Exhibit 09c - Cal Yr 2025 YTD as of Jul City of Miami CIGNA VISION Monthly Healthcare Experience INN OON Total Claims Subs Mbrs.xlsx

This document is a monthly healthcare experience report for the City of Miami's vision insurance coverage through CIGNA Vision, covering the period from January through July 2025. The report details vision healthcare claims across two funding types: a self-funded (ASO) vision plan for network participants and a traditional enhanced buyup vision plan, with both in-network and out-of-network claims data.

The report shows consistent monthly enrollment of approximately 2,240-2,260 subscribers and 4,400-4,420 total members. Total claims across both plans for the seven-month period were $247,045, with $241,572 from in-network claims and $5,473 from out-of-network claims. The self-funded plan (VIS-CIGNA VISION FOR NETWORK PARTICIPANTS) consistently had lower monthly claims compared to the traditional enhanced buyup plan, which showed more variability in monthly claims ranging from $16,819 to $35,060. The document appears to be part of a larger procurement process for an Employee Health Benefits Plan (RFP No. 2130386) in Florida, providing detailed financial and enrollment metrics for the vision insurance component.