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

The document is a monthly healthcare experience report for the City of Miami's health benefits plan, covering the calendar year 2023 and prepared by CIGNA. The report details retrospective experience-rated claims and administrative services only (ASO) fees across multiple benefit options, including Network Open Access POS, Standalone Network POS, Out of Area Plan, and Vision plans. The data tracks monthly total paid claims, ASO fees, subscriber counts, and member enrollment from January through December 2023.

The report reveals consistent monthly claims ranging from approximately $2.8 million to $3.8 million, with total annual claims of $41,452,000 and total ASO fees of $885,891. The City of Miami's health plan enrollment remained relatively stable throughout the year, with total subscribers averaging around 5,640 and total members around 11,340 per month. The data is associated with a related Request for Proposals (RFP No. 2130386) for an Employee Health Benefits Plan in the state of Florida, suggesting this report may be part of the procurement documentation or performance evaluation for the current health benefits contract.