Exhibit 01a - Cal Yr 2025 YTD as of June City of Miami Monthly Healthcare Detail Experience - Stop Loss ALL claims.xlsx
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- RFP No. 2130386 - Employee Health Benefits Plan
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- RFP No. 2130386
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- 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/MONTH | BENEFIT OPTION | BRANCH | FIXED CHARGES | IN NETWORK | OUT OF NETWORK | DRUG | TOTAL GROSS CLAIMS | STOP LOSS | TOTAL NET CLAIMS | TOTAL ASO FEES | TOTAL SUBS | TOTAL MBRS |
| Jan-25 | COH-CIGNA ONSITE HEALTH | E1211-EXECUTIVES/ELECTED OFFICIALS | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 106 | 249 |
| E2221-FOP EXECUTIVES | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 4 | 14 | ||
| MDIS-ALL MEDICARE ELIGIBLES UNDER 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 1 | 2 | ||
| MRETE2-EXECUTIVES MEDICARE RETIREE W/DEP 65 + | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 1 | 1 | ||
| MRG1-MEDICARE RETIREE 65+ W/ DEP UNDER 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 16 | 25 | ||
| MRG2-MEDICARE RETIREE 65+ W/ DEP 65+ | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 2 | 2 | ||
| NAGEN-ACTIVE EMPLOYEES (GENERAL) | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 1,501 | 3,164 | ||
| NAMC-ACTIVE EMPLOYEES (M/C) | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 170 | 344 | ||
| NASEA-ACTIVE EMPLOYEES (SEA) | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 157 | 304 | ||
| NCOB-COBRA PARTICIPANTS | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 1 | 1 | ||
| NRETE1-NON-MEDICARE RETIREE W/DEP - 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 4 | 7 | ||
| NRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 37 | 48 | ||
| NRETG2-NON-MEDICARE RETIREE - 65 W/ DEP 65 + | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 2 | 2 | ||
| NRMC1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 3 | 6 | ||
| NRSEA1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 2 | 3 | ||
| BENEFIT OPTION Total | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 2,007 | 4,172 | ||
| NPOS-NETWORK OPEN ACCESS POS (ALL EMPLOYEES) | E1211-EXECUTIVES/ELECTED OFFICIALS | $0 | ($3,648) | $0 | $0 | ($3,648) | $0 | ($3,648) | $0 | 0 | 0 | |
| NAGEN-ACTIVE EMPLOYEES (GENERAL) | $0 | $4,739 | $288 | ($384) | $4,643 | $0 | $4,643 | $0 | 0 | 0 | ||
| NAMC-ACTIVE EMPLOYEES (M/C) | $0 | $465 | $0 | $0 | $465 | $0 | $465 | $0 | 0 | 0 | ||
| NASEA-ACTIVE EMPLOYEES (SEA) | $0 | $8,331 | $0 | $0 | $8,331 | $0 | $8,331 | $0 | 0 | 0 | ||
| NRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $0 | $38 | $0 | $0 | $38 | $0 | $38 | $0 | 0 | 0 | ||
| BENEFIT OPTION Total | $0 | $9,925 | $288 | ($384) | $9,829 | $0 | $9,829 | $0 | 0 | 0 | ||
| OAPAE-OAP PLAN ALL EMPLOYEES | EXEC1-ALL EXECUTIVES | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $4,025 | 0 | 0 | |
| E1211-EXECUTIVES/ELECTED OFFICIALS | $13,050 | $204,933 | $3,268 | $52,039 | $273,290 | $5 | $273,295 | $0 | 106 | 249 | ||
| E2221-FOP EXECUTIVES | $590 | $3,794 | $0 | $0 | $4,384 | $0 | $4,384 | $0 | 4 | 14 | ||
| MDIS-ALL MEDICARE ELIGIBLES UNDER 65 | $107 | $344 | $0 | $0 | $451 | $0 | $451 | $36 | 1 | 2 | ||
| MRET-ALL MEDICARE ELIGIBLES 65+ RETIRED | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $834 | 0 | 0 | ||
| MRETE2-EXECUTIVES MEDICARE RETIREE W/DEP 65 + | $114 | ($198) | $0 | $0 | ($84) | $0 | ($84) | $0 | 2 | 2 | ||
| MRG1-MEDICARE RETIREE 65+ W/ DEP UNDER 65 | $1,398 | $5,485 | $0 | $10,072 | $16,955 | $0 | $16,955 | $0 | 18 | 28 | ||
| MRG2-MEDICARE RETIREE 65+ W/ DEP 65+ | $211 | $218 | $0 | $5,419 | $5,849 | $0 | $5,849 | $0 | 4 | 4 | ||
| NAGEN-ACTIVE EMPLOYEES (GENERAL) | $168,997 | $1,755,630 | $28,730 | $747,920 | $2,701,278 | ($987) | $2,700,291 | $0 | 1,501 | 3,164 | ||
| NAMC-ACTIVE EMPLOYEES (M/C) | $18,242 | $121,219 | $33,376 | $75,837 | $248,674 | ($146) | $248,528 | $0 | 170 | 344 | ||
| NASEA-ACTIVE EMPLOYEES (SEA) | $15,244 | $269,963 | $12 | $49,642 | $334,861 | $0 | $334,861 | $0 | 157 | 304 | ||
| NATC-ALL ACTIVE EMPLOYEES | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $66,573 | 0 | 0 | ||
| NRET-RETIRED -65 OR OTHERWISE NOT ELIGIBLE FOR MEDICARE | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $5,149 | 0 | 0 | ||
| NRETE1-NON-MEDICARE RETIREE W/DEP - 65 | $1,052 | $51,514 | ($365) | $7,164 | $59,365 | ($40) | $59,325 | $0 | 12 | 18 | ||
| NRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $8,194 | $116,294 | $256 | $74,989 | $199,731 | $0 | $199,731 | $0 | 116 | 152 | ||
| NRETG2-NON-MEDICARE RETIREE - 65 W/ DEP 65 + | $170 | $329 | $0 | $284 | $784 | $0 | $784 | $0 | 3 | 3 | ||
| NRMC1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $562 | $2,159 | $19 | $882 | $3,622 | $0 | $3,622 | $0 | 7 | 11 | ||
| NRSEA1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $218 | $501 | $0 | $1,237 | $1,956 | $0 | $1,956 | $0 | 3 | 4 | ||
| BENEFIT OPTION Total | $228,150 | $2,532,186 | $65,295 | $1,025,484 | $3,851,116 | ($1,169) | $3,849,947 | $76,617 | 2,104 | 4,299 | ||
| OAPCE-OAP PLAN COMP EES | NRET-RETIRED -65 OR OTHERWISE NOT ELIGIBLE FOR MEDICARE | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $29 | 0 | 0 | |
| NRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $39 | $0 | $0 | $0 | $39 | $0 | $39 | $0 | 1 | 1 | ||
| BENEFIT OPTION Total | $39 | $0 | $0 | $0 | $39 | $0 | $39 | $29 | 1 | 1 | ||
| OAPCX-OAP COMP EES NO RX | MRG2-MEDICARE RETIREE 65+ W/ DEP 65+ | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 1 | 1 | |
| RMEPDP-RETIRED MEDICARE ELIGIBLE W/PDP PLAN | $165 | $381 | $0 | $0 | $546 | $0 | $546 | $115 | 3 | 3 | ||
| BENEFIT OPTION Total | $165 | $381 | $0 | $0 | $546 | $0 | $546 | $115 | 4 | 4 | ||
| OAPNX-OAP PLAN NO RX | MDIS-ALL MEDICARE ELIGIBLES UNDER 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 1 | 1 | |
| MRG1-MEDICARE RETIREE 65+ W/ DEP UNDER 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 2 | 2 | ||
| MRG2-MEDICARE RETIREE 65+ W/ DEP 65+ | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 3 | 4 | ||
| NAMC-ACTIVE EMPLOYEES (M/C) | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 1 | 1 | ||
| NRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 1 | 2 | ||
| RMEPDP-RETIRED MEDICARE ELIGIBLE W/PDP PLAN | $9,265 | $19,631 | $4,594 | $0 | $33,490 | $0 | $33,490 | $5,584 | 146 | 170 | ||
| RMEXEC-RETIRED MEDICARE ELIGIBLE EXECUTIVES W/PDP PLAN | $365 | $900 | $0 | $0 | $1,265 | $0 | $1,265 | $218 | 6 | 7 | ||
| BENEFIT OPTION Total | $9,630 | $20,531 | $4,594 | $0 | $34,755 | $0 | $34,755 | $5,802 | 160 | 187 | ||
| VIS-CIGNA VISION FOR NETWORK PARTICIPANTS (B | EXEC1-ALL EXECUTIVES | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $20 | 0 | 0 | |
| E1211-EXECUTIVES/ELECTED OFFICIALS | $0 | $1,180 | $0 | $0 | $1,180 | $0 | $1,180 | $0 | 56 | 126 | ||
| E2221-FOP EXECUTIVES | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 1 | 3 | ||
| MDIS-ALL MEDICARE ELIGIBLES UNDER 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 2 | 3 | ||
| MRET-ALL MEDICARE ELIGIBLES 65+ RETIRED | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $1 | 0 | 0 | ||
| MRG1-MEDICARE RETIREE 65+ W/ DEP UNDER 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 4 | 27 | ||
| MRG2-MEDICARE RETIREE 65+ W/ DEP 65+ | $0 | $60 | $0 | $0 | $60 | $0 | $60 | $0 | 6 | 9 | ||
| NAGEN-ACTIVE EMPLOYEES (GENERAL) | $0 | $22,665 | $0 | $0 | $22,665 | $0 | $22,665 | $0 | 832 | 1,728 | ||
| NAMC-ACTIVE EMPLOYEES (M/C) | $0 | $2,991 | $0 | $0 | $2,991 | $0 | $2,991 | $0 | 76 | 151 | ||
| NASEA-ACTIVE EMPLOYEES (SEA) | $0 | $2,044 | $0 | $0 | $2,044 | $0 | $2,044 | $0 | 121 | 231 | ||
| NATC-ALL ACTIVE EMPLOYEES | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $361 | 0 | 0 | ||
| NRET-RETIRED -65 OR OTHERWISE NOT ELIGIBLE FOR MEDICARE | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $47 | 0 | 0 | ||
| NRETE1-NON-MEDICARE RETIREE W/DEP - 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 12 | 18 | ||
| NRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $0 | $369 | $0 | $0 | $369 | $0 | $369 | $0 | 109 | 145 | ||
| NRETG2-NON-MEDICARE RETIREE - 65 W/ DEP 65 + | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 2 | 2 | ||
| NRMC1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 7 | 11 | ||
| NRSEA1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 3 | 4 | ||
| RMEPDP-RETIRED MEDICARE ELIGIBLE W/PDP PLAN | $0 | $171 | $0 | $0 | $171 | $0 | $171 | $55 | 148 | 178 | ||
| RMEXEC-RETIRED MEDICARE ELIGIBLE EXECUTIVES W/PDP PLAN | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $2 | 6 | 7 | ||
| BENEFIT OPTION Total | $0 | $29,479 | $0 | $0 | $29,479 | $0 | $29,479 | $486 | 1,385 | 2,643 | ||
| Jan-2025 Total | $237,984 | $2,592,503 | $70,177 | $1,025,100 | $3,925,764 | ($1,169) | $3,924,595 | $83,049 | 5,661 | 11,306 | ||
| Feb-25 | COH-CIGNA ONSITE HEALTH | E1211-EXECUTIVES/ELECTED OFFICIALS | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 103 | 243 |
| E2221-FOP EXECUTIVES | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 4 | 15 | ||
| MDIS-ALL MEDICARE ELIGIBLES UNDER 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 1 | 2 | ||
| MRETE2-EXECUTIVES MEDICARE RETIREE W/DEP 65 + | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 1 | 1 | ||
| MRG1-MEDICARE RETIREE 65+ W/ DEP UNDER 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 16 | 25 | ||
| MRG2-MEDICARE RETIREE 65+ W/ DEP 65+ | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 2 | 2 | ||
| NAGEN-ACTIVE EMPLOYEES (GENERAL) | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 1,499 | 3,156 | ||
| NAMC-ACTIVE EMPLOYEES (M/C) | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 169 | 343 | ||
| NASEA-ACTIVE EMPLOYEES (SEA) | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 155 | 301 | ||
| NCOB-COBRA PARTICIPANTS | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 1 | 1 | ||
| NRETE1-NON-MEDICARE RETIREE W/DEP - 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 4 | 7 | ||
| NRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 38 | 50 | ||
| NRETG2-NON-MEDICARE RETIREE - 65 W/ DEP 65 + | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 2 | 2 | ||
| NRMC1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 3 | 6 | ||
| NRSEA1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 2 | 3 | ||
| BENEFIT OPTION Total | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 2,000 | 4,157 | ||
| NPOS-NETWORK OPEN ACCESS POS (ALL EMPLOYEES) | E1211-EXECUTIVES/ELECTED OFFICIALS | $0 | ($91) | $0 | $0 | ($91) | $0 | ($91) | $0 | 0 | 0 | |
| MRG1-MEDICARE RETIREE 65+ W/ DEP UNDER 65 | $0 | $373 | $0 | $0 | $373 | $0 | $373 | $0 | 0 | 0 | ||
| NAGEN-ACTIVE EMPLOYEES (GENERAL) | $0 | $24,577 | $79 | $0 | $24,656 | $0 | $24,656 | $0 | 0 | 0 | ||
| NASEA-ACTIVE EMPLOYEES (SEA) | $0 | ($812) | $0 | $86 | ($725) | $0 | ($725) | $0 | 0 | 0 | ||
| NRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $0 | $1,990 | $0 | $0 | $1,990 | $0 | $1,990 | $0 | 0 | 0 | ||
| BENEFIT OPTION Total | $0 | $26,037 | $79 | $86 | $26,202 | $0 | $26,202 | $0 | 0 | 0 | ||
| NPOS2-STANDALONE NETWORK POS PLAN COPY NO RX | RMEPDP-RETIRED MEDICARE ELIGIBLE W/PDP PLAN | $0 | $161 | $0 | $0 | $161 | $0 | $161 | $0 | 0 | 0 | |
| BENEFIT OPTION Total | $0 | $161 | $0 | $0 | $161 | $0 | $161 | $0 | 0 | 0 | ||
| OAPAE-OAP PLAN ALL EMPLOYEES | BOARD-ACTIVE BOARD MEMBERS | ($47) | $0 | $0 | $0 | ($47) | $0 | ($47) | $0 | 0 | 0 | |
| EXEC1-ALL EXECUTIVES | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $3,880 | 0 | 0 | ||
| E1211-EXECUTIVES/ELECTED OFFICIALS | $13,586 | $273,404 | $0 | $108,580 | $395,570 | $0 | $395,570 | $0 | 103 | 243 | ||
| E2221-FOP EXECUTIVES | $754 | $12,077 | $0 | $0 | $12,830 | $0 | $12,830 | $0 | 4 | 15 | ||
| MDIS-ALL MEDICARE ELIGIBLES UNDER 65 | $108 | $104 | $0 | $310 | $522 | $0 | $522 | $36 | 1 | 2 | ||
| MRET-ALL MEDICARE ELIGIBLES 65+ RETIRED | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $834 | 0 | 0 | ||
| MRETE2-EXECUTIVES MEDICARE RETIREE W/DEP 65 + | $115 | $275 | $0 | $5,024 | $5,414 | $0 | $5,414 | $0 | 2 | 2 | ||
| MRG1-MEDICARE RETIREE 65+ W/ DEP UNDER 65 | $1,380 | $6,523 | $0 | $22,067 | $29,970 | $0 | $29,970 | $0 | 18 | 28 | ||
| MRG2-MEDICARE RETIREE 65+ W/ DEP 65+ | $213 | $0 | $0 | $7,105 | $7,318 | $0 | $7,318 | $0 | 4 | 4 | ||
| NAGEN-ACTIVE EMPLOYEES (GENERAL) | $174,061 | $1,701,049 | $14,618 | $764,275 | $2,654,003 | $0 | $2,654,003 | $0 | 1,499 | 3,156 | ||
| NAMC-ACTIVE EMPLOYEES (M/C) | $19,024 | $377,683 | $28,491 | $129,998 | $555,195 | $0 | $555,195 | $0 | 169 | 343 | ||
| NASEA-ACTIVE EMPLOYEES (SEA) | $16,330 | $61,983 | $0 | $80,348 | $158,661 | $0 | $158,661 | $0 | 155 | 301 | ||
| NATC-ALL ACTIVE EMPLOYEES | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $66,066 | 0 | 0 | ||
| NRET-RETIRED -65 OR OTHERWISE NOT ELIGIBLE FOR MEDICARE | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $5,185 | 0 | 0 | ||
| NRETE1-NON-MEDICARE RETIREE W/DEP - 65 | $1,007 | $88,839 | $0 | $12,192 | $102,038 | $0 | $102,038 | $0 | 12 | 18 | ||
| NRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $8,350 | $53,533 | $303 | $91,495 | $153,681 | $0 | $153,681 | $0 | 117 | 154 | ||
| NRETG2-NON-MEDICARE RETIREE - 65 W/ DEP 65 + | $171 | $65 | $0 | $326 | $562 | $0 | $562 | $0 | 3 | 3 | ||
| NRMC1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $568 | $6,954 | $0 | $28 | $7,550 | $0 | $7,550 | $0 | 7 | 11 | ||
| NRSEA1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $267 | $401 | $0 | $4,705 | $5,373 | $0 | $5,373 | $0 | 3 | 4 | ||
| BENEFIT OPTION Total | $235,886 | $2,582,890 | $43,412 | $1,226,454 | $4,088,643 | $0 | $4,088,643 | $76,001 | 2,097 | 4,284 | ||
| OAPCE-OAP PLAN COMP EES | NRET-RETIRED -65 OR OTHERWISE NOT ELIGIBLE FOR MEDICARE | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $29 | 0 | 0 | |
| NRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $40 | $0 | $0 | $10 | $50 | $0 | $50 | $0 | 1 | 1 | ||
| BENEFIT OPTION Total | $40 | $0 | $0 | $10 | $50 | $0 | $50 | $29 | 1 | 1 | ||
| OAPCX-OAP COMP EES NO RX | MRG2-MEDICARE RETIREE 65+ W/ DEP 65+ | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 1 | 1 | |
| RMEPDP-RETIRED MEDICARE ELIGIBLE W/PDP PLAN | $166 | $83 | $0 | $0 | $249 | $0 | $249 | $115 | 3 | 3 | ||
| BENEFIT OPTION Total | $166 | $83 | $0 | $0 | $249 | $0 | $249 | $115 | 4 | 4 | ||
| OAPNX-OAP PLAN NO RX | MDIS-ALL MEDICARE ELIGIBLES UNDER 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 1 | 1 | |
| MRG1-MEDICARE RETIREE 65+ W/ DEP UNDER 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 2 | 2 | ||
| MRG2-MEDICARE RETIREE 65+ W/ DEP 65+ | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 3 | 4 | ||
| NAMC-ACTIVE EMPLOYEES (M/C) | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 1 | 1 | ||
| NRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 1 | 2 | ||
| RMEPDP-RETIRED MEDICARE ELIGIBLE W/PDP PLAN | $10,329 | $41,801 | $3,288 | $0 | $55,418 | $0 | $55,418 | $5,584 | 146 | 170 | ||
| RMEXEC-RETIRED MEDICARE ELIGIBLE EXECUTIVES W/PDP PLAN | $370 | $6,211 | $2 | $0 | $6,582 | $0 | $6,582 | $254 | 7 | 8 | ||
| BENEFIT OPTION Total | $10,699 | $48,012 | $3,290 | $0 | $62,000 | $0 | $62,000 | $5,838 | 161 | 188 | ||
| VIS-CIGNA VISION FOR NETWORK PARTICIPANTS (B | EXEC1-ALL EXECUTIVES | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $20 | 0 | 0 | |
| E1211-EXECUTIVES/ELECTED OFFICIALS | $0 | $370 | $0 | $0 | $370 | $0 | $370 | $0 | 55 | 123 | ||
| E2221-FOP EXECUTIVES | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 1 | 3 | ||
| MDIS-ALL MEDICARE ELIGIBLES UNDER 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 2 | 3 | ||
| MRET-ALL MEDICARE ELIGIBLES 65+ RETIRED | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $1 | 0 | 0 | ||
| MRG1-MEDICARE RETIREE 65+ W/ DEP UNDER 65 | $0 | $45 | $0 | $0 | $45 | $0 | $45 | $0 | 4 | 27 | ||
| MRG2-MEDICARE RETIREE 65+ W/ DEP 65+ | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 6 | 9 | ||
| NAGEN-ACTIVE EMPLOYEES (GENERAL) | $0 | $19,079 | $0 | $0 | $19,079 | $0 | $19,079 | $0 | 831 | 1,723 | ||
| NAMC-ACTIVE EMPLOYEES (M/C) | $0 | $4,542 | $0 | $0 | $4,542 | $0 | $4,542 | $0 | 76 | 151 | ||
| NASEA-ACTIVE EMPLOYEES (SEA) | $0 | $2,282 | $0 | $0 | $2,282 | $0 | $2,282 | $0 | 119 | 228 | ||
| NATC-ALL ACTIVE EMPLOYEES | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $358 | 0 | 0 | ||
| NRET-RETIRED -65 OR OTHERWISE NOT ELIGIBLE FOR MEDICARE | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $47 | 0 | 0 | ||
| NRETE1-NON-MEDICARE RETIREE W/DEP - 65 | $0 | $63 | $0 | $0 | $63 | $0 | $63 | $0 | 12 | 18 | ||
| NRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $0 | $345 | $0 | $0 | $345 | $0 | $345 | $0 | 110 | 147 | ||
| NRETG2-NON-MEDICARE RETIREE - 65 W/ DEP 65 + | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 2 | 2 | ||
| NRMC1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 7 | 11 | ||
| NRSEA1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 3 | 4 | ||
| RMEPDP-RETIRED MEDICARE ELIGIBLE W/PDP PLAN | $0 | $328 | $0 | $0 | $328 | $0 | $328 | $55 | 148 | 178 | ||
| RMEXEC-RETIRED MEDICARE ELIGIBLE EXECUTIVES W/PDP PLAN | $0 | $25 | $0 | $0 | $25 | $0 | $25 | $2 | 7 | 8 | ||
| BENEFIT OPTION Total | $0 | $27,080 | $0 | $0 | $27,080 | $0 | $27,080 | $484 | 1,383 | 2,635 | ||
| Feb-2025 Total | $246,791 | $2,684,262 | $46,781 | $1,226,551 | $4,204,384 | $0 | $4,204,384 | $82,466 | 5,646 | 11,269 | ||
| Mar-25 | COH-CIGNA ONSITE HEALTH | E1211-EXECUTIVES/ELECTED OFFICIALS | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 102 | 245 |
| E2221-FOP EXECUTIVES | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 4 | 15 | ||
| MDIS-ALL MEDICARE ELIGIBLES UNDER 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 1 | 2 | ||
| MRETE2-EXECUTIVES MEDICARE RETIREE W/DEP 65 + | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 1 | 1 | ||
| MRG1-MEDICARE RETIREE 65+ W/ DEP UNDER 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 16 | 25 | ||
| MRG2-MEDICARE RETIREE 65+ W/ DEP 65+ | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 2 | 2 | ||
| NAGEN-ACTIVE EMPLOYEES (GENERAL) | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 1,502 | 3,166 | ||
| NAMC-ACTIVE EMPLOYEES (M/C) | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 170 | 345 | ||
| NASEA-ACTIVE EMPLOYEES (SEA) | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 155 | 301 | ||
| NCOB-COBRA PARTICIPANTS | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 1 | 1 | ||
| NRETE1-NON-MEDICARE RETIREE W/DEP - 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 4 | 7 | ||
| NRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 39 | 51 | ||
| NRETG2-NON-MEDICARE RETIREE - 65 W/ DEP 65 + | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 2 | 2 | ||
| NRMC1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 3 | 6 | ||
| NRSEA1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 2 | 3 | ||
| BENEFIT OPTION Total | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 2,004 | 4,172 | ||
| NPOS-NETWORK OPEN ACCESS POS (ALL EMPLOYEES) | E1211-EXECUTIVES/ELECTED OFFICIALS | ($118) | $104 | $143 | $0 | $129 | $0 | $129 | $0 | 0 | 0 | |
| MRETE2-EXECUTIVES MEDICARE RETIREE W/DEP 65 + | $11 | $0 | $0 | $0 | $11 | $0 | $11 | $0 | 0 | 0 | ||
| NAGEN-ACTIVE EMPLOYEES (GENERAL) | $553 | $16,598 | $428 | $0 | $17,578 | $0 | $17,578 | $0 | 0 | 0 | ||
| NAIAFF-ACTIVE EMPLOYEES (IAFF) | $0 | ($468) | $0 | $0 | ($468) | $0 | ($468) | $0 | 0 | 0 | ||
| NAMC-ACTIVE EMPLOYEES (M/C) | $4 | ($59) | $0 | $0 | ($55) | $0 | ($55) | $0 | 0 | 0 | ||
| NASEA-ACTIVE EMPLOYEES (SEA) | $455 | $22 | $0 | $0 | $477 | $0 | $477 | $0 | 0 | 0 | ||
| NRETE1-NON-MEDICARE RETIREE W/DEP - 65 | $17 | $0 | $0 | $0 | $17 | $0 | $17 | $0 | 0 | 0 | ||
| NRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $0 | $223 | $0 | $0 | $223 | $0 | $223 | $0 | 0 | 0 | ||
| BENEFIT OPTION Total | $921 | $16,420 | $571 | $0 | $17,911 | $0 | $17,911 | $0 | 0 | 0 | ||
| NPOS2-STANDALONE NETWORK POS PLAN COPY NO RX | RMEPDP-RETIRED MEDICARE ELIGIBLE W/PDP PLAN | $0 | ($20,344) | $0 | $0 | ($20,344) | $0 | ($20,344) | $0 | 0 | 0 | |
| BENEFIT OPTION Total | $0 | ($20,344) | $0 | $0 | ($20,344) | $0 | ($20,344) | $0 | 0 | 0 | ||
| OAPAE-OAP PLAN ALL EMPLOYEES | EXEC1-ALL EXECUTIVES | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $3,880 | 0 | 0 | |
| E1211-EXECUTIVES/ELECTED OFFICIALS | $12,533 | $218,542 | $1,573 | $111,620 | $344,268 | $0 | $344,268 | $0 | 103 | 246 | ||
| E2221-FOP EXECUTIVES | $765 | $6,181 | $0 | $98 | $7,044 | $0 | $7,044 | $0 | 4 | 15 | ||
| MDIS-ALL MEDICARE ELIGIBLES UNDER 65 | $95 | $402 | $0 | $15 | $512 | $0 | $512 | $36 | 1 | 2 | ||
| MRET-ALL MEDICARE ELIGIBLES 65+ RETIRED | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $834 | 0 | 0 | ||
| MRETE2-EXECUTIVES MEDICARE RETIREE W/DEP 65 + | $101 | $0 | $0 | $0 | $101 | $0 | $101 | $0 | 2 | 2 | ||
| MRG1-MEDICARE RETIREE 65+ W/ DEP UNDER 65 | $1,237 | $10,826 | $0 | $9,441 | $21,505 | $0 | $21,505 | $0 | 18 | 28 | ||
| MRG2-MEDICARE RETIREE 65+ W/ DEP 65+ | $193 | $445 | $490 | $6,086 | $7,215 | $0 | $7,215 | $0 | 4 | 4 | ||
| NAGEN-ACTIVE EMPLOYEES (GENERAL) | $166,004 | $1,761,191 | $21,229 | $773,366 | $2,721,790 | $0 | $2,721,790 | $0 | 1,502 | 3,166 | ||
| NAMC-ACTIVE EMPLOYEES (M/C) | $18,395 | $208,239 | $18,088 | $109,876 | $354,598 | $0 | $354,598 | $0 | 170 | 345 | ||
| NASEA-ACTIVE EMPLOYEES (SEA) | $16,055 | $158,373 | $0 | $55,164 | $229,593 | $0 | $229,593 | $0 | 155 | 301 | ||
| NATC-ALL ACTIVE EMPLOYEES | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $66,211 | 0 | 0 | ||
| NCOB-COBRA PARTICIPANTS | ($3) | $0 | $0 | $0 | ($3) | $0 | ($3) | $0 | 0 | 0 | ||
| NRET-RETIRED -65 OR OTHERWISE NOT ELIGIBLE FOR MEDICARE | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $5,221 | 0 | 0 | ||
| NRETE1-NON-MEDICARE RETIREE W/DEP - 65 | $1,452 | $25,358 | $0 | $6,891 | $33,702 | $0 | $33,702 | $0 | 12 | 18 | ||
| NRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $8,034 | $155,999 | $4,450 | $88,030 | $256,512 | $0 | $256,512 | $0 | 118 | 155 | ||
| NRETG2-NON-MEDICARE RETIREE - 65 W/ DEP 65 + | $151 | $22 | $0 | ($236) | ($63) | $0 | ($63) | $0 | 3 | 3 | ||
| NRMC1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $503 | $1,947 | $0 | $550 | $3,000 | $0 | $3,000 | $0 | 7 | 11 | ||
| NRSEA1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $234 | $16,756 | $0 | $1,930 | $18,919 | $0 | $18,919 | $0 | 3 | 4 | ||
| BENEFIT OPTION Total | $225,751 | $2,564,282 | $45,829 | $1,162,830 | $3,998,693 | $0 | $3,998,693 | $76,182 | 2,102 | 4,300 | ||
| OAPCE-OAP PLAN COMP EES | NRET-RETIRED -65 OR OTHERWISE NOT ELIGIBLE FOR MEDICARE | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $29 | 0 | 0 | |
| NRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $34 | $499 | $0 | $5 | $538 | $0 | $538 | $0 | 1 | 1 | ||
| BENEFIT OPTION Total | $34 | $499 | $0 | $5 | $538 | $0 | $538 | $29 | 1 | 1 | ||
| OAPCX-OAP COMP EES NO RX | MRG2-MEDICARE RETIREE 65+ W/ DEP 65+ | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 1 | 1 | |
| RMEPDP-RETIRED MEDICARE ELIGIBLE W/PDP PLAN | $144 | $197 | $0 | $0 | $341 | $0 | $341 | $115 | 3 | 3 | ||
| BENEFIT OPTION Total | $144 | $197 | $0 | $0 | $341 | $0 | $341 | $115 | 4 | 4 | ||
| OAPNX-OAP PLAN NO RX | MDIS-ALL MEDICARE ELIGIBLES UNDER 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 1 | 1 | |
| MRG1-MEDICARE RETIREE 65+ W/ DEP UNDER 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 2 | 2 | ||
| MRG2-MEDICARE RETIREE 65+ W/ DEP 65+ | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 3 | 4 | ||
| NAMC-ACTIVE EMPLOYEES (M/C) | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 1 | 1 | ||
| NRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 1 | 2 | ||
| RMEPDP-RETIRED MEDICARE ELIGIBLE W/PDP PLAN | $9,308 | $78,350 | $3,664 | $0 | $91,322 | $0 | $91,322 | $5,512 | 144 | 168 | ||
| RMEXEC-RETIRED MEDICARE ELIGIBLE EXECUTIVES W/PDP PLAN | $381 | $1,306 | $484 | $0 | $2,171 | $0 | $2,171 | $218 | 6 | 7 | ||
| BENEFIT OPTION Total | $9,689 | $79,656 | $4,148 | $0 | $93,493 | $0 | $93,493 | $5,729 | 158 | 185 | ||
| VIS-CIGNA VISION FOR NETWORK PARTICIPANTS (B | EXEC1-ALL EXECUTIVES | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $19 | 0 | 0 | |
| E1211-EXECUTIVES/ELECTED OFFICIALS | $0 | $150 | $0 | $0 | $150 | $0 | $150 | $0 | 54 | 122 | ||
| E2221-FOP EXECUTIVES | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 1 | 3 | ||
| MDIS-ALL MEDICARE ELIGIBLES UNDER 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 2 | 3 | ||
| MRET-ALL MEDICARE ELIGIBLES 65+ RETIRED | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $1 | 0 | 0 | ||
| MRG1-MEDICARE RETIREE 65+ W/ DEP UNDER 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 4 | 27 | ||
| MRG2-MEDICARE RETIREE 65+ W/ DEP 65+ | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 6 | 9 | ||
| NAGEN-ACTIVE EMPLOYEES (GENERAL) | $0 | $8,738 | $0 | $0 | $8,738 | $0 | $8,738 | $0 | 834 | 1,728 | ||
| NAMC-ACTIVE EMPLOYEES (M/C) | $0 | $1,976 | $0 | $0 | $1,976 | $0 | $1,976 | $0 | 76 | 151 | ||
| NASEA-ACTIVE EMPLOYEES (SEA) | $0 | $2,960 | $0 | $0 | $2,960 | $0 | $2,960 | $0 | 119 | 228 | ||
| NATC-ALL ACTIVE EMPLOYEES | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $359 | 0 | 0 | ||
| NRET-RETIRED -65 OR OTHERWISE NOT ELIGIBLE FOR MEDICARE | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $47 | 0 | 0 | ||
| NRETE1-NON-MEDICARE RETIREE W/DEP - 65 | $0 | $70 | $0 | $0 | $70 | $0 | $70 | $0 | 12 | 18 | ||
| NRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $0 | $834 | $0 | $0 | $834 | $0 | $834 | $0 | 111 | 148 | ||
| NRETG2-NON-MEDICARE RETIREE - 65 W/ DEP 65 + | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 2 | 2 | ||
| NRMC1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 7 | 11 | ||
| NRSEA1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 3 | 4 | ||
| RMEPDP-RETIRED MEDICARE ELIGIBLE W/PDP PLAN | $0 | $60 | $0 | $0 | $60 | $0 | $60 | $54 | 146 | 176 | ||
| RMEXEC-RETIRED MEDICARE ELIGIBLE EXECUTIVES W/PDP PLAN | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $2 | 6 | 7 | ||
| BENEFIT OPTION Total | $0 | $14,787 | $0 | $0 | $14,787 | $0 | $14,787 | $484 | 1,383 | 2,637 | ||
| Mar-2025 Total | $236,539 | $2,655,497 | $50,548 | $1,162,835 | $4,105,419 | $0 | $4,105,419 | $82,539 | 5,652 | 11,299 | ||
| Apr-25 | COH-CIGNA ONSITE HEALTH | E1211-EXECUTIVES/ELECTED OFFICIALS | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 103 | 246 |
| E2221-FOP EXECUTIVES | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 4 | 15 | ||
| MDIS-ALL MEDICARE ELIGIBLES UNDER 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 1 | 2 | ||
| MRETE2-EXECUTIVES MEDICARE RETIREE W/DEP 65 + | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 1 | 1 | ||
| MRG1-MEDICARE RETIREE 65+ W/ DEP UNDER 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 16 | 25 | ||
| MRG2-MEDICARE RETIREE 65+ W/ DEP 65+ | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 2 | 2 | ||
| NAGEN-ACTIVE EMPLOYEES (GENERAL) | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 1,497 | 3,161 | ||
| NAMC-ACTIVE EMPLOYEES (M/C) | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 171 | 343 | ||
| NASEA-ACTIVE EMPLOYEES (SEA) | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 155 | 301 | ||
| NCOB-COBRA PARTICIPANTS | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 1 | 1 | ||
| NRETE1-NON-MEDICARE RETIREE W/DEP - 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 4 | 7 | ||
| NRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 39 | 51 | ||
| NRETG2-NON-MEDICARE RETIREE - 65 W/ DEP 65 + | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 2 | 2 | ||
| NRMC1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 3 | 6 | ||
| NRSEA1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 2 | 3 | ||
| BENEFIT OPTION Total | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 2,001 | 4,166 | ||
| NPOS-NETWORK OPEN ACCESS POS (ALL EMPLOYEES) | E1211-EXECUTIVES/ELECTED OFFICIALS | $0 | ($849) | $143 | $0 | ($706) | $0 | ($706) | $0 | 0 | 0 | |
| MRIAF1-MEDICARE RETIREE 65 + W/ DEP UNDER 65 | $0 | ($95) | ($158) | $0 | ($253) | $0 | ($253) | $0 | 0 | 0 | ||
| NAGEN-ACTIVE EMPLOYEES (GENERAL) | $0 | $5,962 | $1,227 | $65 | $7,254 | $0 | $7,254 | $0 | 0 | 0 | ||
| NAMC-ACTIVE EMPLOYEES (M/C) | $0 | ($6,618) | $0 | $0 | ($6,618) | $0 | ($6,618) | $0 | 0 | 0 | ||
| NASEA-ACTIVE EMPLOYEES (SEA) | $0 | ($1,066) | $0 | $0 | ($1,066) | $0 | ($1,066) | $0 | 0 | 0 | ||
| NRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $0 | $1,840 | $0 | $0 | $1,840 | $0 | $1,840 | $0 | 0 | 0 | ||
| BENEFIT OPTION Total | $0 | ($826) | $1,212 | $65 | $451 | $0 | $451 | $0 | 0 | 0 | ||
| NPOS2-STANDALONE NETWORK POS PLAN COPY NO RX | RMEPDP-RETIRED MEDICARE ELIGIBLE W/PDP PLAN | $0 | $42 | $0 | $0 | $42 | $0 | $42 | $0 | 0 | 0 | |
| BENEFIT OPTION Total | $0 | $42 | $0 | $0 | $42 | $0 | $42 | $0 | 0 | 0 | ||
| OAPAE-OAP PLAN ALL EMPLOYEES | EXEC1-ALL EXECUTIVES | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $3,880 | 0 | 0 | |
| E1211-EXECUTIVES/ELECTED OFFICIALS | $13,289 | $279,173 | $1,126 | $71,093 | $364,682 | ($22,032) | $342,650 | $0 | 103 | 246 | ||
| E2221-FOP EXECUTIVES | $802 | $2,196 | $0 | $1,367 | $4,365 | $0 | $4,365 | $0 | 4 | 15 | ||
| MDIS-ALL MEDICARE ELIGIBLES UNDER 65 | $107 | $3 | $0 | $207 | $317 | $0 | $317 | $36 | 1 | 2 | ||
| MRET-ALL MEDICARE ELIGIBLES 65+ RETIRED | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $834 | 0 | 0 | ||
| MRETE2-EXECUTIVES MEDICARE RETIREE W/DEP 65 + | $113 | $0 | $0 | $4,893 | $5,006 | $0 | $5,006 | $0 | 2 | 2 | ||
| MRG1-MEDICARE RETIREE 65+ W/ DEP UNDER 65 | $1,366 | $18,877 | $40 | $11,143 | $31,426 | $0 | $31,426 | $0 | 18 | 28 | ||
| MRG2-MEDICARE RETIREE 65+ W/ DEP 65+ | $211 | $25 | $0 | $6,646 | $6,882 | $0 | $6,882 | $0 | 4 | 4 | ||
| NAGEN-ACTIVE EMPLOYEES (GENERAL) | $168,999 | $2,284,809 | $52,091 | $800,566 | $3,306,465 | $0 | $3,306,465 | $0 | 1,497 | 3,161 | ||
| NAIAFF-ACTIVE EMPLOYEES (IAFF) | $0 | $9,433 | $0 | $0 | $9,433 | $0 | $9,433 | $0 | 0 | 0 | ||
| NAMC-ACTIVE EMPLOYEES (M/C) | $19,337 | $236,330 | $1,537 | $87,439 | $344,643 | $0 | $344,643 | $0 | 171 | 343 | ||
| NASEA-ACTIVE EMPLOYEES (SEA) | $15,998 | $159,440 | $0 | $64,858 | $240,295 | $0 | $240,295 | $0 | 155 | 301 | ||
| NATC-ALL ACTIVE EMPLOYEES | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $66,102 | 0 | 0 | ||
| NRET-RETIRED -65 OR OTHERWISE NOT ELIGIBLE FOR MEDICARE | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $5,185 | 0 | 0 | ||
| NRETE1-NON-MEDICARE RETIREE W/DEP - 65 | $997 | $5,027 | $29 | $4,710 | $10,762 | $0 | $10,762 | $0 | 12 | 18 | ||
| NRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $8,367 | $284,452 | $495 | $64,155 | $357,469 | $0 | $357,469 | $0 | 117 | 154 | ||
| NRETG2-NON-MEDICARE RETIREE - 65 W/ DEP 65 + | $169 | $157 | $0 | $44 | $370 | $0 | $370 | $0 | 3 | 3 | ||
| NRMC1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $561 | $6,126 | $0 | $248 | $6,936 | $0 | $6,936 | $0 | 7 | 11 | ||
| NRSEA1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $218 | $148 | $0 | $2,834 | $3,200 | $0 | $3,200 | $0 | 3 | 4 | ||
| BENEFIT OPTION Total | $230,534 | $3,286,196 | $55,318 | $1,120,203 | $4,692,251 | ($22,032) | $4,670,219 | $76,037 | 2,097 | 4,292 | ||
| OAPCE-OAP PLAN COMP EES | NRET-RETIRED -65 OR OTHERWISE NOT ELIGIBLE FOR MEDICARE | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $29 | 0 | 0 | |
| NRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $40 | $1,758 | $0 | ($5) | $1,792 | $0 | $1,792 | $0 | 1 | 1 | ||
| BENEFIT OPTION Total | $40 | $1,758 | $0 | ($5) | $1,792 | $0 | $1,792 | $29 | 1 | 1 | ||
| OAPCX-OAP COMP EES NO RX | MRG2-MEDICARE RETIREE 65+ W/ DEP 65+ | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 1 | 1 | |
| RMEPDP-RETIRED MEDICARE ELIGIBLE W/PDP PLAN | $166 | $527 | $8 | $0 | $701 | $0 | $701 | $115 | 3 | 3 | ||
| BENEFIT OPTION Total | $166 | $527 | $8 | $0 | $701 | $0 | $701 | $115 | 4 | 4 | ||
| OAPNX-OAP PLAN NO RX | MDIS-ALL MEDICARE ELIGIBLES UNDER 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 1 | 1 | |
| MRG1-MEDICARE RETIREE 65+ W/ DEP UNDER 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 2 | 2 | ||
| MRG2-MEDICARE RETIREE 65+ W/ DEP 65+ | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 3 | 4 | ||
| NAMC-ACTIVE EMPLOYEES (M/C) | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 1 | 1 | ||
| NRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 1 | 2 | ||
| RMEPDP-RETIRED MEDICARE ELIGIBLE W/PDP PLAN | $9,222 | $78,111 | $4,100 | $0 | $91,432 | $0 | $91,432 | $5,475 | 143 | 167 | ||
| RMEXEC-RETIRED MEDICARE ELIGIBLE EXECUTIVES W/PDP PLAN | $367 | $914 | $287 | $0 | $1,568 | $0 | $1,568 | $218 | 6 | 7 | ||
| BENEFIT OPTION Total | $9,589 | $79,024 | $4,387 | $0 | $93,000 | $0 | $93,000 | $5,693 | 157 | 184 | ||
| VIS-CIGNA VISION FOR NETWORK PARTICIPANTS (B | EXEC1-ALL EXECUTIVES | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $19 | 0 | 0 | |
| E1211-EXECUTIVES/ELECTED OFFICIALS | $0 | $240 | $0 | $0 | $240 | $0 | $240 | $0 | 54 | 121 | ||
| E2221-FOP EXECUTIVES | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 1 | 3 | ||
| MDIS-ALL MEDICARE ELIGIBLES UNDER 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 2 | 3 | ||
| MRET-ALL MEDICARE ELIGIBLES 65+ RETIRED | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $1 | 0 | 0 | ||
| MRG1-MEDICARE RETIREE 65+ W/ DEP UNDER 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 4 | 27 | ||
| MRG2-MEDICARE RETIREE 65+ W/ DEP 65+ | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 6 | 9 | ||
| NAGEN-ACTIVE EMPLOYEES (GENERAL) | $0 | $2,425 | $0 | $0 | $2,425 | $0 | $2,425 | $0 | 834 | 1,729 | ||
| NAMC-ACTIVE EMPLOYEES (M/C) | $0 | $680 | $0 | $0 | $680 | $0 | $680 | $0 | 76 | 151 | ||
| NASEA-ACTIVE EMPLOYEES (SEA) | $0 | $200 | $0 | $0 | $200 | $0 | $200 | $0 | 119 | 228 | ||
| NATC-ALL ACTIVE EMPLOYEES | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $359 | 0 | 0 | ||
| NRET-RETIRED -65 OR OTHERWISE NOT ELIGIBLE FOR MEDICARE | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $47 | 0 | 0 | ||
| NRETE1-NON-MEDICARE RETIREE W/DEP - 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 12 | 18 | ||
| NRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $0 | $362 | $0 | $0 | $362 | $0 | $362 | $0 | 110 | 147 | ||
| NRETG2-NON-MEDICARE RETIREE - 65 W/ DEP 65 + | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 2 | 2 | ||
| NRMC1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $0 | $140 | $0 | $0 | $140 | $0 | $140 | $0 | 7 | 11 | ||
| NRSEA1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 3 | 4 | ||
| RMEPDP-RETIRED MEDICARE ELIGIBLE W/PDP PLAN | $0 | $165 | $0 | $0 | $165 | $0 | $165 | $54 | 145 | 175 | ||
| RMEXEC-RETIRED MEDICARE ELIGIBLE EXECUTIVES W/PDP PLAN | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $2 | 6 | 7 | ||
| BENEFIT OPTION Total | $0 | $4,211 | $0 | $0 | $4,211 | $0 | $4,211 | $483 | 1,381 | 2,635 | ||
| Apr-2025 Total | $240,329 | $3,370,932 | $60,924 | $1,120,263 | $4,792,448 | ($22,032) | $4,770,417 | $82,357 | 5,641 | 11,282 | ||
| May-25 | COH-CIGNA ONSITE HEALTH | E1211-EXECUTIVES/ELECTED OFFICIALS | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 101 | 245 |
| E2221-FOP EXECUTIVES | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 4 | 15 | ||
| MDIS-ALL MEDICARE ELIGIBLES UNDER 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 1 | 2 | ||
| MRETE2-EXECUTIVES MEDICARE RETIREE W/DEP 65 + | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 1 | 1 | ||
| MRG1-MEDICARE RETIREE 65+ W/ DEP UNDER 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 16 | 25 | ||
| MRG2-MEDICARE RETIREE 65+ W/ DEP 65+ | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 2 | 2 | ||
| NAGEN-ACTIVE EMPLOYEES (GENERAL) | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 1,498 | 3,165 | ||
| NAMC-ACTIVE EMPLOYEES (M/C) | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 171 | 345 | ||
| NASEA-ACTIVE EMPLOYEES (SEA) | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 155 | 301 | ||
| NCOB-COBRA PARTICIPANTS | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 2 | 2 | ||
| NRETE1-NON-MEDICARE RETIREE W/DEP - 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 4 | 7 | ||
| NRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 41 | 52 | ||
| NRETG2-NON-MEDICARE RETIREE - 65 W/ DEP 65 + | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 2 | 2 | ||
| NRMC1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 3 | 6 | ||
| NRSEA1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 2 | 3 | ||
| BENEFIT OPTION Total | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 2,003 | 4,173 | ||
| NPOS-NETWORK OPEN ACCESS POS (ALL EMPLOYEES) | E1211-EXECUTIVES/ELECTED OFFICIALS | $0 | $568 | $285 | $0 | $854 | $0 | $854 | $0 | 0 | 0 | |
| NAGEN-ACTIVE EMPLOYEES (GENERAL) | $0 | $1,816 | $998 | $0 | $2,814 | $0 | $2,814 | $0 | 0 | 0 | ||
| NAMC-ACTIVE EMPLOYEES (M/C) | $0 | $286 | $143 | $0 | $429 | $0 | $429 | $0 | 0 | 0 | ||
| NASEA-ACTIVE EMPLOYEES (SEA) | $0 | $224 | $0 | $0 | $224 | $0 | $224 | $0 | 0 | 0 | ||
| NRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $0 | $19,404 | $285 | $0 | $19,689 | $0 | $19,689 | $0 | 0 | 0 | ||
| BENEFIT OPTION Total | $0 | $22,298 | $1,712 | $0 | $24,010 | $0 | $24,010 | $0 | 0 | 0 | ||
| NPOS2-STANDALONE NETWORK POS PLAN COPY NO RX | RMEPDP-RETIRED MEDICARE ELIGIBLE W/PDP PLAN | $0 | ($18) | $0 | $0 | ($18) | $0 | ($18) | $0 | 0 | 0 | |
| BENEFIT OPTION Total | $0 | ($18) | $0 | $0 | ($18) | $0 | ($18) | $0 | 0 | 0 | ||
| OAPAE-OAP PLAN ALL EMPLOYEES | EXEC1-ALL EXECUTIVES | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $3,807 | 0 | 0 | |
| E1211-EXECUTIVES/ELECTED OFFICIALS | $13,300 | $339,466 | $2,191 | $61,312 | $416,268 | ($27,339) | $388,929 | $0 | 101 | 245 | ||
| E2221-FOP EXECUTIVES | $883 | $19,345 | $0 | ($259) | $19,968 | $0 | $19,968 | $0 | 4 | 15 | ||
| MDIS-ALL MEDICARE ELIGIBLES UNDER 65 | $108 | $2,479 | $0 | $194 | $2,780 | $0 | $2,780 | $36 | 1 | 2 | ||
| MRET-ALL MEDICARE ELIGIBLES 65+ RETIRED | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $870 | 0 | 0 | ||
| MRETE2-EXECUTIVES MEDICARE RETIREE W/DEP 65 + | $114 | $0 | $0 | $80 | $194 | $0 | $194 | $0 | 2 | 2 | ||
| MRG1-MEDICARE RETIREE 65+ W/ DEP UNDER 65 | $1,383 | $8,744 | $60 | $10,924 | $21,112 | $0 | $21,112 | $0 | 18 | 28 | ||
| MRG2-MEDICARE RETIREE 65+ W/ DEP 65+ | $213 | $536 | $0 | $6,892 | $7,640 | $0 | $7,640 | $0 | 4 | 4 | ||
| NAGEN-ACTIVE EMPLOYEES (GENERAL) | $176,511 | $2,756,960 | $32,519 | $704,632 | $3,670,622 | ($393,063) | $3,277,560 | $0 | 1,497 | 3,164 | ||
| NAMC-ACTIVE EMPLOYEES (M/C) | $19,543 | $180,038 | $14 | $88,052 | $287,648 | $0 | $287,648 | $0 | 171 | 345 | ||
| NASEA-ACTIVE EMPLOYEES (SEA) | $17,433 | $129,567 | $265 | $68,792 | $216,057 | $0 | $216,057 | $0 | 155 | 301 | ||
| NATC-ALL ACTIVE EMPLOYEES | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $66,102 | 0 | 0 | ||
| NCOB-COBRA PARTICIPANTS | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $36 | 1 | 1 | ||
| NRET-RETIRED -65 OR OTHERWISE NOT ELIGIBLE FOR MEDICARE | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $5,221 | 0 | 0 | ||
| NRETE1-NON-MEDICARE RETIREE W/DEP - 65 | $1,014 | $12,471 | $0 | $16,275 | $29,761 | $0 | $29,761 | $0 | 12 | 18 | ||
| NRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $8,521 | $302,609 | ($1,205) | $108,068 | $417,994 | $0 | $417,994 | $0 | 119 | 155 | ||
| NRETG2-NON-MEDICARE RETIREE - 65 W/ DEP 65 + | $172 | $1,817 | $0 | $327 | $2,315 | $0 | $2,315 | $0 | 3 | 3 | ||
| NRMC1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $575 | $1,521 | $0 | $827 | $2,924 | $0 | $2,924 | $0 | 7 | 11 | ||
| NRSEA1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $210 | $3,137 | $0 | $1,665 | $5,012 | $0 | $5,012 | $0 | 3 | 4 | ||
| BENEFIT OPTION Total | $239,979 | $3,758,688 | $33,845 | $1,067,781 | $5,100,294 | ($420,402) | $4,679,892 | $76,073 | 2,098 | 4,298 | ||
| OAPCE-OAP PLAN COMP EES | NRET-RETIRED -65 OR OTHERWISE NOT ELIGIBLE FOR MEDICARE | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $29 | 0 | 0 | |
| NRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $40 | $286 | $0 | $39 | $365 | $0 | $365 | $0 | 1 | 1 | ||
| BENEFIT OPTION Total | $40 | $286 | $0 | $39 | $365 | $0 | $365 | $29 | 1 | 1 | ||
| OAPCX-OAP COMP EES NO RX | MRG2-MEDICARE RETIREE 65+ W/ DEP 65+ | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 1 | 1 | |
| RMEPDP-RETIRED MEDICARE ELIGIBLE W/PDP PLAN | $166 | $257 | $90 | $0 | $513 | $0 | $513 | $115 | 3 | 3 | ||
| BENEFIT OPTION Total | $166 | $257 | $90 | $0 | $513 | $0 | $513 | $115 | 4 | 4 | ||
| OAPNX-OAP PLAN NO RX | MDIS-ALL MEDICARE ELIGIBLES UNDER 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 1 | 1 | |
| MRG1-MEDICARE RETIREE 65+ W/ DEP UNDER 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 2 | 2 | ||
| MRG2-MEDICARE RETIREE 65+ W/ DEP 65+ | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 3 | 4 | ||
| NAMC-ACTIVE EMPLOYEES (M/C) | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 1 | 1 | ||
| NRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 1 | 2 | ||
| RMEPDP-RETIRED MEDICARE ELIGIBLE W/PDP PLAN | $9,284 | ($22,435) | $6,574 | $0 | ($6,577) | $0 | ($6,577) | $5,439 | 142 | 166 | ||
| RMEXEC-RETIRED MEDICARE ELIGIBLE EXECUTIVES W/PDP PLAN | $372 | $3,777 | $0 | $0 | $4,150 | $0 | $4,150 | $218 | 6 | 7 | ||
| BENEFIT OPTION Total | $9,657 | ($18,658) | $6,574 | $0 | ($2,427) | $0 | ($2,427) | $5,657 | 156 | 183 | ||
| VIS-CIGNA VISION FOR NETWORK PARTICIPANTS (B | EXEC1-ALL EXECUTIVES | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $19 | 0 | 0 | |
| E1211-EXECUTIVES/ELECTED OFFICIALS | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 52 | 119 | ||
| E2221-FOP EXECUTIVES | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 1 | 3 | ||
| MDIS-ALL MEDICARE ELIGIBLES UNDER 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 2 | 3 | ||
| MRET-ALL MEDICARE ELIGIBLES 65+ RETIRED | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $1 | 0 | 0 | ||
| MRG1-MEDICARE RETIREE 65+ W/ DEP UNDER 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 4 | 27 | ||
| MRG2-MEDICARE RETIREE 65+ W/ DEP 65+ | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 6 | 9 | ||
| NAGEN-ACTIVE EMPLOYEES (GENERAL) | $0 | $1,194 | $0 | $0 | $1,194 | $0 | $1,194 | $0 | 835 | 1,732 | ||
| NAMC-ACTIVE EMPLOYEES (M/C) | $0 | $125 | $0 | $0 | $125 | $0 | $125 | $0 | 77 | 154 | ||
| NASEA-ACTIVE EMPLOYEES (SEA) | $0 | $150 | $0 | $0 | $150 | $0 | $150 | $0 | 119 | 228 | ||
| NATC-ALL ACTIVE EMPLOYEES | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $360 | 0 | 0 | ||
| NRET-RETIRED -65 OR OTHERWISE NOT ELIGIBLE FOR MEDICARE | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $47 | 0 | 0 | ||
| NRETE1-NON-MEDICARE RETIREE W/DEP - 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 12 | 18 | ||
| NRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 111 | 147 | ||
| NRETG2-NON-MEDICARE RETIREE - 65 W/ DEP 65 + | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 2 | 2 | ||
| NRMC1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $0 | $130 | $0 | $0 | $130 | $0 | $130 | $0 | 7 | 11 | ||
| NRSEA1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 3 | 4 | ||
| RMEPDP-RETIRED MEDICARE ELIGIBLE W/PDP PLAN | $0 | $387 | $0 | $0 | $387 | $0 | $387 | $54 | 144 | 174 | ||
| RMEXEC-RETIRED MEDICARE ELIGIBLE EXECUTIVES W/PDP PLAN | $0 | $110 | $0 | $0 | $110 | $0 | $110 | $2 | 6 | 7 | ||
| BENEFIT OPTION Total | $0 | $2,095 | $0 | $0 | $2,095 | $0 | $2,095 | $483 | 1,381 | 2,638 | ||
| May-2025 Total | $249,842 | $3,764,949 | $42,220 | $1,067,820 | $5,124,831 | ($420,402) | $4,704,429 | $82,357 | 5,643 | 11,297 | ||
| Jun-25 | COH-CIGNA ONSITE HEALTH | E1211-EXECUTIVES/ELECTED OFFICIALS | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 98 | 241 |
| E2221-FOP EXECUTIVES | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 4 | 15 | ||
| MDIS-ALL MEDICARE ELIGIBLES UNDER 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 1 | 2 | ||
| MRETE2-EXECUTIVES MEDICARE RETIREE W/DEP 65 + | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 1 | 1 | ||
| MRG1-MEDICARE RETIREE 65+ W/ DEP UNDER 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 16 | 25 | ||
| MRG2-MEDICARE RETIREE 65+ W/ DEP 65+ | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 2 | 2 | ||
| NAGEN-ACTIVE EMPLOYEES (GENERAL) | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 1,494 | 3,161 | ||
| NAMC-ACTIVE EMPLOYEES (M/C) | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 170 | 345 | ||
| NASEA-ACTIVE EMPLOYEES (SEA) | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 153 | 299 | ||
| NCOB-COBRA PARTICIPANTS | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 1 | 1 | ||
| NRETE1-NON-MEDICARE RETIREE W/DEP - 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 5 | 8 | ||
| NRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 41 | 52 | ||
| NRETG2-NON-MEDICARE RETIREE - 65 W/ DEP 65 + | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 2 | 2 | ||
| NRMC1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 3 | 6 | ||
| NRSEA1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 2 | 3 | ||
| BENEFIT OPTION Total | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 1,993 | 4,163 | ||
| NPOS-NETWORK OPEN ACCESS POS (ALL EMPLOYEES) | E1211-EXECUTIVES/ELECTED OFFICIALS | $0 | $16,527 | $143 | $0 | $16,670 | $0 | $16,670 | $0 | 0 | 0 | |
| MRG1-MEDICARE RETIREE 65+ W/ DEP UNDER 65 | $0 | ($10) | $0 | $0 | ($10) | $0 | ($10) | $0 | 0 | 0 | ||
| NAGEN-ACTIVE EMPLOYEES (GENERAL) | $0 | $99,720 | $713 | $80 | $100,513 | $0 | $100,513 | $0 | 0 | 0 | ||
| NAIAFF-ACTIVE EMPLOYEES (IAFF) | $0 | $523 | $0 | $0 | $523 | $0 | $523 | $0 | 0 | 0 | ||
| NAMC-ACTIVE EMPLOYEES (M/C) | $0 | $25,773 | $0 | $0 | $25,773 | $0 | $25,773 | $0 | 0 | 0 | ||
| NASEA-ACTIVE EMPLOYEES (SEA) | $0 | $5,548 | $0 | $0 | $5,548 | $0 | $5,548 | $0 | 0 | 0 | ||
| NCOB-COBRA PARTICIPANTS | $0 | $490 | $0 | $0 | $490 | $0 | $490 | $0 | 0 | 0 | ||
| NRETE1-NON-MEDICARE RETIREE W/DEP - 65 | $0 | $110 | $0 | $0 | $110 | $0 | $110 | $0 | 0 | 0 | ||
| NRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $0 | $10,622 | $143 | $0 | $10,764 | $0 | $10,764 | $0 | 0 | 0 | ||
| NRETG2-NON-MEDICARE RETIREE - 65 W/ DEP 65 + | $0 | $641 | $0 | $0 | $641 | $0 | $641 | $0 | 0 | 0 | ||
| NRMC1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $0 | $10 | $0 | $0 | $10 | $0 | $10 | $0 | 0 | 0 | ||
| BENEFIT OPTION Total | $0 | $159,953 | $998 | $80 | $161,032 | $0 | $161,032 | $0 | 0 | 0 | ||
| NPOS2-STANDALONE NETWORK POS PLAN COPY NO RX | RMEPDP-RETIRED MEDICARE ELIGIBLE W/PDP PLAN | $0 | $7,027 | $0 | $0 | $7,027 | $0 | $7,027 | $0 | 0 | 0 | |
| RMEXEC-RETIRED MEDICARE ELIGIBLE EXECUTIVES W/PDP PLAN | $0 | $318 | $0 | $0 | $318 | $0 | $318 | $0 | 0 | 0 | ||
| BENEFIT OPTION Total | $0 | $7,345 | $0 | $0 | $7,345 | $0 | $7,345 | $0 | 0 | 0 | ||
| OAPAE-OAP PLAN ALL EMPLOYEES | E1211-EXECUTIVES/ELECTED OFFICIALS | $13,255 | $155,313 | $10,844 | $57,243 | $236,655 | $0 | $236,655 | $0 | 99 | 242 | |
| E2221-FOP EXECUTIVES | $810 | $5,790 | $0 | $394 | $6,994 | $0 | $6,994 | $0 | 4 | 15 | ||
| MDIS-ALL MEDICARE ELIGIBLES UNDER 65 | $108 | $1,023 | $0 | $169 | $1,300 | $0 | $1,300 | $0 | 1 | 2 | ||
| MRET-ALL MEDICARE ELIGIBLES 65+ RETIRED | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $36 | 0 | 0 | ||
| MRETE2-EXECUTIVES MEDICARE RETIREE W/DEP 65 + | $114 | $0 | $0 | $0 | $114 | $0 | $114 | $0 | 2 | 2 | ||
| MRG1-MEDICARE RETIREE 65+ W/ DEP UNDER 65 | $1,469 | $4,217 | $0 | $8,447 | $14,133 | $0 | $14,133 | $0 | 18 | 28 | ||
| MRG2-MEDICARE RETIREE 65+ W/ DEP 65+ | $213 | $130 | $0 | $6,634 | $6,977 | $0 | $6,977 | $0 | 4 | 4 | ||
| NAGEN-ACTIVE EMPLOYEES (GENERAL) | $171,306 | $1,624,246 | $23,630 | $790,889 | $2,610,070 | ($21,355) | $2,588,716 | $0 | 1,494 | 3,161 | ||
| NAIAFF-ACTIVE EMPLOYEES (IAFF) | $0 | $2,733 | $0 | $0 | $2,733 | $0 | $2,733 | $0 | 0 | 0 | ||
| NAMC-ACTIVE EMPLOYEES (M/C) | $20,391 | $123,216 | $1,142 | $96,308 | $241,058 | $0 | $241,058 | $0 | 170 | 345 | ||
| NASEA-ACTIVE EMPLOYEES (SEA) | $16,212 | $158,976 | $277 | $55,297 | $230,760 | $0 | $230,760 | $0 | 153 | 299 | ||
| NATC-ALL ACTIVE EMPLOYEES | $0 | $0 | $0 | $0 | $0 | $0 | $0 | ($218) | 0 | 0 | ||
| NCOB-COBRA PARTICIPANTS | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $36 | 1 | 1 | ||
| NRETE1-NON-MEDICARE RETIREE W/DEP - 65 | $1,003 | $25,808 | $0 | $5,737 | $32,548 | $0 | $32,548 | $0 | 13 | 19 | ||
| NRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $8,820 | $195,797 | $330 | $98,718 | $303,664 | ($60,073) | $243,591 | $0 | 119 | 155 | ||
| NRETG2-NON-MEDICARE RETIREE - 65 W/ DEP 65 + | $171 | $365 | $0 | $47 | $583 | $0 | $583 | $0 | 3 | 3 | ||
| NRMC1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $566 | $795 | $0 | $701 | $2,062 | $0 | $2,062 | $0 | 7 | 11 | ||
| NRSEA1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $210 | $283 | $0 | $3,641 | $4,133 | $0 | $4,133 | $0 | 3 | 4 | ||
| BENEFIT OPTION Total | $234,647 | $2,298,692 | $36,222 | $1,124,224 | $3,693,785 | ($81,428) | $3,612,357 | ($145) | 2,091 | 4,291 | ||
| OAPCE-OAP PLAN COMP EES | NRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $40 | $50 | $0 | $47 | $136 | $0 | $136 | $0 | 1 | 1 | |
| BENEFIT OPTION Total | $40 | $50 | $0 | $47 | $136 | $0 | $136 | $0 | 1 | 1 | ||
| OAPCX-OAP COMP EES NO RX | MRG2-MEDICARE RETIREE 65+ W/ DEP 65+ | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 1 | 1 | |
| RMEPDP-RETIRED MEDICARE ELIGIBLE W/PDP PLAN | $166 | $868 | $161 | $0 | $1,195 | $0 | $1,195 | $0 | 3 | 3 | ||
| BENEFIT OPTION Total | $166 | $868 | $161 | $0 | $1,195 | $0 | $1,195 | $0 | 4 | 4 | ||
| OAPNX-OAP PLAN NO RX | MDIS-ALL MEDICARE ELIGIBLES UNDER 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 1 | 1 | |
| MRG1-MEDICARE RETIREE 65+ W/ DEP UNDER 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 2 | 2 | ||
| MRG2-MEDICARE RETIREE 65+ W/ DEP 65+ | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 3 | 4 | ||
| NAMC-ACTIVE EMPLOYEES (M/C) | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 1 | 1 | ||
| NRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 1 | 2 | ||
| RMEPDP-RETIRED MEDICARE ELIGIBLE W/PDP PLAN | $10,178 | $29,065 | $5,684 | $0 | $44,927 | $0 | $44,927 | ($73) | 141 | 165 | ||
| RMEXEC-RETIRED MEDICARE ELIGIBLE EXECUTIVES W/PDP PLAN | $367 | $617 | $0 | $0 | $984 | $0 | $984 | $0 | 6 | 7 | ||
| BENEFIT OPTION Total | $10,545 | $29,682 | $5,684 | $0 | $45,911 | $0 | $45,911 | ($73) | 155 | 182 | ||
| VIS-CIGNA VISION FOR NETWORK PARTICIPANTS (B | EXEC1-ALL EXECUTIVES | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $18 | 0 | 0 | |
| E1211-EXECUTIVES/ELECTED OFFICIALS | $0 | $155 | $0 | $0 | $155 | $0 | $155 | $0 | 50 | 117 | ||
| E2221-FOP EXECUTIVES | $0 | $40 | $0 | $0 | $40 | $0 | $40 | $0 | 1 | 3 | ||
| MDIS-ALL MEDICARE ELIGIBLES UNDER 65 | $0 | $120 | $0 | $0 | $120 | $0 | $120 | $0 | 2 | 3 | ||
| MRET-ALL MEDICARE ELIGIBLES 65+ RETIRED | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $1 | 0 | 0 | ||
| MRG1-MEDICARE RETIREE 65+ W/ DEP UNDER 65 | $0 | $50 | $0 | $0 | $50 | $0 | $50 | $0 | 4 | 27 | ||
| MRG2-MEDICARE RETIREE 65+ W/ DEP 65+ | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 6 | 9 | ||
| NAGEN-ACTIVE EMPLOYEES (GENERAL) | $0 | $2,494 | $0 | $0 | $2,494 | $0 | $2,494 | $0 | 835 | 1,734 | ||
| NAMC-ACTIVE EMPLOYEES (M/C) | $0 | $520 | $0 | $0 | $520 | $0 | $520 | $0 | 77 | 155 | ||
| NASEA-ACTIVE EMPLOYEES (SEA) | $0 | $365 | $0 | $0 | $365 | $0 | $365 | $0 | 119 | 229 | ||
| NATC-ALL ACTIVE EMPLOYEES | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $360 | 0 | 0 | ||
| NRET-RETIRED -65 OR OTHERWISE NOT ELIGIBLE FOR MEDICARE | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $47 | 0 | 0 | ||
| NRETE1-NON-MEDICARE RETIREE W/DEP - 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 13 | 19 | ||
| NRETG1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $0 | $150 | $0 | $0 | $150 | $0 | $150 | $0 | 111 | 147 | ||
| NRETG2-NON-MEDICARE RETIREE - 65 W/ DEP 65 + | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 2 | 2 | ||
| NRMC1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 7 | 11 | ||
| NRSEA1-NON-MEDICARE RETIREE - 65 W/ DEP - 65 | $0 | $30 | $0 | $0 | $30 | $0 | $30 | $0 | 3 | 4 | ||
| RMEPDP-RETIRED MEDICARE ELIGIBLE W/PDP PLAN | $0 | $540 | $0 | $0 | $540 | $0 | $540 | $53 | 143 | 173 | ||
| RMEXEC-RETIRED MEDICARE ELIGIBLE EXECUTIVES W/PDP PLAN | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $2 | 6 | 7 | ||
| BENEFIT OPTION Total | $0 | $4,464 | $0 | $0 | $4,464 | $0 | $4,464 | $482 | 1,379 | 2,640 | ||
| Jun-2025 Total | $245,398 | $2,501,053 | $43,066 | $1,124,351 | $3,913,868 | ($81,428) | $3,832,440 | $265 | 5,623 | 11,281 |
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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