Exhibit 47 - Cal Yr 2023 City of Miami CIGNA Dental Exp.xlsx

XLSX spreadsheet 21 KB Posted

Attached to
RFP No. 2130386 - Employee Health Benefits Plan
Solicitation number
RFP No. 2130386
Issued by
Florida

About this file

The document is a monthly healthcare detail experience report for dental services provided by CIGNA to the City of Miami for calendar year 2023. The report covers dental insurance claims and premium data from January through December 2023, tracking in-network and out-of-network dental service utilization for the city's employee health benefits plan. The document appears to be related to a Request for Proposals (RFP No. 2130386) for an Employee Health Benefits Plan in the state of Florida.

The report shows consistent monthly dental service usage, with total annual claims of $888,065 against billed premiums of $1,041,263. The city's dental plan covered between 1,207 and 1,219 subscribers and 2,342 to 2,368 total members throughout the year. Monthly in-network claims ranged from $36,313 to $50,476, while out-of-network claims varied between $24,148 and $35,390. The data suggests a stable enrollment and relatively consistent healthcare utilization pattern for the City of Miami's dental insurance coverage during the specified period.

View the file

Other files

File Type Posted
Exhibit 50 - Cal Yr 2024 City of Miami CIGNA Vision Plans Claim Summary Report.pdf PDF
Exhibit 39 - Cal Yr 2024 City of Miami Stop Loss - High Claimant Report De-ID Dx.xlsx XLSX spreadsheet
Exhibit 14b - Cal Yr 2025 City of Miami CIGNA Medicare Benefits - Comp EEs No Rx Plan 70 Percent Ded 300 Max Out Of Pocket 1K ASO69.pdf PDF
Questionnaire No. 2 - Stop Loss Insurance.pdf PDF
Exhibit 46 - Cal Yr 2025 City of Miami Benefit Eligible Employees as of Sep 2025.xlsx XLSX spreadsheet
Exhibit 69 - Cal Yr 2024 City of Miami RX CAP Report Plan Exec Summ and Top 20 Therapeutic Drugs.ppt PPT presentation
Exhibit 01a - Cal Yr 2025 YTD as of June City of Miami Monthly Healthcare Detail Experience - Stop Loss ALL claims.xlsx XLSX spreadsheet
Exhibit 68 - Cal Yr 2024 City of Miami RX Stats by Ther Class _ Brand Healthcare Spend and Trend.xlsx XLSX spreadsheet
Exhibit 57b - Cal Yr 2025 City of Miami YTD as of Apr Stats by Ther Class _ Brand - Healthcare Spend and Trend - Pharmacy - Paid.xlsx XLSX spreadsheet
Exhibit 51 - Cal Yr 2023 City of Miami CIGNA Claims by Benefits and ASO Fees Monthly Healthcare Experience by Benefit Option Rolling 12 BenOpt-1.xlsx XLSX spreadsheet
Exhibit 52a - Cal Yr 2022 City of Miami CIGNA Pooled Stop Loss High Claims Greater than 50K Experience De-ID.xlsx XLSX spreadsheet
Questionnaire No. 7 - Flexible Spending Accounts.pdf PDF
Exhibit 06c - Cal Yr 2025 City of Miami CIGNA Dental PPO Certificate Riders and Coverage for other states ETALLD25B Plan 3202272 HC-IMP35.pdf PDF
Questionnaire No. 5 - Group Benefit Vision Plan.pdf PDF
Exhibit 29 - Cal Yr 2025 City of Miami CIGNA OAP No Rx PlanMedical Benefits - Summary Benefits Coverage POST 65.pdf PDF
Exhibit 25 - Cal Yr 2025 City of Miami Cobra Monthly Premiums.pdf PDF
Exhibit 03 - City of Miami AFSCME 1907 General Employees Union Contract Oct 1 2023 - Sep 30 2026.pdf PDF
Exhibit 45 - Cal Yr 2024 City of Miami EAP - EAP Utilization.pptx PPTX presentation
Exhibit 05 - Cal Yr 2024 City of Miami CIGNA Dental HMO Plan Document.pdf PDF
2130386 - Sample PSA.pdf PDF
Exhibit 38 - Cal Yr 2023 City of Miami Stop Loss - Greater than 50K High Claimant Report De-ID Dx.xlsx XLSX spreadsheet
Exhibit 44 - Cal Yrs 2025 _ 2026 EAP Renewal Letter.pdf PDF
Exhibit 74 - Cal Yr 2023 City of Miami ASO Fixed Charges and Fees Per Product Type Monthly Healthcare Detail Experience.xlsx XLSX spreadsheet
Exhibit 37 - Cal Yr 2022 City of Miami Stop Loss - Greater than 50K High Claimant Report De-ID Dx.xlsx XLSX spreadsheet
Questionnaire No. 8 - COBRA.pdf PDF
Exhibit 55 - Cal Yr 2025 as of Apr EAP Network Analysis Report Access 118974.pdf PDF
Exhibit 57c - Cal Yr 2025 YTD as of Jul - City of Miami CIGNA Pharmacy RX Dispensed Report.xlsx XLSX spreadsheet
Exhibit 08 - Cal Yr 2024 City of Miami CIGNA EGWP Medicare Formulary.pdf PDF
Exhibit 62 - Cal Yr 2025 City of Miami CIGNA FSA Healthcare - Summary Plan Document.pdf PDF
Exhibit 16 - Cal Yr 2024 City of Miami CIGNA Open Access Plan (OAP) Medicare No Rx - Comp EEs Plan 80 Percent Ded 500 Max Out of Pocket 2K ASO66.pdf PDF
Exhibit 49 - Cal Yr 2023 City of Miami CIGNA Vision Plans Claim Summary Report.pdf PDF
Exhibit 54b - Cal Yr 2025 City of Miami Stop CIGNA ISL and ASL Coverage Information Amendment Plan 3202272 CSL-SCH(10-15).pdf PDF
Exhibit 34 - Cal Yr 2025 City of Miami CIGNA Dental HMO Summary with Patient Charge Schedule.pdf PDF
Exhibit 42 - Cal Yr 2025 City of Miami CIGNA TC19 Disruption Report - Total Records Total Claimants Total Eligible Charges Summary.xlsx XLSX spreadsheet
Exhibit 61 - Cal Yr 2025 City of Miami CIGNA FSA Dependent Care - Summary Plan Document.pdf PDF
Exhibit 41a - Cal Yr 2025 City of Miami CIGNA Medical - Disruption Detail with Provider TIN - Option 1 - OAP-OA001 RITM9284277_TC19.xlsx XLSX spreadsheet
Exhibit 59 - City of Miami CIGNA Medical - Professional Services Agreement AMENDMENT NO 1 May 6 2021 ASO Agreement with Fees.pdf PDF
Exhibit 02 - City of Miami AFSCME 871 Sanitation Employees Union Contract Oct 1 2023 - Sep 30 2026.pdf PDF
Exhibit 15 - City of Miami Cal Yr 2024 CIGNA Medical - Comp EEs Plan 70 Percent Ded 300 Max Out of Pocket 1K ASO64.pdf PDF
Exhibit 30a - Cal Yr 2025 City of MIami CIGNA VIS Vision Benefit imbedded in Medical Plan Document ASO71.pdf PDF
Exhibit 18 - Cal Yrs 2023 _ 2024 City of Miami CIGNA FIXED Charges Report - PRR.xlsx XLSX spreadsheet
Exhibit 22 - Cal Yr 2025 City of Miami CIGNA Sum Ben Cov Comp EEs No Rx- Out Of Area Plan - Plan 70 Pct Ded 300 Max Out of Pocket 1K ASO67.pdf PDF
Attachment A - City of Miami Living Wage Ordinance.pdf PDF
Exhibit 19 - Cal Yr 2025 City of Miami CIGNA Medical - SBC Comp Ded 300 Max Out of Pocket 1K.pdf PDF
Exhibit 63 - Aug 2024 to Jul 2025 City of Miami CIGNA Claims by Benefits and ASO Fees Monthlty Healthcare Experience by Ben Option Rlg 12.xlsx XLSX spreadsheet
Exhibit 17c - Cal Yr 2025 City of Miami CIGNA Healthcare Massachusetts Rider for OAP Plans HC-RDR1.pdf PDF
Exhibit 54a - Cal Yr 2025 City of Miami CIGNA Medical - Administrative Services Only ASO And Stop Loss Fees Schedule.pdf PDF
Exhibit 05c - Cal Yr 2025 City of Miami CIGNA Dental HMO Certificate Riders and Coverage for 7 States ETALLD25A Plan 3202272 HC-ETRDR.pdf PDF
Exhibit 06d - Cal Yr 2025 City of Miami CIGNA Dental PPO Territorial Legislation - 23 States ETALLD25B.pdf PDF
Exhibit 31 - Cal Yr 2024 City of Miami CIGNA Lag Report Incurred Date included - Monthly Healthcare Experience by Acct Rolling 12-1.xlsx XLSX spreadsheet
Show 40 more

Latest 50 of 114 listed here. See the rest on GovTribe.

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

GC Dental Experience-1

CITY OF MIAMI
MONTHLY HEALTHCARE DETAIL EXPERIENCE REPORT
EXHIBIT 47
January 2023 thru December 2023
Rating Type : PROSPECTIVE GUARANTEED COST
Reported Premium: Billed Premium without fees
Reported Claims: All Claims
YTD/MONTHPRODUCT GROUPIN NETWORKOUT OF NETWORKTOTAL CLAIMSBILLED PREMIUMTOTAL SUBSTOTAL MBRS
Jan-23DENT$41,773$35,390$77,162$87,1311,2192,368
Jan-2023 Total$41,773$35,390$77,162$87,1311,2192,368
Feb-23DENT$44,933$30,872$75,805$86,8291,2152,358
Feb-2023 Total$44,933$30,872$75,805$86,8291,2152,358
Mar-23DENT$49,245$33,720$82,965$86,6621,2142,353
Mar-2023 Total$49,245$33,720$82,965$86,6621,2142,353
Apr-23DENT$50,476$27,478$77,954$86,5811,2132,351
Apr-2023 Total$50,476$27,478$77,954$86,5811,2132,351
May-23DENT$47,915$31,105$79,020$86,3841,2092,342
May-2023 Total$47,915$31,105$79,020$86,3841,2092,342
Jun-23DENT$47,386$33,006$80,392$86,6681,2122,351
Jun-2023 Total$47,386$33,006$80,392$86,6681,2122,351
Jul-23DENT$48,903$31,461$80,364$86,5491,2102,351
Jul-2023 Total$48,903$31,461$80,364$86,5491,2102,351
Aug-23DENT$39,290$35,368$74,657$86,7081,2132,355
Aug-2023 Total$39,290$35,368$74,657$86,7081,2132,355
Sep-23DENT$38,860$24,148$63,008$87,0251,2122,362
Sep-2023 Total$38,860$24,148$63,008$87,0251,2122,362
Oct-23DENT$40,713$24,770$65,483$86,7891,2072,357
Oct-2023 Total$40,713$24,770$65,483$86,7891,2072,357
Nov-23DENT$36,313$28,306$64,619$86,9191,2102,354
Nov-2023 Total$36,313$28,306$64,619$86,9191,2102,354
Dec-23DENT$39,608$27,029$66,637$87,0191,2122,357
Dec-2023 Total$39,608$27,029$66,637$87,0191,2122,357
PRODUCT GROUP TotalsDENT$525,412$362,653$888,065$1,041,26314,54628,259
Grand Total$525,412$362,653$888,065$1,041,26314,54628,259

&G &7This report contains proprietary and/or confidential information. Disclosure is strictly prohibited except to the extent required by law. &G ADVICE Reporting System &8Page &P of &N Date: 4/10/2025 image1.png image2.png

File details come from the government source that posted it. Updated .