Exhibit A-5 - Dental Plan and Claim Information.xlsx
XLSX spreadsheet 28 KB Posted
- Attached to
- Medical, Dental, Vision Insurance Services
- Solicitation number
- 2604-002
- Issued by
- Travis County, Austin City, Texas
About this file
Exhibit A-5 is a dental plan and claim information spreadsheet used to document and track dental coverage details and associated claim data for a state or local government entity. The document serves as a reference tool for understanding the dental benefits structure, including plan designs, coverage parameters, and claim processing information relevant to the contracted dental services. While specific response dates, due dates, site visits, or bidders' meetings are not indicated within this exhibit, the spreadsheet appears designed to provide baseline information about dental plan offerings to support procurement or contract administration activities related to dental benefits.
The exhibit functions as a supporting document within a larger contract opportunity, likely containing pricing information, claim handling procedures, and plan specifications that would inform bidders' proposals and the entity's evaluation criteria. This reference material would typically be used by the contracting agency to establish expectations for dental plan administration, claims processing timelines, and benefit structures that potential vendors must understand to submit compliant proposals. The specific financial terms, funding sources, and plan design details contained within the spreadsheet would guide the scope of work for any dental benefits contract awarded to qualified providers.
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Text version
BTD_24
| TRAVIS COUNTY HEALTHCARE DISTRICT - CENTRAL HEALTH | |
| Group/Control#: 00169460 |
Experience Exhibit
| - Claims displayed are incurred and completed through January 2026. |
| - Claims displayed are based on a rolling 24 months of data. |
| - Claims paid through February 2026. |
Monthly Claims:
| Month | Subscribers | Members | Monthly Billed | Monthly Dental |
| Premium | Claims |
| February 2024 | 1,570 | 2,882 | $97,568 | $106,934 |
| March 2024 | 1,622 | 3,044 | $102,462 | $90,920 |
| April 2024 | 1,637 | 3,049 | $103,054 | $96,371 |
| May 2024 | 1,656 | 3,074 | $104,031 | $97,729 |
| June 2024 | 1,657 | 3,079 | $103,933 | $96,343 |
| July 2024 | 1,675 | 3,106 | $105,049 | $114,305 |
| August 2024 | 1,704 | 3,148 | $106,572 | $113,039 |
| September 2024 | 1,714 | 3,150 | $106,908 | $87,690 |
| October 2024 | 1,718 | 3,145 | $107,061 | $106,592 |
| November 2024 | 1,727 | 3,155 | $107,398 | $81,866 |
| December 2024 | 1,740 | 3,161 | $107,886 | $78,566 |
| January 2025 | 1,771 | 3,218 | $109,773 | $101,716 |
| February 2025 | 1,760 | 3,193 | $109,012 | $104,610 |
| March 2025 | 1,838 | 3,389 | $132,163 | $112,156 |
| April 2025 | 1,840 | 3,398 | $132,725 | $136,815 |
| May 2025 | 1,830 | 3,381 | $131,971 | $119,272 |
| June 2025 | 1,827 | 3,376 | $131,677 | $123,913 |
| July 2025 | 1,858 | 3,408 | $133,197 | $122,123 |
| August 2025 | 1,865 | 3,429 | $134,089 | $128,130 |
| September 2025 | 1,887 | 3,454 | $135,094 | $100,553 |
| October 2025 | 1,895 | 3,471 | $135,560 | $114,721 |
| November 2025 | 1,912 | 3,483 | $136,589 | $115,255 |
| December 2025 | 1,933 | 3,513 | $138,198 | $129,057 |
| January 2026 | 1,961 | 3,591 | $141,853 | $139,051 |
| Aggregate Premium Billed | $2,853,825 |
| Aggregate Incurred Claims | $2,617,726 |
| Cost Ratio | 92% |
| Premium amounts and lives counts displayed on this report are unaudited |
| DMO information is not included in this report |
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