Exhibit 1 - Group Term Life Claims.pdf
PDF 124 KB Posted
- Attached to
- RFP Group Term Life
- Solicitation number
- RFP-09134
- Issued by
- Polk County, Florida
About this file
The document is a Coverage Experience Summary for a group term life insurance policy. The policy is held by the St. Johns River Water Management District, a local government agency in Florida. The summary covers the period from January 1, 2019 to December 31, 2023, with details on monthly premiums, paid claims, and incurred loss ratios. The District is seeking proposals from qualified insurance providers to place group term life insurance with accidental death and dismemberment coverage, as well as supplemental term life insurance for eligible employees. The successful respondent must provide fixed rates for a two-year period, with the option to renew for three or more additional 12-month periods.
The current policy has a total premium of $243,505.33 over the 5-year period, with two paid claims totaling $165,000. The incurred loss ratio for the policy is 71.2%. The District is located in Putnam County, Florida. No other pricing terms, set asides, or funding information is provided in the document.
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Other files
| File | Type | Posted |
|---|---|---|
| Exhibit 2 - Group Term LIfe Cert of Cov.pdf | ||
| Exhibit 4 - Supplemental Life Insur Claims.pdf | ||
| Exhibit 8 - Evaluation Questionnaire .xlsx | XLSX spreadsheet | |
| 89088 RFP_Group_Life.pdf | ||
| Exhibit 5 - Supplemental Benefit Summary.pdf | ||
| Exhibit 6 - Supplemental Life Cert of Cov.pdf | ||
| Exhibit 9 Resp_Supp_TermL_Pre_WrkSht.xlsx | XLSX spreadsheet |
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Text version
Summary Exhibit
01/01/2019 12/31/2023
$243,505.33
Start of Period
Incurred Loss Ratio
End of Period Number of Months
Premium
$165,000.00 $8,366.26
$0.00 $173,366.26
Total Paid Claims
IBNR
Reserves Total Incurred
71.2%
Valuation Date N/A
Paid Claims (Open) Paid Claims (Closed)
$0.00 $165,000.00
Policy Effective Date Policy Termination Date
10/01/2015 N/A
Current Rates
Policy Sub
Policy Current RateCoverage
Please note that the information provided within this report is a snapshot as of 2/13/2024. This information can change frequently and does not necessarily indicate that rate action is required or recommended.
$ .11 (per $1000 of Volume)GL 154572 01 Basic Life
UW Portal - Coverage Experience Summary
Confidential Report as of 2/13/2024
GL 154572Client Name: St. Johns River Water Management Policy Number:
AllCoverage:
Time Period Bill Group Payment Date Due Date Premium
Premium Exhibit Sub
Policy 11/1/2019 - 12/31/2023 02/01/2019 01/01/2019 $4,138.9101 1 03/26/2019 02/01/2019 $4,111.3901 1 03/26/2019 03/01/2019 $4,083.2701 1 04/25/2019 04/01/2019 $4,070.4001 1 05/20/2019 05/01/2019 $4,071.3201 1 07/01/2019 06/01/2019 $4,048.0201 1 08/09/2019 07/01/2019 $4,043.0201 1 08/26/2019 08/01/2019 $3,984.7401 1 09/24/2019 09/01/2019 $3,961.1901 1 10/21/2019 10/01/2019 $3,968.9901 1 11/18/2019 11/01/2019 $3,939.8101 1 01/01/2020 12/01/2019 $4,018.1901 1 03/01/2020 01/01/2020 $4,031.5301 1 03/01/2020 02/01/2020 $4,017.6401 1 03/26/2020 03/01/2020 $4,004.7401 1 04/20/2020 04/01/2020 $3,977.8201 1 05/18/2020 05/01/2020 $3,960.5401 1 07/01/2020 06/01/2020 $3,955.2701 1 07/27/2020 07/01/2020 $3,941.6001 1 08/24/2020 08/01/2020 $3,890.0201 1 09/21/2020 09/01/2020 $3,851.4201 1 10/20/2020 10/01/2020 $3,815.4801 1 12/04/2020 11/01/2020 $3,809.2601 1 12/28/2020 12/01/2020 $3,856.5201 1 01/26/2021 01/01/2021 $3,866.5401 1 02/22/2021 02/01/2021 $3,847.5201 1 03/29/2021 03/01/2021 $3,868.0901 1 04/26/2021 04/01/2021 $3,833.0201 1 06/03/2021 05/01/2021 $3,817.4101 1 06/28/2021 06/01/2021 $3,824.8601 1 07/26/2021 07/01/2021 $3,818.1001 1 08/23/2021 08/01/2021 $3,816.8301 1 09/20/2021 09/01/2021 $3,780.5401 1 10/19/2021 10/01/2021 $3,749.2601 1 12/02/2021 11/01/2021 $3,710.5001 1 12/27/2021 12/01/2021 $3,849.5101 1 01/25/2022 01/01/2022 $3,862.1101 1 02/21/2022 02/01/2022 $3,850.7101 1 03/28/2022 03/01/2022 $3,873.1001 1 05/05/2022 04/01/2022 $3,833.4401 1 06/07/2022 05/01/2022 $3,883.4901 1 06/27/2022 06/01/2022 $3,939.2201 1 07/26/2022 07/01/2022 $3,926.1101
UW Portal - Coverage Experience Summary
Confidential Report as of 2/13/2024
Time Period Bill Group Payment Date Due Date Premium
Premium Exhibit Sub
Policy 11/1/2019 - 12/31/2023 08/25/2022 08/01/2022 $4,137.9501 1 09/19/2022 09/01/2022 $4,149.9701 1 11/01/2022 10/01/2022 $4,219.0001 1 12/27/2022 11/01/2022 $4,208.0501 1 12/27/2022 12/01/2022 $4,433.6701 1 01/26/2023 01/01/2023 $4,312.8001 1 03/22/2023 02/01/2023 $4,449.1501 1 04/18/2023 03/01/2023 $4,475.7801 1 05/05/2023 04/01/2023 $4,470.0201 1 06/01/2023 05/01/2023 $4,461.1101 1 06/27/2023 06/01/2023 $4,478.3801 1 07/24/2023 07/01/2023 $4,506.1901 1 09/06/2023 08/01/2023 $4,520.7501 1 09/18/2023 09/01/2023 $4,539.2601 1 11/01/2023 10/01/2023 $4,355.8601 1 11/27/2023 11/01/2023 $4,638.0201 1 12/26/2023 12/01/2023 $4,647.9201
$243,505.33Total Premium for Bill Group :
$243,505.33Total Premium for Sub Policy :
$243,505.33Total Premium :
Claim Number Gender Date of Birth
Date of Loss Gross Benefit Total Paid Reserve
Claims Exhibit
2020-08-05-0522-GL-01-01 F 10/11/1961 07/17/2020 $100,000.00 $100,000.00
2022-01-18-0594-GL-01-01 M 06/10/1971 12/10/2021 $65,000.00 $65,000.00
Total Claims: $165,000.00 $0.00
Paid Premium and Claims are posted as of 2/13/2024.
UW Portal - Coverage Experience Summary
Confidential Report as of 2/13/2024
File details come from the government source that posted it. Updated .