Exhibit_16_Large_Claims_Report_for_2023_and_2024.xlsx

The file is an Excel exhibit titled "Large Claims Report for 2023 and 2024" with instructions for reporting large claims data for a health insurance or benefits program. The document provides templates for reporting de-identified large claims information for active and early retiree populations, specifically requesting data for claims exceeding $100,000 in aggregate medical and pharmacy expenses for the 12-month periods ending December 2023 and December 2024, aligned with Plan Year 2026. The reporting instructions require comprehensive claim details including claimant primary diagnosis, status, medical costs, pharmacy costs, and total expenses.

The exhibit appears to be part of a comprehensive claims reporting process, likely for a state, local, or organizational health benefits program. The templates are designed to capture detailed claims experience across two consecutive years, enabling analysis of high-cost medical claims trends. Each reporting period includes space for up to 50 individual claimants, with an example entry demonstrating the required format. The document is marked as confidential and seems to be a standard reporting template for tracking and analyzing large medical claims for potential risk management, budgeting, and benefits planning purposes.