Exhibit 15 State of Ohio Claims and Enrollment Data.xlsxExhibit 15 State of Ohio Claims and Enrollment Data.xlsx

XLSX spreadsheet 36 KB Posted

Attached to
DAS Medical Plan Third-Party Administrator
Solicitation number
SRC0000038100
Issued by
Franklin County, Ohio

About this file

This file is a summary of State of Ohio claims and enrollment data by medical plan option for the period January 2024 through June 2026, organized by geographic region and plan type. The data tracks enrollment and average medical net pay across three plan options—PPO, Select, and HDHP—for eight regions: Cincinnati, Cleveland/Akron, Columbus, Dayton/Springfield, Southern, Toledo, Youngstown, and Out of State. Columbus represents the largest enrollment base, with consistently over 17,000 employees monthly across plan types, while Out of State maintains the smallest enrollment with fewer than 350 employees. The dataset provides month-by-month breakdowns of employee counts and associated medical costs, enabling analysis of enrollment trends, regional variations, and plan utilization across the State's self-insured medical program, Ohio Med, which serves as the foundation for the Department of Administrative Services' Third-Party Administrator RFP.

This exhibit serves as a supporting document for the DAS Medical Plan Third-Party Administrator solicitation, providing historical claims and enrollment data necessary for potential offerors to develop competitive proposals. The data encompasses the period prior to the July 1, 2027 implementation date when the selected contractor must assume claims administration responsibilities. By presenting actual enrollment volumes and medical costs across regions and plan designs, this exhibit allows bidders to understand the scope and complexity of plan administration, analyze claims patterns, and project operational requirements. The data reflects existing plan structures—PPO, Select, and HDHP options—that the successful contractor must administer without modifications, and it demonstrates the geographic distribution of the covered population to inform regional evaluation criteria outlined in the RFP.

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Summary by Plan Option

20242025Thru Jun 2026
MEDICAL ONLY, EXCLUDES BEHAVIORAL HEALTHPPOSelectHDHPPPOSelectHDHPPPOSelectHDHP
Employees Avg MedNet Pay MedEmployees Avg MedNet Pay MedEmployees Avg MedNet Pay MedEmployees Avg MedNet Pay MedEmployees Avg MedNet Pay MedNet Pay MedEmployees Avg MedNet Pay MedEmployees Avg MedNet Pay MedEmployees Avg MedNet Pay Med
Region
Cincinnati
January2,414$ 3,382,80362$ 60,14680$ 86,4802,460$ 3,460,33191$ 80,361107$ 32,5302,387$ 3,272,625156$ 69,722134.0$ 61,803
February2,435$ 2,894,45068$ 12,31580$ 24,1922,462$ 3,485,43693$ 33,255112$ 39,4442,382$ 2,890,934154$ 137,617135.0$ 54,119
March2,427$ 4,046,69869$ 25,05781$ 45,7902,464$ 3,359,19193$ 41,506112$ 29,8712,382$ 3,885,009157$ 230,684136.0$ 27,645
April2,406$ 3,427,99371$ 57,10882$ 173,5202,462$ 3,531,34499$ 86,196112$ 47,7072,375$ 4,580,808162$ 97,106138.0$ 37,663
May2,398$ 3,143,17074$ 48,18582$ 58,4692,469$ 3,282,188100$ 35,078113$ 59,9532,366$ 4,100,537158$ 55,966137.0$ 75,401
June2,448$ 3,475,69283$ 17,56188$ 81,0582,449$ 3,350,057134$ 57,391123$ 70,5422,394$ 3,795,601177$ 77,324143.0$ 77,980
July2,450$ 3,025,43485$ 34,36389$ 58,9392,430$ 3,064,578133$ 73,853125$ 81,303
August2,452$ 3,960,44880$ 29,91090$ 8,2102,408$ 3,013,022134$ 61,332126$ 28,368
September2,432$ 3,258,24584$ 41,04698$ 22,2502,414$ 3,215,358137$ 197,899132$ 57,411
October2,443$ 3,741,84086$ 28,531101$ 58,2622,421$ 4,295,481143$ 146,348136$ 39,021
November2,465$ 2,874,71487$ 37,883100$ 32,9212,403$ 3,246,906148$ 181,137133$ 83,379
December2,475$ 3,121,18587$ 120,002103$ 76,9402,398$ 4,221,216151$ 131,532134$ 80,907
Cleveland/Akron
January5,547$ 6,918,647112$ 63,263140$ 38,7315,549$ 6,795,696146$ 79,102165$ 35,3195,419$ 8,054,735218$ 105,626188.0$ 62,071
February5,561$ 7,068,129120$ 34,465141$ 37,6565,565$ 7,686,536149$ 49,848172$ 51,8945,409$ 7,604,032216$ 99,816190.0$ 83,803
March5,546$ 6,165,663122$ 85,226141$ 57,1315,576$ 7,438,282145$ 62,864170$ 94,2565,399$ 9,098,326221$ 141,520192.0$ 89,324
April5,542$ 6,330,561127$ 83,488138$ 80,8475,573$ 8,611,512145$ 37,208171$ 91,9555,402$ 8,537,736224$ 141,011193.0$ 210,873
May5,534$ 7,203,544132$ 55,454137$ 30,9955,564$ 7,270,002146$ 42,109171$ 93,1435,369$ 7,951,782221$ 127,650192.0$ 104,648
June5,584$ 8,252,673138$ 78,559152$ 53,5155,564$ 7,665,361186$ 49,104186$ 141,8795,438$ 8,939,348229$ 342,265200.0$ 194,407
July5,579$ 7,084,562138$ 21,432154$ 42,0125,543$ 7,615,405189$ 64,871187$ 55,751
August5,581$ 6,807,026141$ 80,517154$ 38,0425,498$ 8,890,522191$ 69,881187$ 58,789
September5,535$ 6,584,909141$ 59,983154$ 39,3465,490$ 7,123,840203$ 142,605187$ 43,757
October5,554$ 7,698,287139$ 56,337154$ 72,3015,473$ 8,281,902210$ 113,531186$ 48,177
November5,568$ 6,887,723136$ 95,172160$ 66,0945,452$ 6,751,031213$ 136,700187$ 62,509
December5,563$ 7,545,295138$ 67,607162$ 83,2445,454$ 7,243,196216$ 90,944190$ 64,422
Columbus
January18,150$ 30,416,161303$ 121,916722$ 426,66618,377$ 31,056,282451$ 161,965868$ 636,69817,719$ 30,877,980734$ 745,748991.0$ 1,816,207
February18,236$ 25,189,019312$ 70,022743$ 424,50618,395$ 27,804,981455$ 241,643871$ 624,21917,720$ 34,937,738766$ 344,7721,003.0$ 727,585
March18,222$ 22,638,328321$ 69,523742$ 427,99518,359$ 30,362,324460$ 231,953884$ 697,96117,647$ 39,296,000771$ 449,8581,006.0$ 1,491,677
April18,221$ 26,701,063336$ 66,973749$ 431,46218,280$ 33,877,398458$ 332,317892$ 851,45217,602$ 41,568,321785$ 407,8341,011.0$ 1,363,151
May18,232$ 31,013,415356$ 85,591761$ 710,17618,238$ 28,606,857465$ 476,279888$ 607,40917,520$ 33,275,598786$ 755,9211,004.0$ 1,081,157
June18,457$ 31,680,594394$ 182,776798$ 446,03218,155$ 33,854,599624$ 195,749952$ 788,19017,624$ 32,975,779784$ 449,9321,072.0$ 1,199,892
July18,449$ 33,426,743405$ 116,288798$ 437,83418,086$ 30,064,899632$ 200,103960$ 723,300
August18,450$ 27,644,856418$ 118,671821$ 375,18017,980$ 28,048,235653$ 265,978972$ 987,600
September18,369$ 27,479,315429$ 646,283825$ 314,64217,931$ 28,680,183664$ 184,319973$ 1,041,431
October18,413$ 31,410,020429$ (423,200)843$ 502,75917,913$ 34,672,758694$ 223,492973$ 964,454
November18,445$ 28,920,017436$ 242,994857$ 563,17717,780$ 27,009,584710$ 233,151977$ 660,201
December18,395$ 32,882,456443$ 1,349,305860$ 945,84517,782$ 30,221,742725$ 878,916975$ 632,052
Dayton/Springfield
January2,985$ 3,970,22050$ 270,167172$ 163,1153,000$ 4,418,26378$ 99,562206$ 96,2962,885$ 4,650,611135$ 462,150232.0$ 187,207
February2,997$ 3,115,22949$ 4,769179$ 241,1713,010$ 4,021,22078$ 104,726206$ 105,2572,880$ 4,504,596137$ 146,615238.0$ 169,058
March3,004$ 4,451,36053$ 3,759181$ 183,5683,014$ 3,509,27079$ 138,895209$ 154,6192,873$ 4,297,203140$ 248,798240.0$ 242,280
April3,003$ 3,634,10954$ 6,218182$ 134,6052,994$ 4,699,73881$ 66,191211$ 93,0282,846$ 4,720,309141$ 105,564239.0$ 348,245
May3,010$ 3,780,39755$ 14,539183$ 95,0612,990$ 4,212,52582$ 2,231,374214$ 160,9532,814$ 5,302,786144$ 214,383238.0$ 106,288
June3,026$ 3,804,28863$ 18,898192$ 200,5182,958$ 3,481,250114$ 27,850227$ 531,7592,819$ 5,235,094149$ 200,552252.0$ 144,639
July3,000$ 4,520,20864$ 47,307189$ 167,3252,952$ 3,261,922123$ 108,284233$ 76,389
August2,999$ 5,251,90070$ 25,829190$ (34,812)2,944$ 3,076,326126$ 109,687232$ 129,406
September2,987$ 3,879,07469$ 90,823195$ 130,1432,925$ 4,775,312126$ 79,137231$ 108,754
October2,994$ 4,661,08674$ 56,005200$ 44,0482,926$ 4,718,320127$ 207,230231$ 145,369
November2,996$ 4,321,03276$ 25,136203$ 129,2382,902$ 3,845,896128$ 218,841232$ 96,982
December2,998$ 4,069,17776$ 53,365200$ 65,0922,904$ 4,567,202129$ 153,330233$ 110,519
Southern
January3,306$ 5,009,96132$ 7,34432$ 7,3893,382$ 5,252,23746$ 28,73539$ 6,1593,350$ 5,819,09382$ 100,33245.0$ 137,460
February3,322$ 4,396,44532$ 4,70634$ 5,5513,400$ 5,020,98147$ 80,36540$ 18,2863,342$ 6,395,89986$ 18,85846.0$ 162,990
March3,315$ 4,941,22734$ 37,45235$ 8,9343,386$ 5,496,11148$ 82,91440$ 38,6523,333$ 6,799,49684$ 61,50446.0$ 55,219
April3,312$ 5,684,18635$ 18,15936$ 25,4153,393$ 6,444,95146$ 29,20340$ 6,6173,320$ 7,862,90683$ 32,79247.0$ 62,000
May3,307$ 5,371,57636$ 8,53435$ 35,1263,385$ 5,815,50244$ 28,14337$ 18,5603,272$ 5,360,92783$ 25,74448.0$ 96,564
June3,339$ 4,402,76038$ 149,13239$ 26,9663,394$ 6,357,88070$ 28,26142$ 27,0783,285$ 5,491,09783$ 44,51955.0$ 52,181
July3,340$ 5,592,45638$ 15,10539$ 22,1543,384$ 6,332,65468$ 86,62744$ 13,016
August3,355$ 6,419,44942$ 125,65038$ 6,4963,362$ 4,613,73970$ 22,61744$ 42,292
September3,348$ 4,882,87841$ 34,56636$ 10,4233,348$ 5,405,39071$ 27,07444$ 14,401
October3,372$ 4,961,54843$ 52,01737$ 9,5683,350$ 5,975,31578$ 51,05444$ 70,255
November3,389$ 5,846,21443$ 39,37238$ 14,7973,345$ 4,652,23276$ 58,00645$ 88,968
December3,378$ 5,580,99745$ 21,34338$ 9,7183,352$ 6,221,30678$ 38,56345$ 28,367
Toledo
January4,019$ 7,199,84447$ 8,101106$ 296,5304,110$ 6,178,98065$ 12,841126$ 48,4554,021$ 6,470,686106$ 23,296148.0$ 309,192
February4,037$ 6,526,33151$ 5,690106$ 59,9164,126$ 5,933,82067$ 16,667130$ 40,6474,023$ 6,425,316107$ 50,296147.0$ 260,145
March4,043$ 5,986,19054$ 5,676107$ 80,0774,108$ 6,600,25867$ 17,245131$ 60,8714,005$ 7,959,682113$ 52,533147.0$ 222,306
April4,033$ 5,895,70556$ 8,364106$ 20,5534,094$ 8,512,86265$ 25,433128$ 92,5523,983$ 6,233,360119$ 42,629147.0$ 132,526
May4,045$ 6,248,37456$ 9,186107$ 21,2684,104$ 6,880,11066$ 20,041129$ 41,9143,960$ 6,648,711115$ 56,908147.0$ 86,721
June4,075$ 6,739,36054$ 4,390111$ 47,0574,093$ 6,394,55399$ 54,038141$ 80,3463,990$ 6,998,805118$ 21,991152.0$ 136,263
July4,072$ 5,943,29554$ 8,289114$ 585,6514,080$ 5,954,53697$ 196,213144$ 115,481
August4,084$ 5,531,70857$ 34,823118$ 16,8314,055$ 7,237,73596$ 19,730142$ 239,428
September4,080$ 5,668,07660$ 20,782119$ 11,5504,046$ 5,675,64997$ 17,299141$ 195,877
October4,097$ 6,812,90063$ 46,832120$ 16,0854,058$ 6,785,329101$ 34,535143$ 125,366
November4,100$ 5,167,78264$ 25,169122$ 27,4264,025$ 5,275,181103$ 24,184143$ 166,505
December4,100$ 7,101,78764$ 130,600124$ 33,5334,032$ 7,541,025104$ 38,607142$ 176,723
Youngstown
January3,327$ 4,027,51739$ 14,25635$ 36,8583,353$ 4,616,11450$ 19,17844$ 38,8613,275$ 4,613,96685$ 58,54557.0$ 30,856
February3,322$ 3,709,89943$ 40,53434$ 11,5873,365$ 4,200,58051$ 33,95244$ 35,6663,283$ 5,061,06586$ 38,43258.0$ 18,459
March3,324$ 4,445,63743$ 8,86434$ 44,9483,360$ 4,228,60252$ 37,23142$ 16,3253,280$ 5,301,27085$ 61,44159.0$ 67,828
April3,335$ 3,794,42946$ 97,95433$ 42,7313,346$ 4,823,15352$ 36,15043$ 41,7883,266$ 6,042,55687$ 26,74959.0$ 29,959
May3,335$ 4,148,62446$ 70,96035$ 24,7803,348$ 4,614,93155$ 13,68144$ 36,2363,238$ 4,832,14785$ 37,20059.0$ 28,565
June3,348$ 4,470,35145$ 18,55138$ 26,6083,347$ 4,964,00270$ 18,09148$ 28,5033,262$ 3,433,07084$ 41,70066.0$ 27,289
July3,351$ 4,580,55545$ 28,95440$ 10,7013,340$ 3,994,78971$ 54,18249$ 235,637
August3,358$ 4,595,41445$ 19,11043$ 13,3683,338$ 4,519,24471$ 21,47848$ 31,663
September3,339$ 3,407,43747$ 25,77443$ 20,2483,326$ 6,492,35373$ 65,82348$ 14,268
October3,344$ 3,324,46746$ 12,00942$ 33,4823,321$ 8,111,05175$ 23,65251$ 31,809
November3,353$ 3,229,91647$ 132,17044$ 27,7713,295$ 5,070,97180$ 25,48654$ 63,268
December3,342$ 4,209,20647$ 45,95544$ 40,6123,296$ 4,600,21883$ 55,80254$ 11,374
Out of State
January285$ 267,70216$ - 0330$ 413,6157$ 1,03510$ 778344$ 583,7828$ 1,39511.0$ 11,009
February287$ 200,8831$ 1456$ 1,786332$ 320,1907$ 13,92512$ 1,019341$ 453,1158$ 2,90511.0$ 2,375
March293$ 229,18916$ 311330$ 509,3356$ 4,54911$ 3,556336$ 545,7378$ 3,02810.0$ 3,833
April291$ 346,9991$ 206$ - 0330$ 555,3448$ 98311$ 3,341334$ 601,6688$ 31,19510.0$ 4,938
May297$ 320,2191$ 1007$ 1,087328$ 606,3008$ 5611$ 4,646334$ 540,4758$ 6,81810.0$ 48,721
June303$ 337,3972$ 199$ 1,958330$ 339,7908$ 4,53214$ 6,334339$ 638,3838$ 15,8329.0$ 1,632
July308$ 308,2354$ 1,7108$ 171333$ 397,8247$ (5,121)13$ 6,245
August315$ 468,8464$ 7,3299$ 1,147336$ 577,2597$ 1,01812$ 3,261
September310$ 321,4515$ 6479$ 37335$ 340,4389$ 1,54812$ 3,663
October311$ 413,5815$ 13,1379$ 1,019331$ 555,7959$ 11,25012$ 35,342
November316$ 406,6757$ 4,88111$ 528332$ 420,8918$ 3,42310$ 20,534
December323$ 276,8357$ 1,82910$ 875337$ 524,1728$ 4,48310$ 238,960

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