Exhibit_8_Rate_Developt_Support_Early_Retirees_Employees.xlsx

XLSX spreadsheet 19 KB Posted

Attached to
OEIBA Program Commercial HMO, MSP, and MAPD Plans State and local contract opportunity
Solicitation number
EV00000681
Issued by
Oklahoma County, Hobart City, Oklahoma

About this file

This document is an Excel spreadsheet titled "Exhibit 8 Rate Development Supporting Data - Early Retiree Employees" for an unnamed supplier, covering rate development data for Oklahoma Early Retirees across three experience segments from January 2023 through March 2025. The exhibit provides a comprehensive template for tracking monthly and annual health insurance metrics, including premium receipts, medical and prescription paid claims, capitated claims, prescription rebates, subscriber and member coverage, admissions, inpatient days, and prescription details.

The spreadsheet is structured to capture detailed financial and utilization data across three distinct time periods: Experience Segment 1 (January 2023 through December 2023), Experience Segment 2 (January 2024 through December 2024), and Experience Segment 3 (January 2025 through March 2025). The document appears to be part of a rate development and insurance contract support process, specifically focused on early retiree employees in Oklahoma, with instructions indicating that this exhibit should reconcile with Exhibit 6 (Reports 6a and 6b). The file is marked as CONFIDENTIAL, suggesting sensitive financial and healthcare coverage information.

View the file

Other files for this state and local contract opportunity

Other files attached to OEIBA Program Commercial HMO, MSP, and MAPD Plans, newest first.
File Type Posted
Exhibit_22_Satisfaction_Surveys.xlsx XLSX spreadsheet
Exhibit_28_MAPD_File_and_Changes_Reports.xlsx XLSX spreadsheet
Exhibit_2_Geo-Access_Report.xlsx XLSX spreadsheet
Exhibit_35_HMO_Detailed_Utilization_Reports.xlsx XLSX spreadsheet
Exhibit_36_MAPD_Detailed_Utilization_Reports.xlsx XLSX spreadsheet
Exhibit_38_Advertising_Approval_Request_Form.docx DOCX document
VendorSecurityAssessment_(1).xlsx XLSX spreadsheet
OMES-FORM-CP-011-Amendment_2.pdf PDF
AttachmentB-NegotiableTerms.docx DOCX document
BID_PACKET_ATTACHMENTS_INSTRUCTIONS.pdf PDF
Exhibit_10_MAPD_Premium_Rate_and_LIS_Quote.docx DOCX document
Exhibit_13_MSP_Premium_Rate.docx DOCX document
Exhibit_20_Member_ID_Card_Example.xlsx XLSX spreadsheet
Exhibit_23_CAHPS_Survery_MAPD.xlsx XLSX spreadsheet
Exhibit_24_OEIBA_Program_Census_Information.xlsx XLSX spreadsheet
Exhibit_27_Minimum_Required_Reporting_List.docx DOCX document
Exhibit_29_Premium_Discrepancy_Reports.xlsx XLSX spreadsheet
Exhibit_33_Network_Changes_Summary.xlsx XLSX spreadsheet
Exhibit_34_Network_Detailed_Reports.xlsx XLSX spreadsheet
Exhibit_9_MAPD_Benefits_Summary.docx DOCX document
OMESFormCP004.pdf PDF
Attachment_E.docx DOCX document
Exhibit_11_MAPD_Rate_Setting.xlsx XLSX spreadsheet
Exhibit_14_Bid_Submission_Network_Detailed_Reports.xlsx XLSX spreadsheet
Exhibit_16_Large_Claims_Report_for_2023_and_2024.xlsx XLSX spreadsheet
Exhibit_17_Audited_Financial_Statements.xlsx XLSX spreadsheet
Exhibit_1_Standardized_Service_Areas.xlsx XLSX spreadsheet
Exhibit_31_HIPAA,_FWA,_and_Grievance_Reports.xlsx XLSX spreadsheet
Exhibit_32_HMO_Utilization_Reports.xlsx XLSX spreadsheet
Exhibit_37B_Individual_Employer_Experience_Reports.xlsx XLSX spreadsheet
Exhibit_3_Ratio_of_PCPs_to_Members.xlsx XLSX spreadsheet
Exhibit_7_Rate_Development_Supporting__Active_Employees.xlsx XLSX spreadsheet
Fillable_OMESFormCP076.pdf PDF
OMES-FORM-CP-011-Amendment_Q_A.pdf PDF
AttachmentD-ITTerms.pdf PDF
Attachment_A.pdf PDF
Bidder_Instructions.pdf PDF
Exhibit_12_MSP_Benefits_Summary.docx DOCX document
Exhibit_15_New_Supp_Aggregate_Utilization_Exp_.xlsx XLSX spreadsheet
Exhibit_18_License(s).xlsx XLSX spreadsheet
Exhibit_19_Actuary_Certification.xlsx XLSX spreadsheet
Exhibit_21_Organizational_Chart_and_Brand_Logos.xlsx XLSX spreadsheet
Exhibit_25_Carrier_Eligibility_Companion_Guide.pdf PDF
Exhibit_26_OEIBB_Commercial_Carrier_Policy.pdf PDF
Exhibit_30_Member_Services_Reports.xlsx XLSX spreadsheet
Exhibit_37A_Individual_Emp_Experience_Reports_Instructions.docx DOCX document
Exhibit_4_HMO_Plan_Design.docx DOCX document
Exhibit_5_HMO_Premium_Quote.docx DOCX document
Exhibit_6_HMO_Rate_Development.xlsx XLSX spreadsheet
Show all 49

On GovTribe

Work with this file on GovTribe

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

Text version

Exhibit 8 Exhibit 8 Rate Development Supporting Data - Early Retiree Employees [Supplier Name] Plan Year [Year] Instructions on providing the experience segments:

- Experience Segment 1: Provide requested information for the Oklahoma Early Retirees.

- This Exhibit and Exhibit 6: Reports 6a and 6b should reconcile.

Experience Segment 1 - January 2023 through December 2023JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberTotal
1.Total Premium Received (In Dollars)
2.Total Medical Paid Claims non-capitated (In Dollars)
3.Total Rx Paid Claims (In Dollars)
4.Total Capitated Paid Claims (In Dollars)
5.Total Rx Rebates (Client Specific in Dollars)
6.Total Subscribers Covered
7.Total Members Covered
8.Total Admissions
9.Total Inpatient Days
10.Total Non-Specialty Prescriptions
11.Total Specialty Prescriptions
Experience Segment 2 - January 2024 through December 2024JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberTotal
1.Total Premium Received (In Dollars)
2.Total Medical Paid Claims non-capitated (In Dollars)
3.Total Rx Paid Claims (In Dollars)
4.Total Capitated Paid Claims (In Dollars)
5.Total Rx Rebates (Client Specific in Dollars)
6.Total Subscribers Covered
7.Total Members Covered
8.Total Admissions
9.Total Inpatient Days
10.Total Non-Specialty Prescriptions
11.Total Specialty Prescriptions
Experience Segment 3 - January 2025 through March 2025JanuaryFebruaryMarchTotal
1.Total Premium Received (In Dollars)
2.Total Medical Paid Claims non-capitated (In Dollars)
3.Total Rx Paid Claims (In Dollars)
4.Total Capitated Paid Claims (In Dollars)
5.Total Rx Rebates (Client Specific in Dollars)
6.Total Subscribers Covered
7.Total Members Covered
8.Total Admissions
9.Total Inpatient Days
10.Total Non-Specialty Prescriptions
11.Total Specialty Prescriptions

CONFIDENTIAL

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