Exhibit_5_-_Stop_Loss_Information.pdf

This document is a Stop Loss Insurance Policy issued by Symetra Life Insurance Company for the City of Orlando, covering the policy periods from January 1, 2021 to December 31, 2025. The policy provides specific stop loss insurance for the city's employee benefit plan, with an enrollment of 5,269 composite members and a specific stop loss coverage for all retirees. The policy includes a specific deductible of $1,000,000 per covered unit for the 2025 policy period, with Symetra reimbursing 100% of covered expenses in excess of the specific deductible. The claims administrator is United Healthcare, and the provider network is UHC Choice Plus.

The premium rate for all eligible employees is $6.79 per covered unit, with a stop loss aggregating specific deductible of $420,000 for the 2025 policy period. The policy covers medical and prescription drugs, including those dispensed by Rx Card, Mail Order, and administered by a Prescription Benefit Manager. The reimbursement period runs from January 2015 with an unlimited run-in limit, and the run-out period ends on December 31, 2025. The policy allows for advance funding of covered expenses and includes provisions for material changes, claims administration, and potential large claims, with a comprehensive list of potential medical conditions that could trigger significant medical expenses.