Exhibit 09d - Cal Yr 2024 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 CIGNA Vision insurance coverage for calendar year 2024, detailing vision healthcare claims across two funding types: Self-Funded (ASO) and Traditional. The report tracks monthly in-network and out-of-network vision claims, subscriber counts, and member participation from January through December 2024, providing a comprehensive view of healthcare utilization across different vision plan options.

The financial breakdown reveals total annual claims of $434,965, with $424,285 in in-network claims and $10,680 in out-of-network claims. The document shows consistent monthly enrollment between 2,200-2,240 subscribers and 4,330-4,380 total members. Two primary vision plan options are presented: a bundled network participant plan and an enhanced buy-up plan, with varying levels of in-network and out-of-network coverage. The self-funded arrangement allows for detailed tracking of healthcare expenses, enabling the City of Miami to monitor and potentially adjust their vision benefits strategy based on monthly claims experience.