Exhibit_C__641728_BREVARD_COUNTY_BOARD__Claimrun.pdf
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- Solicitation number
- RFP-1-26-12
- Issued by
- Brevard County, Florida
About this file
This is a Group Claim Experience report for Brevard County Board's group life and disability insurance policy (No. 641728) administered by Standard Insurance Company, covering the period from December 1, 2022, through November 30, 2025. The document details claim activity across multiple insurance products and coverages, including Term Life (both Accidental Loss and Basic Life), Total and Permanent Disability (TPD2), Dependent coverage (Accident Excess and Supplemental Life), Accidental Death & Dismemberment (AD&D), Short-Term Disability (STD), and Long-Term Disability (LTD). The report presents comprehensive claim information organized by product type and coverage category, with individual claim records showing claimant demographics, claim numbers, incurred dates, approval dates, term dates, and benefit payment amounts.
The claim experience data reveals total paid benefits of $5,084,185.27 across all products during the reporting period, with the largest claim volumes and benefit payments concentrated in the LTD and STD products. The document is marked as confidential and proprietary, restricted to authorized Standard Insurance Company personnel with legitimate business reasons for access. This report serves as the historical claims experience data supporting Brevard County's anticipated RFP for expanded voluntary supplemental health benefits (Accident, Hospital Indemnity, and Critical Illness/Cancer coverage) effective January 1, 2027, where the County intends to consolidate all group-sponsored benefit administration through a single carrier while allowing existing individual policies through Colonial Life, Aflac, and Allstate to continue on a direct-bill basis without payroll deduction or on-site enrollment support.
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Claim Number Gender Coverage Product Birth Date Incurred Date Approved Date Term Date Pending Benefit
Paid This Period
Paid This Claim Ending Reserve
F94831 F TERM AL Jun-96 Jul-22 Oct-22 Jan-23 50,000.00 50,000.00 G25791 M TERM AL Dec-63 Jul-23 Aug-23 Sep-23 150,000.00 150,000.00
G27262 F TERM AL Jun-71 Jul-23 Aug-23 Aug-23 50,000.00 50,000.00 G29820 F TERM AL May-67 Aug-23 Oct-23 Oct-23 60,000.00 60,000.00 G33954 F TERM AL Aug-57 Oct-23 Nov-23 Nov-23 18,400.00 18,400.00
G36971 M TERM AL Jul-47 Nov-23 Jan-24 Jan-24 10,000.00 10,000.00 G44632 F TERM AL Jul-70 Mar-24 Mar-24 Mar-24 150,000.00 150,000.00
G61564 M TERM AL Dec-54 Oct-24 Nov-24 Nov-24 60,000.00 60,000.00 G62404 M TERM AL Jun-72 Oct-24 Nov-24 Nov-24 190,000.00 190,000.00
G63633 F TERM AL May-75 Oct-24 Feb-25 Feb-25 70,000.00 70,000.00 G67658 M TERM AL Oct-57 Nov-24 Jan-25 Jan-25 184,800.00 184,800.00 G73565 M TERM AL Mar-61 Mar-25 Mar-25 Mar-25 50,000.00 50,000.00
G90386 M TERM AL Oct-61 Oct-25 Oct-25 Nov-25 80,000.00 80,000.00
PRODUCT - AL 1,123,200.00 1,123,200.00
F94831 F TERM BL Jun-96 Jul-22 Oct-22 Jan-23 36,000.00 36,000.00 G06563 M TERM BL Jun-90 Dec-22 Apr-23 Apr-23 48,000.00 48,000.00
G06570 M TERM BL Aug-99 Dec-22 Jan-23 Jan-23 46,000.00 46,000.00 G09755 M TERM BL Oct-47 Jan-23 Feb-23 Feb-23 5,000.00 5,000.00 G11641 M TERM BL Sep-65 Jan-23 Mar-23 Mar-23 59,000.00 59,000.00
G25791 M TERM BL Dec-63 Jul-23 Aug-23 Sep-23 52,000.00 52,000.00 G27262 F TERM BL Jun-71 Jul-23 Aug-23 Aug-23 49,000.00 49,000.00
G29820 F TERM BL May-67 Aug-23 Oct-23 Oct-23 48,000.00 48,000.00 G30941 M TERM BL Dec-51 Oct-23 Oct-23 Oct-23 5,000.00 5,000.00
G31508 M TERM BL Sep-60 Sep-23 Oct-23 Oct-23 63,000.00 63,000.00 G32335 F TERM BL Nov-56 Aug-23 Nov-23 Nov-23 32,760.00 32,760.00 G33954 F TERM BL Aug-57 Oct-23 Nov-23 Nov-23 49,680.00 49,680.00
G34866 M TERM BL Jul-70 Nov-23 Dec-23 Dec-23 49,000.00 49,000.00 G36971 M TERM BL Jul-47 Nov-23 Jan-24 Jan-24 16,500.00 16,500.00
G39201 F TERM BL Jan-66 Jan-24 Jan-24 Jan-24 39,000.00 39,000.00 G44632 F TERM BL Jul-70 Mar-24 Mar-24 Mar-24 54,000.00 54,000.00
G59461 F TERM BL Nov-29 Aug-24 Sep-24 Sep-24 5,000.00 5,000.00 G61564 M TERM BL Dec-54 Oct-24 Nov-24 Nov-24 16,800.00 16,800.00 G62404 M TERM BL Jun-72 Oct-24 Nov-24 Nov-24 67,000.00 67,000.00
G63633 F TERM BL May-75 Oct-24 Feb-25 Feb-25 54,000.00 54,000.00 G65472 F TERM BL Sep-36 Nov-24 Dec-24 Jan-25 5,000.00 5,000.00
Claim Number Gender Coverage Product Birth Date Incurred Date Approved Date Term Date Pending Benefit Paid This Period
Paid This Claim Ending Reserve
G67658 M TERM BL Oct-57 Nov-24 Jan-25 Jan-25 63,000.00 63,000.00 G70404 M TERM BL Nov-48 Aug-24 Feb-25 Feb-25 5,000.00 5,000.00
G73565 M TERM BL Mar-61 Mar-25 Mar-25 Mar-25 41,000.00 41,000.00
641728 BREVARD COUNTY BOARD
Group Claim Experience 12/1/2022 through 11/30/2025
THE INFORMATION IN THESE REPORTS IS CONFIDENTIAL AND PROPRIETARY. THESE REPORTS ARE TO BE ACCESSIBLE ONLY TO THOSE COMPANY PERSONNEL WHO HAVE A LEGITIMATE BUSINESS REASON TO EXAMINE THE INFORMATION. THESE REPORTS MAY NOT BE REDISCLOSED
WITHOUT THE WRITTEN AUTHORIZATION OF STANDARD INSURANCE COMPANY.
Beginning Reserve
50,000.00
50,000.00 36,000.00
Beginning Reserve
G77771 M TERM BL Nov-59 Apr-25 May-25 May-25 41,400.00 41,400.00
G81521 F TERM BL Apr-33 May-25 Jun-25 Jun-25 5,000.00 5,000.00 G81920 F TERM BL Jan-63 Jun-25 Jun-25 Jun-25 52,000.00 52,000.00 G83192 F TERM BL Sep-73 Jul-25 Jul-25 Jul-25 32,000.00 32,000.00
G83535 F TERM BL Sep-73 Jul-25 Jul-25 Jul-25 41,000.00 41,000.00 G90386 M TERM BL Oct-61 Oct-25 Oct-25 Nov-25 83,000.00 83,000.00
G93197 M TERM BL Sep-58 Nov-25 Nov-25 Nov-25 10,000.00 10,000.00
PRODUCT - BL 1,173,140.00 1,173,140.00
COVERAGE - TERM 2,296,340.00 2,296,340.00
C19453 F TPD2 AL Sep-57 Sep-08 Feb-10 59,280.00 C34831 M TPD2 AL Jan-59 Jun-09 Oct-09 109,200.00
C54723 M TPD2 AL Apr-63 Jan-10 Jun-10 97,500.00 C59609 F TPD2 AL Jun-58 Jun-09 Aug-10 29,640.00
C67225 F TPD2 AL Aug-57 Jan-10 Apr-11 88,400.00 C72986 M TPD2 AL Nov-59 Aug-10 Mar-11 89,700.00
C88766 M TPD2 AL Sep-54 Aug-10 Oct-11 Oct-24 C93852 F TPD2 AL Aug-60 Jul-11 Mar-12 59,800.00 C97355 M TPD2 AL Jul-53 Jul-11 Dec-11 Sep-23
D00054 M TPD2 AL Dec-54 Jul-11 Apr-12 Nov-24 D30407 M TPD2 AL Mar-68 Apr-12 Feb-13 Jan-24
D37273 F TPD2 AL Jul-59 Oct-12 May-13 49,140.00 D38102 F TPD2 AL Oct-57 Jan-12 May-14 30,940.00
D39135 M TPD2 AL Nov-62 Sep-12 Nov-13 45,500.00 D67831 F TPD2 AL Dec-64 Jan-14 Aug-14 104,000.00 E04406 F TPD2 AL Dec-56 Sep-15 Apr-16 58,500.00
E21147 M TPD2 AL Apr-63 May-16 Aug-17 Dec-22 E30365 M TPD2 AL Apr-59 May-16 Jul-17 49,140.00
E40024 M TPD2 AL Apr-64 Jan-17 Oct-17 26,000.00 E43126 F TPD2 AL Sep-65 Feb-17 Dec-17 45,500.00
E75759 F TPD2 AL May-67 Apr-18 Mar-19 32,500.00 E97152 F TPD2 AL Feb-64 Jan-18 Aug-19 45,500.00 F20818 F TPD2 AL May-70 Nov-19 Jul-20 32,500.00
F80463 M TPD2 AL May-77 Jul-21 Apr-22 97,500.00 G12028 M TPD2 AL Dec-61 Jul-22 Mar-23 Jul-23
G21637 F TPD2 AL Dec-55 Jan-23 Jun-23 Jan-24 G22395 M TPD2 AL Oct-75 Feb-23 Aug-23
G27827 M TPD2 AL Sep-68 Apr-23 Nov-23 65,000.00 G29569 M TPD2 AL Apr-70 Aug-23 Oct-23 65,000.00 G62510 M TPD2 AL Nov-66 May-24 Nov-24 Aug-25
PRODUCT - AL 1,280,240.00
C19453 F TPD2 BL Sep-57 Sep-08 Feb-10 12,844.00
Claim Number Gender Coverage Product Birth Date Incurred Date Approved Date Term Date Pending Benefit Paid This Period
Paid This Claim Ending Reserve
C24484 M TPD2 BL Sep-59 Sep-08 May-09 26,000.00 16,900.00 C34831 M TPD2 BL Jan-59 Jun-09 Oct-09 57,120.00 37,128.00
C54723 M TPD2 BL Apr-63 Jan-10 Jun-10 51,000.00 33,150.00 C54952 F TPD2 BL Feb-54 Nov-09 Jun-10 May-24
C59605 M TPD2 BL Aug-58 Dec-09 Feb-14 Dec-24 C59609 F TPD2 BL Jun-58 Jun-09 Aug-10 25,080.00 16,302.00 C67225 F TPD2 BL Aug-57 Jan-10 Dec-10 63,240.00 41,106.00
C72986 M TPD2 BL Nov-59 Aug-10 Mar-11 49,680.00 32,292.00 C88766 M TPD2 BL Sep-54 Aug-10 Oct-11 Oct-24
C93852 F TPD2 BL Aug-60 Jul-11 Mar-12 36,800.00 23,920.00
36,000.00 86,000.00
91,200.00 71,760.00 168,000.00 130,000.00
150,000.00 97,500.00 45,600.00 39,000.00
136,000.00 119,600.00 138,000.00 97,500.00
58,500.00 92,000.00 65,000.00
39,000.00
49,400.00 58,500.00
75,600.00 58,500.00 47,600.00 41,860.00
70,000.00 45,500.00 160,000.00 104,000.00
90,000.00 58,500.00
45,500.00 75,600.00 58,500.00
40,000.00 26,000.00 70,000.00 45,500.00
50,000.00 32,500.00 70,000.00 45,500.00 50,000.00 32,500.00
150,000.00 97,500.00
100,000.00 100,000.00
1,517,620.00 19,760.00 15,548.00
Beginning Reserve
16,900.00 44,200.00
33,150.00 22,100.00
27,300.00 21,450.00 55,614.00
35,100.00 23,400.00
26,000.00
C97355 M TPD2 BL Jul-53 Jul-11 Dec-11 Sep-23
D00054 M TPD2 BL Dec-54 Jul-11 Apr-12 Nov-24 D30407 M TPD2 BL Mar-68 Apr-12 Feb-13 Jan-24 D37273 F TPD2 BL Jul-59 Oct-12 May-13 29,400.00 19,110.00
D38102 F TPD2 BL Oct-57 Jan-12 Mar-14 22,440.00 14,586.00 D39135 M TPD2 BL Nov-62 Sep-12 Sep-13 28,000.00 18,200.00
D39874 F TPD2 BL Jul-78 Dec-12 Jun-13 May-24 D64913 M TPD2 BL Jan-64 Apr-14 Nov-15 37,000.00 24,050.00
D67831 F TPD2 BL Dec-64 Jan-14 Aug-14 32,000.00 20,800.00 E04406 F TPD2 BL Dec-56 Sep-15 Feb-16 25,160.00 16,354.00 E14239 M TPD2 BL Apr-63 Dec-15 Jul-16 Sep-24
E21147 M TPD2 BL Apr-63 May-16 Aug-17 Dec-22 E30365 M TPD2 BL Apr-59 May-16 Jul-17 26,880.00 17,472.00
E40024 M TPD2 BL Apr-64 Jan-17 Oct-17 25,000.00 16,250.00 E43126 F TPD2 BL Sep-65 Feb-17 Dec-17 30,000.00 19,500.00
E75759 F TPD2 BL May-67 Apr-18 Mar-19 31,000.00 20,150.00 E97152 F TPD2 BL Feb-64 Jan-18 Aug-19 32,000.00 20,800.00 F20818 F TPD2 BL May-70 Nov-19 Jul-20 36,000.00 23,400.00
F80463 M TPD2 BL May-77 Jul-21 Apr-22 58,000.00 37,700.00 G12028 M TPD2 BL Dec-61 Jul-22 Mar-23 Jul-23
G21637 F TPD2 BL Dec-55 Jan-23 Jun-23 Jan-24 G22395 M TPD2 BL Oct-75 Feb-23 Aug-23
G25716 M TPD2 BL Jul-63 Jan-23 Aug-23 Oct-23 G27827 M TPD2 BL Sep-68 Apr-23 Nov-23 55,000.00 35,750.00 G29569 M TPD2 BL Apr-70 Aug-23 Oct-23 68,000.00 44,200.00
G62510 M TPD2 BL Nov-66 May-24 Nov-24 Aug-25 G86782 M TPD2 BL Mar-70 Feb-25 Oct-25 47,000.00 30,550.00
G88191 M TPD2 BL Dec-65 Apr-25 Sep-25 46,000.00 29,900.00
PRODUCT - BL 622,414.00
TPD2
SUBTOTAL OTHER - TPD2 1,902,654.00
COVERAGE - TPD2 1,902,654.00
G16288 M DEP XC May-04 Mar-23 Apr-23 Apr-23 10,000.00 G51162 F DEP XC Mar-98 May-24 Jul-24
Claim Number Gender Coverage Product Birth Date Incurred Date Approved Date Term Date Pending Benefit Paid This Period
Paid This Claim Ending Reserve
PRODUCT - XCL 10,000.00 10,000.00
G04096 F DEP XS Sep-59 Nov-22 Dec-22 Dec-22 30,000.00 30,000.00
G17754 M DEP XS Jul-58 Apr-23 May-23 May-23 20,000.00 20,000.00 G33546 M DEP XS Aug-63 Oct-23 Nov-23 Nov-23 30,000.00 30,000.00
G36887 M DEP XS Nov-76 Dec-23 Jan-24 Jan-24 30,000.00 30,000.00 G39595 M DEP XS Nov-42 Jan-24 Feb-24 Feb-24 15,000.00 15,000.00 G51364 M DEP XS Mar-73 Jun-24 Jun-24 Jun-24 105,000.00 105,000.00
G55964 M DEP XS Feb-61 Aug-24 Aug-24 Aug-24 5,000.00 5,000.00 G63518 F DEP XS May-75 Oct-24 Nov-24 Nov-24 30,000.00 30,000.00
G65613 M DEP XS Oct-57 Nov-24 Dec-24 Jan-25 G77786 M DEP XS Apr-64 Apr-25 May-25 May-25 20,000.00 20,000.00
G79109 M DEP XS Nov-48 May-25 May-25 May-25 10,000.00 10,000.00 G89389 F DEP XS Dec-80 Sep-25 Oct-25 Oct-25 20,000.00 20,000.00 G91649 F DEP XS Feb-69 Oct-25 Oct-25 Oct-25 30,000.00 30,000.00
PRODUCT - XSL 345,000.00 345,000.00
COVERAGE - DEP 355,000.00 355,000.00
G06570 M AD&D BA Aug-99 Dec-22 Jan-23 Jan-23 46,000.00 46,000.00
17,160.00
13,832.00 14,300.00 22,750.00
19,734.00 18,200.00
18,850.00 24,050.00
20,800.00 22,724.00 24,050.00
18,200.00 20,800.00
16,250.00 19,500.00
20,150.00 20,800.00 23,400.00
37,700.00
714,012.00
SUBTOTAL PENDING -
2,231,632.00 2,231,632.00
10,000.00
PRODUCT - BA 46,000.00 46,000.00
COVERAGE - AD&D 46,000.00 46,000.00
HX0008 M STD ST Jan-78 Jan-22 Mar-22 Jul-22 10,033.27 JE7054 F STD ST Feb-59 Jul-22 Jul-22 Jan-23 2,123.63 9,642.48
JE7090 M STD ST Apr-65 Jul-22 Aug-22 Dec-22 346.08 6,179.99 JG2815 M STD ST Dec-49 Sep-22 Sep-22 Dec-22 702.48 7,024.80
JH4943 M STD ST Mar-64 Oct-22 Nov-22 Jan-23 5,307.59 9,492.37 JJ5672 M STD ST Mar-70 Oct-22 Nov-22 Dec-22 2,618.13 4,581.76
JJ6711 F STD ST Feb-62 Nov-22 Dec-22 Jan-23 4,554.24 4,554.24 JK4472 M STD ST Jun-64 Nov-22 Dec-22 Jan-23 3,448.95 3,448.95 JM2428 M STD ST Jul-70 Dec-22 Jan-23 Mar-23 7,250.66 7,250.66
JM6759 F STD ST Dec-55 Jan-23 Feb-23 Jul-23 9,486.43 9,486.43 JM8066 M STD ST Jul-63 Jan-23 Feb-23 Jul-23 14,388.48 14,388.48
JM9413 M STD ST Aug-67 Jan-23 Feb-23 Jul-23 13,829.76 13,829.76 JM9830 F STD ST Feb-72 Mar-23 Mar-23 May-23 2,739.82 2,739.82
JN0705 M STD ST Jan-53 Jan-23 Mar-23 Apr-23 5,175.27 5,175.27 JN5598 M STD ST Jun-63 Feb-23 Feb-23 May-23 5,127.64 5,127.64 JP2050 F STD ST Dec-81 Feb-23 Feb-23 Apr-23 3,272.46 3,272.46
JP2074 M STD ST Apr-82 Mar-23 Mar-23 Apr-23 2,153.01 2,153.01 JQ1428 M STD ST Oct-85 Feb-23 Apr-23 Aug-23 7,996.20 7,996.20
JQ3654 F STD ST Dec-90 Mar-23 Apr-23 May-23 4,118.39 4,118.39 JQ6789 M STD ST Jul-71 Mar-23 May-23 Sep-23 13,699.44 13,699.44
JQ8528 F STD ST Nov-99 Feb-23 Apr-23 Jun-23 6,133.49 6,133.49 JR1311 M STD ST Oct-71 Mar-23 May-23 Sep-23 9,567.36 9,567.36 JR5998 F STD ST Mar-69 Mar-23 May-23 Sep-23 11,852.26 11,852.26
JR9914 M STD ST Sep-68 Apr-23 May-23 Oct-23 15,488.64 15,488.64 JS0930 F STD ST May-93 Jun-23 Jun-23 Jul-23 2,839.72 2,839.72
Claim Number Gender Coverage Product Birth Date Incurred Date Approved Date Term Date Pending Benefit Paid This Period
Paid This Claim Ending Reserve
JS2878 F STD ST Nov-85 May-23 May-23 Jun-23 1,803.68 1,803.68 JS8513 F STD ST Mar-86 Apr-23 Jun-23 May-23 473.29 473.29
JS8598 M STD ST Apr-81 Feb-23 Jun-23 Aug-23 4,716.56 4,716.56 JT2829 F STD ST Sep-63 May-23 Jun-23 Jun-23 1,595.36 1,595.36
JT6333 M STD ST Sep-69 May-23 Jul-23 Jul-23 2,791.48 2,791.48 JT9763 F STD ST Jun-76 May-23 Jul-23 Jul-23 2,201.34 2,201.34 JT9947 F STD ST Nov-70 Jul-23 Jul-23 Sep-23 5,501.59 5,501.59
JU0665 M STD ST Jan-68 Jul-23 Aug-23 Oct-23 6,415.72 6,415.72 JU1485 M STD ST Jul-70 May-23 Aug-23 Nov-23 8,749.06 8,749.06
JU2671 F STD ST Oct-62 May-23 Jul-23 Sep-23 3,983.96 3,983.96 JU4245 M STD ST Apr-75 Jul-23 Jul-23 Oct-23 4,307.49 4,307.49
JU6595 M STD ST Apr-93 Jul-23 Jul-23 Aug-23 1,771.72 1,771.72 JW0243 F STD ST Dec-68 Aug-23 Sep-23 Oct-23 3,179.26 3,179.26 JW3516 F STD ST Oct-76 Aug-23 Sep-23 Oct-23 2,005.70 2,005.70
JW3753 F STD ST Feb-66 Aug-23 Sep-23 Oct-23 2,379.86 2,379.86 JW4658 M STD ST Dec-74 Aug-23 Sep-23 Aug-23 912.58 912.58
JX5295 M STD ST Jul-74 Jul-23 Sep-23 Oct-23 5,570.42 5,570.42 JY6763 M STD ST Dec-49 Oct-23 Oct-23 Jan-24 6,121.62 6,121.62
JZ9126 M STD ST Oct-74 Nov-23 Nov-23 Jan-24 5,616.24 5,616.24 KA1457 F STD ST Nov-62 Oct-23 Dec-23 Feb-24 7,162.92 7,162.92 KA3535 F STD ST Jul-64 Nov-23 Dec-23 May-24 10,062.72 10,062.72
KA8366 M STD ST Feb-64 Nov-23 Dec-23 Mar-24 5,977.20 5,977.20 KB2245 F STD ST Feb-70 Dec-23 Jan-24 Jan-24 3,116.04 3,116.04
KB2451 M STD ST Mar-56 Nov-23 Dec-23 Jan-24 3,027.26 3,027.26
KB4168 M STD ST Apr-57 Oct-23 Jan-24 Apr-24 10,897.92 10,897.92
KB5448 F STD ST Dec-68 Jan-24 Jan-24 Feb-24 3,439.99 3,439.99 KB5577 M STD ST Dec-73 Dec-23 Jan-24 Mar-24 7,022.36 7,022.36 KB8357 F STD ST Sep-71 Jan-24 Feb-24 Mar-24 2,385.75 2,385.75
KC4120 M STD ST Dec-82 Dec-23 Jan-24 Jun-24 17,802.48 17,802.48 KC4545 M STD ST Feb-60 Dec-23 Feb-24 Mar-24 5,376.46 5,376.46
KC4787 M STD ST Dec-03 Nov-23 Mar-24 Apr-24 5,489.60 5,489.60 KC9759 M STD ST Apr-93 Jan-24 Feb-24 Feb-24 1,090.28 1,090.28
KE3203 M STD ST Nov-65 Mar-24 Mar-24 May-24 3,591.47 3,591.47 KE4282 F STD ST Feb-86 Apr-24 Apr-24 Jun-24 4,865.28 4,865.28 KF6283 F STD ST Sep-71 Apr-24 May-24 Jun-24 3,976.25 3,976.25
KG2722 M STD ST Oct-72 Mar-24 May-24 Jun-24 1,611.63 1,611.63 KG4276 M STD ST Oct-75 Apr-24 May-24 May-24 3,094.59 3,094.59
KG6548 M STD ST Mar-60 Apr-24 May-24 Jul-24 5,111.07 5,111.07 KG9122 M STD ST Oct-87 Apr-24 Apr-24 Jun-24 5,726.58 5,726.58
KG9722 F STD ST Aug-89 May-24 May-24 Jul-24 3,442.55 3,442.55 KH2446 F STD ST Jul-89 Apr-24 May-24 Jun-24 1,851.98 1,851.98 KH6549 F STD ST Dec-68 Jun-24 Jun-24 Jul-24 2,625.27 2,625.27
KJ1701 M STD ST Nov-77 Apr-24 May-24 Sep-24 12,945.35 12,945.35 KJ4776 F STD ST Dec-76 Aug-24 Aug-24 Sep-24 2,993.71 2,993.71
Claim Number Gender Coverage Product Birth Date Incurred Date Approved Date Term Date Pending Benefit Paid This Period
Paid This Claim Ending Reserve
KJ5433 M STD ST Feb-79 Apr-24 Jun-24 Jul-24 6,697.94 6,697.94 KJ6400 M STD ST Mar-70 Jun-24 Jun-24 Aug-24 3,717.78 3,717.78
KJ6667 F STD ST Aug-76 Jun-24 Jun-24 Jul-24 2,040.24 2,040.24 KJ6701 F STD ST Jul-82 Jun-24 Jun-24 Jul-24 2,736.00 2,736.00
KJ7336 M STD ST Dec-86 May-24 Jul-24 Jul-24 2,649.90 2,649.90 KK5766 M STD ST Sep-83 May-24 Jul-24 Aug-24 8,753.54 8,753.54 KK6046 M STD ST Apr-83 Jul-24 Jul-24 Oct-24 4,015.20 4,015.20
KK6585 F STD ST Aug-89 Jun-24 Jul-24 Aug-24 4,509.27 4,509.27 KK8513 F STD ST Oct-62 Jun-24 Jul-24 Sep-24 5,646.11 5,646.11
KL6672 F STD ST Apr-78 Jul-24 Aug-24 Oct-24 7,304.89 7,304.89 KL8511 M STD ST Mar-80 Jul-24 Aug-24 Aug-24 1,497.04 1,497.04
KN1306 M STD ST Apr-71 Aug-24 Aug-24 Oct-24 3,934.30 3,934.30 KN6261 M STD ST Dec-60 Sep-24 Oct-24 Mar-25 14,595.07 14,595.07 KN6390 F STD ST Aug-93 Sep-24 Oct-24 Nov-24 5,390.10 5,390.10
KP0221 F STD ST Jul-00 Aug-24 Sep-24 Oct-24 4,093.74 4,093.74 KP3235 F STD ST Aug-82 Jun-24 Sep-24 Sep-24 5,328.96 5,328.96
KQ3188 F STD ST Jul-95 Oct-24 Oct-24 Nov-24 2,919.46 2,919.46 KQ3430 F STD ST Nov-69 Nov-24 Nov-24 Jan-25 2,639.91 2,639.91
KR4955 F STD ST Jan-88 Aug-24 Nov-24 Sep-24 60 60 KS0931 F STD ST Mar-91 Nov-24 Nov-24 Jan-25 6,677.28 6,677.28 KS3091 M STD ST Jul-92 Oct-24 Nov-24 Nov-24 701.49 701.49
KS7669 F STD ST Dec-63 Oct-24 Nov-24 Dec-24 2,112.38 2,112.38 KT4409 M STD ST Jan-61 Dec-24 Dec-24 Jan-25 1,909.73 1,909.73
KT9079 F STD ST Sep-90 Dec-24 Dec-24 Jan-25 2,429.76 2,429.76 KV0244 M STD ST Dec-73 Dec-24 Dec-24 Mar-25 9,926.40 9,926.40
KY6724 F STD ST Dec-68 Jan-25 Feb-25 Jul-25 17,677.44 17,677.44 LB0376 M STD ST Jul-87 Feb-25 Mar-25 Aug-25 14,345.55 14,345.55 LB6785 M STD ST Apr-86 Feb-25 Feb-25 Mar-25 2,288.89 2,288.89
LB8924 M STD ST Sep-62 Feb-25 Mar-25 Aug-25 12,579.84 12,579.84 LC7053 M STD ST Mar-70 Feb-25 Mar-25 Aug-25 12,928.64 12,928.64
LC8197 F STD ST Jan-94 Mar-25 Apr-25 May-25 2,620.90 2,620.90
LD2637 F STD ST Jul-74 Dec-24 Mar-25 Jun-25 10,710.96 10,710.96
LE4646 F STD ST Aug-81 Oct-24 May-25 Apr-25 10,298.88 10,298.88 LE4709 F STD ST Apr-71 Apr-25 May-25 Jun-25 2,294.40 2,294.40 LG6083 M STD ST Dec-65 Apr-25 May-25 Oct-25 12,700.80 12,700.80
LH1105 F STD ST May-94 Jun-25 Jun-25 Aug-25 560.95 6,170.45 6,170.45 LK0633 F STD ST Nov-90 May-25 Jun-25 Jul-25 394.19 1,520.43 1,520.43
LK1161 M STD ST Mar-71 Apr-25 Jun-25 Jun-25 5,384.75 5,384.75 LK2141 F STD ST Jul-83 Jun-25 Jun-25 Oct-25 836.16 12,900.78 12,900.78
LK3718 F STD ST Apr-84 Jun-25 Jun-25 Aug-25 558.24 3,353.73 3,353.73 LL8028 F STD ST Feb-69 Jun-25 Jul-25 Sep-25 481.44 4,195.41 4,195.41 LM4594 F STD ST Nov-70 Jul-25 Jul-25 Oct-25 851.04 10,212.48 10,212.48
LM8188 M STD ST Sep-86 Aug-25 Aug-25 Sep-25 722.4 4,231.17 4,231.17 LN6938 F STD ST Mar-89 Sep-25 Sep-25 Oct-25 663.89 2,655.63 2,655.63
Claim Number Gender Coverage Product Birth Date Incurred Date Approved Date Term Date Pending Benefit Paid This Period
Paid This Claim Ending Reserve
LR3871 F STD ST Jul-87 Aug-25 Sep-25 Oct-25 464.88 2,789.28 2,789.28 LR8341 M STD ST May-66 Aug-25 Sep-25 Oct-25 487.44 4,247.70 4,247.70
LT0232 M STD ST Apr-86 Sep-25 Oct-25 Oct-25 485.52 649.96 649.96 LU9190 M STD ST Aug-67 Oct-25 Nov-25 Nov-25 712.8 3,564.00 3,564.00
LV5408 M STD ST Jan-61 Nov-25 Nov-25 Jan-26 495.12 353.66 353.66 LW4434 M STD ST Aug-84 Oct-25 Nov-25 Nov-25 360 668.55 668.55 LX2900 M STD ST Mar-64 Oct-25 Nov-25 Dec-25 509.52 1,455.75 1,455.75
PRODUCT - ST 634,090.29 669,947.05
COVERAGE - STD 634,090.29 669,947.05
FD7051 M LTD LT Aug-59 Jan-17 Aug-17 Sep-23 2,275.30 980.65 7,380.65 FE7836 F LTD LT Sep-65 Feb-17 Jul-17 1,497.54 31,128.12 82,793.05 57,405.44
FG9495 M LTD LT Nov-57 Jun-17 Oct-17 May-24 1,743.33 12,808.97 FQ2809 F LTD LT Feb-64 Jan-18 Jul-18 1,560.00 3,600.00 18,502.36 5,763.00 FV6007 F LTD LT May-67 Apr-18 Sep-18 1,503.84 6,150.24 20,450.56 11,001.05
GS9233 F LTD LT May-70 Nov-19 Apr-20 1,799.06 68,364.28 118,628.02 56,957.37 GT7579 F LTD LT Jan-71 Dec-18 May-20 2,127.90 3,600.00 13,312.39 11,143.00
GZ8773 M LTD LT Apr-82 May-20 Sep-20 Jul-24 2,220.40 17,763.20 70,904.71 HH0234 F LTD LT Sep-88 Sep-20 Mar-21 Dec-25 1,573.53 56,647.08 88,016.19 126,874.13
HJ7096 M LTD LT Jun-62 Nov-20 Apr-21 Sep-25 2,256.76 10,140.78 14,581.41 HR8037 F LTD LT Jan-59 May-21 Jan-22 Nov-25 1,950.07 64,109.35 89,330.19 HX2224 M LTD LT May-77 Jul-21 Feb-22 3,089.60 3,600.00 4,900.00 13,790.00
JA8217 M LTD LT Apr-58 Sep-21 Apr-22 Mar-24 -11,248.36 2,400.00 JD1343 M LTD LT Jan-78 Jan-22 Jun-22 Sep-22 3,349.26 -8,819.61 7,818.67
JM2838 M LTD LT Dec-61 Jul-22 Mar-23 Jan-25 33,963.68 33,963.68 JN6487 F LTD LT Feb-59 Jul-22 Apr-23 Jul-24 25,670.95 25,670.95
JS5983 F LTD LT Dec-55 Jan-23 Jun-23 Dec-23 9,240.61 9,240.61 JT6834 M LTD LT Aug-67 Jan-23 Jun-23 Dec-23 2,492.24 7,680.11 7,680.11 JV1109 M LTD LT Jul-63 Jan-23 Aug-23 Sep-23 2,592.92 5,185.84 5,185.84
JV5705 M LTD LT Oct-71 Mar-23 Aug-23 Jun-25 36,506.52 36,506.52 JW3253 M LTD LT Sep-68 Apr-23 2,791.18 67,088.32 67,088.32 100,816.05
JW7561 M LTD LT Jul-71 Mar-23 Oct-23 2,473.32 JW9412 F LTD LT Mar-69 Mar-23 Oct-23 2,573.81
JY7739 M LTD LT Feb-66 Jan-23 Jan-24 1,902.47 37,780.25 37,780.25 41,227.21 JZ1711 M LTD LT Jul-70 May-23 Nov-23 Nov-23 2,396.74 3.33 3.33 KG0284 F LTD LT May-93 Sep-23 Jun-24 2,400.32
KG1201 M LTD LT Dec-03 Nov-23 Jun-24 1,929.05 KH8581 M LTD LT Dec-82 Dec-23 May-24 Jul-24 3,346.90 557.59 557.59
KL4323 M LTD LT Apr-70 Aug-23 Oct-24 Oct-25 2,403.46 2,403.46
Beginning Reserve
3,738.00 78,053.76
1,710.00 8,236.00 15,055.98
12,688.00
61,155.96
6,561.28 18,456.80
7,705.47 145,967.82
Aug-23
KL9022 M LTD LT Nov-66 May-24 Nov-24 1,983.13 19,751.73 19,751.73
KM2502 M LTD LT Mar-77 Dec-23 Oct-24 May-25 3,402.56 1,060.00 1,060.00 LK4488 F LTD LT Dec-68 Jan-25 3,185.62 9,351.29 9,351.29 7,246.00 LL0283 M LTD LT Jul-87 Feb-25 3,020.58 8,866.55 8,866.55 141,609.17
LL9724 M LTD LT Sep-62 Feb-25 Aug-25 2,271.19 LR0763 M LTD LT Mar-70 Feb-25 2,348.14 4,494.82 4,494.82 4,732.00
Claim Number Gender Coverage Product Birth Date Incurred Date Approved Date Term Date Pending Benefit Paid This Period
Paid This Claim Ending Reserve
LS1343 M LTD LT Dec-65 Apr-25 Sep-25 2,288.79 2,140.89 2,140.89 53,431.92 VG0317 F LTD LT Sep-57 Sep-08 Mar-09 Mar-24 21,075.12 235,850.48
VG7022 M LTD LT Sep-59 Sep-08 May-09 Sep-24 6,294.53 67,909.44 VJ9151 M LTD LT Aug-58 Dec-09 Aug-10 Aug-23 5,064.63 93,456.48
VK2830 F LTD LT Aug-57 Jan-10 Dec-10 Feb-24 5,903.63 142,146.01 VL5806 M LTD LT Nov-59 Aug-10 Feb-11 Nov-24 2,313.33 17,910.32 VN7975 F LTD LT Aug-60 Jul-11 Oct-11 1,967.01 3,600.00 22,353.79 1,713.00
VR5228 M LTD LT Mar-68 Apr-12 Jan-13 Jun-25 1,126.23 3,106.67 15,206.67 VS2980 M LTD LT Nov-62 Sep-12 May-13 1,431.40 3,543.33 16,056.08 3,723.00
VS3926 F LTD LT Jul-59 Oct-12 Apr-13 1,716.87 3,600.00 19,719.26 591 VS4645 F LTD LT Jul-78 Dec-12 Jun-13 1,439.71 51,829.56 214,400.09 58,059.26
VU8207 M LTD LT Jan-64 Apr-14 Jun-14 1,844.96 3,600.00 13,731.22 5,464.00 VV0733 F LTD LT Dec-64 Jan-14 Jul-14 1,560.00 3,600.00 33,892.27 6,490.00
LT
SUBTOTAL OTHER - LT 633,035.80 1,716,205.22 708,036.60
PRODUCT - LT 633,035.80 1,716,205.22 708,036.60
JN2685 M LTD L6 Jun-64 Nov-22 Feb-23 Nov-22 693 693
L6
SUBTOTAL OTHER - L6 693 693
PRODUCT - L6 693 693
LTD
SUBTOTAL OTHER - LTD 633,728.80 1,716,898.22 708,036.60
COVERAGE - LTD 633,728.80 1,716,898.22 708,036.60
POLICY - 641728 3,965,159.09 5,084,185.27 2,610,690.60
Jun-25 Jun-25
Aug-25 Beginning Reserve
21,953.39
4,832.14 3,327.12
6,856.25 1,697.00 4,691.00
10,213.00
3,804.00 66,152.21
7,649.00 8,795.00
SUBTOTAL PENDING -
500,244.18 500,244.18
2,817,876.18
500,244.18 500,244.18
SUBTOTAL PENDING -
SUBTOTAL PENDING -
Table 1
File details come from the government source that posted it. Updated .