Exhibit 67 - Cal Yr 2025 YTD City of Miami Cigna Retiree Fixed Charges and Claims Monthlty Healthcare Experience INN OON RX Total Claims Subs Mbrs.xlsx

This document is a monthly healthcare experience report for the City of Miami's retiree health benefits, covering January through July 2025, prepared by Cigna for retiree healthcare claims and fixed charges. The report details monthly healthcare experience across three retiree categories: Medicare Eligibles Under 65, Non-Medicare Retirees, and Retirees Over 65, with retrospective experience-rated funding and administrative services only (ASO) fee structures.

The financial details reveal total gross claims of $2,510,189 for the seven-month period, with net claims of $2,448,256 after stop-loss adjustments. The non-Medicare retiree segment represents the largest portion of claims, accounting for $2,301,104 in gross claims. Monthly enrollment fluctuates between 385-397 total subscribers and 547-560 total members, with fixed charges, in-network claims, out-of-network claims, and prescription drug expenses tracked separately. The report is linked to a related Request for Proposals (RFP No. 2130386) for Employee Health Benefits Plan in Florida, suggesting this is part of an ongoing healthcare benefits procurement and reporting process.