Exhibit A-6 - Vision Plan and Claim Information.xlsx
XLSX spreadsheet 27 KB Posted
- Attached to
- Medical, Dental, Vision Insurance Services
- Solicitation number
- 2604-002
- Issued by
- Travis County, Austin City, Texas
About this file
This is a Vision Plan Claims Experience Exhibit for Travis County Healthcare District - Central Health, a Texas healthcare consortium. The document presents detailed claims data and subscriber information for vision insurance coverage over a 24-month rolling period from December 2023 through November 2025. The exhibit demonstrates the operational scope of the vision plan by tracking monthly subscriber counts, member enrollment, billed premiums, and incurred claims across this two-year timeframe. During the reporting period, subscriber counts increased from 1,274 in December 2023 to 1,654 in November 2025, while member counts grew from 2,328 to 2,904 respectively, indicating steady plan growth and increased covered lives.
The financial performance of the vision plan shows an aggregate premium billed of $363,687 against aggregate incurred claims of $273,767, resulting in a cost ratio of 75 percent. Monthly billing amounts increased notably beginning in March 2025, rising from approximately $13,200 to approximately $19,600 by November 2025, reflecting the growing membership base and associated premium adjustments. The claims data presented are unaudited and represent incurred and completed claims through November 2025, with payments processed through December 2025. This exhibit serves as the baseline experience data for evaluating the vision insurance plan's performance and financial sustainability under the current contract with Travis County Healthcare District.
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Text version
BTV_24
| TRAVIS COUNTY HEALTHCARE DISTRICT - CENTRAL HEALTH | |
| Group/Control#: 00285663 |
Experience Exhibit
| - Claims displayed are incurred and completed through November 2025. |
| - Claims displayed are based on a rolling 24 months of data. |
| - Claims paid through December 2025. |
Monthly Claims:
| Month | Subscribers | Members | Monthly Billed | Monthly Vision |
| Premium | Claims |
| December 2023 | 1,274 | 2,328 | $11,371 | $8,137 |
| January 2024 | 1,296 | 2,354 | $11,527 | $6,563 |
| February 2024 | 1,348 | 2,419 | $11,921 | $9,684 |
| March 2024 | 1,423 | 2,607 | $12,718 | $13,616 |
| April 2024 | 1,436 | 2,608 | $12,772 | $13,432 |
| May 2024 | 1,449 | 2,616 | $12,834 | $9,421 |
| June 2024 | 1,449 | 2,609 | $12,793 | $10,302 |
| July 2024 | 1,469 | 2,640 | $12,981 | $11,469 |
| August 2024 | 1,492 | 2,670 | $13,159 | $11,883 |
| September 2024 | 1,498 | 2,670 | $13,203 | $10,655 |
| October 2024 | 1,501 | 2,664 | $13,192 | $16,256 |
| November 2024 | 1,510 | 2,675 | $13,242 | $10,254 |
| December 2024 | 1,517 | 2,674 | $13,297 | $8,030 |
| January 2025 | 1,549 | 2,727 | $13,566 | $8,219 |
| February 2025 | 1,535 | 2,700 | $13,439 | $9,690 |
| March 2025 | 1,583 | 2,798 | $18,769 | $16,558 |
| April 2025 | 1,583 | 2,798 | $18,768 | $12,182 |
| May 2025 | 1,573 | 2,779 | $18,683 | $12,782 |
| June 2025 | 1,569 | 2,782 | $18,663 | $12,258 |
| July 2025 | 1,601 | 2,831 | $19,008 | $13,405 |
| August 2025 | 1,614 | 2,861 | $19,205 | $14,564 |
| September 2025 | 1,636 | 2,890 | $19,452 | $9,185 |
| October 2025 | 1,643 | 2,899 | $19,521 | $12,534 |
| November 2025 | 1,654 | 2,904 | $19,604 | $12,687 |
| Aggregate Premium Billed | $363,687 |
| Aggregate Incurred Claims | $273,767 |
| Cost Ratio | 75% |
Premium amounts and lives counts displayed on this report are unaudited image1.png
File details come from the government source that posted it. Updated .