Exhibit 01b - Cal Yr 2024 City of Miami CIGNA Monthly Healthcare Detail Experience - Stop Loss ALL claims.xlsx

This document is a monthly healthcare claims experience report for the City of Miami's self-funded health insurance plan for the calendar year 2024, covering multiple employee categories and healthcare product types. The report details monthly healthcare utilization across various employee segments including executives, active employees, retirees, Medicare-eligible participants, and COBRA participants, broken down by different product types such as DPP4, OAP1, and VISP. The report tracks fixed charges, in-network and out-of-network claims, drug costs, and total gross claims, with a comprehensive monthly and annual breakdown.

The healthcare plan is retrospectively experience-rated and administered on an administrative services only (ASO) basis, with total annual gross claims approaching $49 million across different employee groups. The total number of subscribers ranges between 5,500-5,700 per month, with total members between 11,200-11,300. The plan includes multiple coverage tiers for different employee categories, such as active general employees, executives, Medicare retirees, and non-Medicare retirees, with varying dependent coverage options. Stop-loss provisions and claims adjustments are incorporated into the monthly reporting, reflecting the city's sophisticated approach to managing its self-funded health benefits program.