RETIRED MEDICARE ELIGIBLE W/PDP PLAN$0$165$0$0$165$0$165$54145175
RMEXEC-RETIRED MEDICARE ELIGIBLE EXECUTIVES W/PDP PLAN$0$0$0$0$0$0$0$267
BENEFIT OPTION Total$0$4,211$0$0$4,211$0$4,211$4831,3812,635
Apr-2025 Total$240,329$3,370,932$60,924$1,120,263$4,792,448($22,032)$4,770,417$82,3575,64111,282
May-25COH-CIGNA ONSITE HEALTHE1211-EXECUTIVES/ELECTED OFFICIALS$0$0$0$0$0$0$0$0101245
E2221-FOP EXECUTIVES$0$0$0$0$0$0$0$0415
MDIS-ALL MEDICARE ELIGIBLES UNDER 65$0$0$0$0$0$0$0$012
MRETE2-EXECUTIVES MEDICARE RETIREE W/DEP 65 +$0$0$0$0$0$0$0$011
MRG1-MEDICARE RETIREE 65+ W/ DEP UNDER 65$0$0$0$0$0$0$0$01625
MRG2-MEDICARE RETIREE 65+ W/ DEP 65+$0$0$0$0$0$0$0$022
NAGEN-ACTIVE EMPLOYEES (GENERAL)$0$0$0$0$0$0$0$01,4983,165
NAMC-ACTIVE EMPLOYEES (M/C)$0$0$0$0$0$0$0$0171345
NASEA-ACTIVE EMPLOYEES (SEA)$0$0$0$0$0$0$0$0155301
NCOB-COBRA PARTICIPANTS$0$0$0$0$0$0$0$022
NRETE1-NON-MEDICARE RETIREE W/DEP - 65$0$0$0$0$0$0$0$047
NRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$0$0$0$0$0$0$0$04152
NRETG2-NON-MEDICARE RETIREE - 65 W/ DEP 65 +$0$0$0$0$0$0$0$022
NRMC1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$0$0$0$0$0$0$0$036
NRSEA1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$0$0$0$0$0$0$0$023
BENEFIT OPTION Total$0$0$0$0$0$0$0$02,0034,173
NPOS-NETWORK OPEN ACCESS POS (ALL EMPLOYEES)E1211-EXECUTIVES/ELECTED OFFICIALS$0$568$285$0$854$0$854$000
NAGEN-ACTIVE EMPLOYEES (GENERAL)$0$1,816$998$0$2,814$0$2,814$000
NAMC-ACTIVE EMPLOYEES (M/C)$0$286$143$0$429$0$429$000
NASEA-ACTIVE EMPLOYEES (SEA)$0$224$0$0$224$0$224$000
NRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$0$19,404$285$0$19,689$0$19,689$000
BENEFIT OPTION Total$0$22,298$1,712$0$24,010$0$24,010$000
NPOS2-STANDALONE NETWORK POS PLAN COPY NO RXRMEPDP-RETIRED MEDICARE ELIGIBLE W/PDP PLAN$0($18)$0$0($18)$0($18)$000
BENEFIT OPTION Total$0($18)$0$0($18)$0($18)$000
OAPAE-OAP PLAN ALL EMPLOYEESEXEC1-ALL EXECUTIVES$0$0$0$0$0$0$0$3,80700
E1211-EXECUTIVES/ELECTED OFFICIALS$13,300$339,466$2,191$61,312$416,268($27,339)$388,929$0101245
E2221-FOP EXECUTIVES$883$19,345$0($259)$19,968$0$19,968$0415
MDIS-ALL MEDICARE ELIGIBLES UNDER 65$108$2,479$0$194$2,780$0$2,780$3612
MRET-ALL MEDICARE ELIGIBLES 65+ RETIRED$0$0$0$0$0$0$0$87000
MRETE2-EXECUTIVES MEDICARE RETIREE W/DEP 65 +$114$0$0$80$194$0$194$022
MRG1-MEDICARE RETIREE 65+ W/ DEP UNDER 65$1,383$8,744$60$10,924$21,112$0$21,112$01828
MRG2-MEDICARE RETIREE 65+ W/ DEP 65+$213$536$0$6,892$7,640$0$7,640$044
NAGEN-ACTIVE EMPLOYEES (GENERAL)$176,511$2,756,960$32,519$704,632$3,670,622($393,063)$3,277,560$01,4973,164
NAMC-ACTIVE EMPLOYEES (M/C)$19,543$180,038$14$88,052$287,648$0$287,648$0171345
NASEA-ACTIVE EMPLOYEES (SEA)$17,433$129,567$265$68,792$216,057$0$216,057$0155301
NATC-ALL ACTIVE EMPLOYEES$0$0$0$0$0$0$0$66,10200
NCOB-COBRA PARTICIPANTS$0$0$0$0$0$0$0$3611
NRET-RETIRED -65 OR OTHERWISE NOT ELIGIBLE FOR MEDICARE$0$0$0$0$0$0$0$5,22100
NRETE1-NON-MEDICARE RETIREE W/DEP - 65$1,014$12,471$0$16,275$29,761$0$29,761$01218
NRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$8,521$302,609($1,205)$108,068$417,994$0$417,994$0119155
NRETG2-NON-MEDICARE RETIREE - 65 W/ DEP 65 +$172$1,817$0$327$2,315$0$2,315$033
NRMC1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$575$1,521$0$827$2,924$0$2,924$0711
NRSEA1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$210$3,137$0$1,665$5,012$0$5,012$034
BENEFIT OPTION Total$239,979$3,758,688$33,845$1,067,781$5,100,294($420,402)$4,679,892$76,0732,0984,298
OAPCE-OAP PLAN COMP EESNRET-RETIRED -65 OR OTHERWISE NOT ELIGIBLE FOR MEDICARE$0$0$0$0$0$0$0$2900
NRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$40$286$0$39$365$0$365$011
BENEFIT OPTION Total$40$286$0$39$365$0$365$2911
OAPCX-OAP COMP EES NO RXMRG2-MEDICARE RETIREE 65+ W/ DEP 65+$0$0$0$0$0$0$0$011
RMEPDP-RETIRED MEDICARE ELIGIBLE W/PDP PLAN$166$257$90$0$513$0$513$11533
BENEFIT OPTION Total$166$257$90$0$513$0$513$11544
OAPNX-OAP PLAN NO RXMDIS-ALL MEDICARE ELIGIBLES UNDER 65$0$0$0$0$0$0$0$011
MRG1-MEDICARE RETIREE 65+ W/ DEP UNDER 65$0$0$0$0$0$0$0$022
MRG2-MEDICARE RETIREE 65+ W/ DEP 65+$0$0$0$0$0$0$0$034
NAMC-ACTIVE EMPLOYEES (M/C)$0$0$0$0$0$0$0$011
NRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$0$0$0$0$0$0$0$012
RMEPDP-RETIRED MEDICARE ELIGIBLE W/PDP PLAN$9,284($22,435)$6,574$0($6,577)$0($6,577)$5,439142166
RMEXEC-RETIRED MEDICARE ELIGIBLE EXECUTIVES W/PDP PLAN$372$3,777$0$0$4,150$0$4,150$21867
BENEFIT OPTION Total$9,657($18,658)$6,574$0($2,427)$0($2,427)$5,657156183
VIS-CIGNA VISION FOR NETWORK PARTICIPANTS (BEXEC1-ALL EXECUTIVES$0$0$0$0$0$0$0$1900
E1211-EXECUTIVES/ELECTED OFFICIALS$0$0$0$0$0$0$0$052119
E2221-FOP EXECUTIVES$0$0$0$0$0$0$0$013
MDIS-ALL MEDICARE ELIGIBLES UNDER 65$0$0$0$0$0$0$0$023
MRET-ALL MEDICARE ELIGIBLES 65+ RETIRED$0$0$0$0$0$0$0$100
MRG1-MEDICARE RETIREE 65+ W/ DEP UNDER 65$0$0$0$0$0$0$0$0427
MRG2-MEDICARE RETIREE 65+ W/ DEP 65+$0$0$0$0$0$0$0$069
NAGEN-ACTIVE EMPLOYEES (GENERAL)$0$1,194$0$0$1,194$0$1,194$08351,732
NAMC-ACTIVE EMPLOYEES (M/C)$0$125$0$0$125$0$125$077154
NASEA-ACTIVE EMPLOYEES (SEA)$0$150$0$0$150$0$150$0119228
NATC-ALL ACTIVE EMPLOYEES$0$0$0$0$0$0$0$36000
NRET-RETIRED -65 OR OTHERWISE NOT ELIGIBLE FOR MEDICARE$0$0$0$0$0$0$0$4700
NRETE1-NON-MEDICARE RETIREE W/DEP - 65$0$0$0$0$0$0$0$01218
NRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$0$0$0$0$0$0$0$0111147
NRETG2-NON-MEDICARE RETIREE - 65 W/ DEP 65 +$0$0$0$0$0$0$0$022
NRMC1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$0$130$0$0$130$0$130$0711
NRSEA1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$0$0$0$0$0$0$0$034
RMEPDP-RETIRED MEDICARE ELIGIBLE W/PDP PLAN$0$387$0$0$387$0$387$54144174
RMEXEC-RETIRED MEDICARE ELIGIBLE EXECUTIVES W/PDP PLAN$0$110$0$0$110$0$110$267
BENEFIT OPTION Total$0$2,095$0$0$2,095$0$2,095$4831,3812,638
May-2025 Total$249,842$3,764,949$42,220$1,067,820$5,124,831($420,402)$4,704,429$82,3575,64311,297
Jun-25COH-CIGNA ONSITE HEALTHE1211-EXECUTIVES/ELECTED OFFICIALS$0$0$0$0$0$0$0$098241
E2221-FOP EXECUTIVES$0$0$0$0$0$0$0$0415
MDIS-ALL MEDICARE ELIGIBLES UNDER 65$0$0$0$0$0$0$0$012
MRETE2-EXECUTIVES MEDICARE RETIREE W/DEP 65 +$0$0$0$0$0$0$0$011
MRG1-MEDICARE RETIREE 65+ W/ DEP UNDER 65$0$0$0$0$0$0$0$01625
MRG2-MEDICARE RETIREE 65+ W/ DEP 65+$0$0$0$0$0$0$0$022
NAGEN-ACTIVE EMPLOYEES (GENERAL)$0$0$0$0$0$0$0$01,4943,161
NAMC-ACTIVE EMPLOYEES (M/C)$0$0$0$0$0$0$0$0170345
NASEA-ACTIVE EMPLOYEES (SEA)$0$0$0$0$0$0$0$0153299
NCOB-COBRA PARTICIPANTS$0$0$0$0$0$0$0$011
NRETE1-NON-MEDICARE RETIREE W/DEP - 65$0$0$0$0$0$0$0$058
NRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$0$0$0$0$0$0$0$04152
NRETG2-NON-MEDICARE RETIREE - 65 W/ DEP 65 +$0$0$0$0$0$0$0$022
NRMC1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$0$0$0$0$0$0$0$036
NRSEA1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$0$0$0$0$0$0$0$023
BENEFIT OPTION Total$0$0$0$0$0$0$0$01,9934,163
NPOS-NETWORK OPEN ACCESS POS (ALL EMPLOYEES)E1211-EXECUTIVES/ELECTED OFFICIALS$0$16,527$143$0$16,670$0$16,670$000
MRG1-MEDICARE RETIREE 65+ W/ DEP UNDER 65$0($10)$0$0($10)$0($10)$000
NAGEN-ACTIVE EMPLOYEES (GENERAL)$0$99,720$713$80$100,513$0$100,513$000
NAIAFF-ACTIVE EMPLOYEES (IAFF)$0$523$0$0$523$0$523$000
NAMC-ACTIVE EMPLOYEES (M/C)$0$25,773$0$0$25,773$0$25,773$000
NASEA-ACTIVE EMPLOYEES (SEA)$0$5,548$0$0$5,548$0$5,548$000
NCOB-COBRA PARTICIPANTS$0$490$0$0$490$0$490$000
NRETE1-NON-MEDICARE RETIREE W/DEP - 65$0$110$0$0$110$0$110$000
NRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$0$10,622$143$0$10,764$0$10,764$000
NRETG2-NON-MEDICARE RETIREE - 65 W/ DEP 65 +$0$641$0$0$641$0$641$000
NRMC1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$0$10$0$0$10$0$10$000
BENEFIT OPTION Total$0$159,953$998$80$161,032$0$161,032$000
NPOS2-STANDALONE NETWORK POS PLAN COPY NO RXRMEPDP-RETIRED MEDICARE ELIGIBLE W/PDP PLAN$0$7,027$0$0$7,027$0$7,027$000
RMEXEC-RETIRED MEDICARE ELIGIBLE EXECUTIVES W/PDP PLAN$0$318$0$0$318$0$318$000
BENEFIT OPTION Total$0$7,345$0$0$7,345$0$7,345$000
OAPAE-OAP PLAN ALL EMPLOYEESE1211-EXECUTIVES/ELECTED OFFICIALS$13,255$155,313$10,844$57,243$236,655$0$236,655$099242
E2221-FOP EXECUTIVES$810$5,790$0$394$6,994$0$6,994$0415
MDIS-ALL MEDICARE ELIGIBLES UNDER 65$108$1,023$0$169$1,300$0$1,300$012
MRET-ALL MEDICARE ELIGIBLES 65+ RETIRED$0$0$0$0$0$0$0$3600
MRETE2-EXECUTIVES MEDICARE RETIREE W/DEP 65 +$114$0$0$0$114$0$114$022
MRG1-MEDICARE RETIREE 65+ W/ DEP UNDER 65$1,469$4,217$0$8,447$14,133$0$14,133$01828
MRG2-MEDICARE RETIREE 65+ W/ DEP 65+$213$130$0$6,634$6,977$0$6,977$044
NAGEN-ACTIVE EMPLOYEES (GENERAL)$171,306$1,624,246$23,630$790,889$2,610,070($21,355)$2,588,716$01,4943,161
NAIAFF-ACTIVE EMPLOYEES (IAFF)$0$2,733$0$0$2,733$0$2,733$000
NAMC-ACTIVE EMPLOYEES (M/C)$20,391$123,216$1,142$96,308$241,058$0$241,058$0170345
NASEA-ACTIVE EMPLOYEES (SEA)$16,212$158,976$277$55,297$230,760$0$230,760$0153299
NATC-ALL ACTIVE EMPLOYEES$0$0$0$0$0$0$0($218)00
NCOB-COBRA PARTICIPANTS$0$0$0$0$0$0$0$3611
NRETE1-NON-MEDICARE RETIREE W/DEP - 65$1,003$25,808$0$5,737$32,548$0$32,548$01319
NRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$8,820$195,797$330$98,718$303,664($60,073)$243,591$0119155
NRETG2-NON-MEDICARE RETIREE - 65 W/ DEP 65 +$171$365$0$47$583$0$583$033
NRMC1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$566$795$0$701$2,062$0$2,062$0711
NRSEA1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$210$283$0$3,641$4,133$0$4,133$034
BENEFIT OPTION Total$234,647$2,298,692$36,222$1,124,224$3,693,785($81,428)$3,612,357($145)2,0914,291
OAPCE-OAP PLAN COMP EESNRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$40$50$0$47$136$0$136$011
BENEFIT OPTION Total$40$50$0$47$136$0$136$011
OAPCX-OAP COMP EES NO RXMRG2-MEDICARE RETIREE 65+ W/ DEP 65+$0$0$0$0$0$0$0$011
RMEPDP-RETIRED MEDICARE ELIGIBLE W/PDP PLAN$166$868$161$0$1,195$0$1,195$033
BENEFIT OPTION Total$166$868$161$0$1,195$0$1,195$044
OAPNX-OAP PLAN NO RXMDIS-ALL MEDICARE ELIGIBLES UNDER 65$0$0$0$0$0$0$0$011
MRG1-MEDICARE RETIREE 65+ W/ DEP UNDER 65$0$0$0$0$0$0$0$022
MRG2-MEDICARE RETIREE 65+ W/ DEP 65+$0$0$0$0$0$0$0$034
NAMC-ACTIVE EMPLOYEES (M/C)$0$0$0$0$0$0$0$011
NRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$0$0$0$0$0$0$0$012
RMEPDP-RETIRED MEDICARE ELIGIBLE W/PDP PLAN$10,178$29,065$5,684$0$44,927$0$44,927($73)141165
RMEXEC-RETIRED MEDICARE ELIGIBLE EXECUTIVES W/PDP PLAN$367$617$0$0$984$0$984$067
BENEFIT OPTION Total$10,545$29,682$5,684$0$45,911$0$45,911($73)155182
VIS-CIGNA VISION FOR NETWORK PARTICIPANTS (BEXEC1-ALL EXECUTIVES$0$0$0$0$0$0$0$1800
E1211-EXECUTIVES/ELECTED OFFICIALS$0$155$0$0$155$0$155$050117
E2221-FOP EXECUTIVES$0$40$0$0$40$0$40$013
MDIS-ALL MEDICARE ELIGIBLES UNDER 65$0$120$0$0$120$0$120$023
MRET-ALL MEDICARE ELIGIBLES 65+ RETIRED$0$0$0$0$0$0$0$100
MRG1-MEDICARE RETIREE 65+ W/ DEP UNDER 65$0$50$0$0$50$0$50$0427
MRG2-MEDICARE RETIREE 65+ W/ DEP 65+$0$0$0$0$0$0$0$069
NAGEN-ACTIVE EMPLOYEES (GENERAL)$0$2,494$0$0$2,494$0$2,494$08351,734
NAMC-ACTIVE EMPLOYEES (M/C)$0$520$0$0$520$0$520$077155
NASEA-ACTIVE EMPLOYEES (SEA)$0$365$0$0$365$0$365$0119229
NATC-ALL ACTIVE EMPLOYEES$0$0$0$0$0$0$0$36000
NRET-RETIRED -65 OR OTHERWISE NOT ELIGIBLE FOR MEDICARE$0$0$0$0$0$0$0$4700
NRETE1-NON-MEDICARE RETIREE W/DEP - 65$0$0$0$0$0$0$0$01319
NRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$0$150$0$0$150$0$150$0111147
NRETG2-NON-MEDICARE RETIREE - 65 W/ DEP 65 +$0$0$0$0$0$0$0$022
NRMC1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$0$0$0$0$0$0$0$0711
NRSEA1-NON-MEDICARE RETIREE - 65 W/ DEP - 65$0$30$0$0$30$0$30$034
RMEPDP-RETIRED MEDICARE ELIGIBLE W/PDP PLAN$0$540$0$0$540$0$540$53143173
RMEXEC-RETIRED MEDICARE ELIGIBLE EXECUTIVES W/PDP PLAN$0$0$0$0$0$0$0$267
BENEFIT OPTION Total$0$4,464$0$0$4,464$0$4,464$4821,3792,640
Jun-2025 Total$245,398$2,501,053$43,066$1,124,351$3,913,868($81,428)$3,832,440$2655,62311,281

Grand Total $1,456,882 $17,569,196 $313,715 $6,726,921 $26,066,714 ($525,030) $25,541,684 $413,033 33,866 67,734

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