Exhibit_C__Claim_Run_Reference_Sheet.pdf
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- Solicitation number
- RFP-1-26-12
- Issued by
- Brevard County, Florida
About this file
This is a Claims Experience Reference Sheet from StanCorp Financial Group, Inc., documenting 2010 claim data for a Florida county's group insurance program. The sheet provides line-by-line explanations of claim run information fields used to track and report insurance claims across multiple product lines, including State Mandated Disability (SD), Long Term Disability (LTD), Short Term Disability (STD), Life Insurance (TERM), Life Waiver of Premium (TPD2), Dependent Life (DEP), and Accidental Death and Dismemberment (AD&D). The reference guide defines key data elements such as claim numbers, claimant names, gender, coverage types, product codes, birth dates, incurred dates, approval dates, and term dates. It explains financial metrics including benefit amounts, paid amounts during specific periods, total paid amounts since claim inception, end-of-period reserves, and beginning-of-period reserves maintained by Standard Insurance Company to cover future liabilities.
The County currently maintains fully insured group coverage through Standard Insurance Company under a contract effective January 1, 2019, and is seeking to expand its voluntary supplemental health benefit offerings through this solicitation. The County intends to award a single contract effective January 1, 2027, to consolidate administration of group-sponsored Accident, Hospital Indemnity, and Critical Illness/Cancer coverage, which are currently offered individually through multiple carriers including Aflac, Allstate, and Colonial Life. Employees with existing individual policies may continue direct-bill arrangements but will not have access to payroll deduction or on-site enrollment for non-group plans after the transition date. Only group-sponsored benefits awarded through this solicitation will be eligible for payroll deduction and centralized group administration beginning January 1, 2027.
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Text version
© 2010 StanCorp Financial Group, Inc.
Claims Experience Report Information Line by Line
Item Explanation
Claim Number System-assigned number
Claimant Name Last Name of claimant. If Dependent Life claims, last name of covered member.
Gender M = Male, F = Female
Coverage
Type of Coverage:
SD = State Mandated Disability LTD = Long Term Disability STD = Short Term Disability TERM = Life Insurance TPD2 = Life Waiver of Premium DEP = Dependent Life AD&D = Accidental Death and Dismemberment
Product
AA = Additional Accidental Death & Dismemberment BA = Basic Accidental Death & Dismemberment AL = Additional Life ALB = Assisted Living Benefit ASL = Additional Spouse Dependent Life BL = Basic Life DL = Dependent Life L1 = Employer Reasonable Accomodation Benefit L2 = Vendor Reasonable Accomodation Benefit L4 = Employer Rehab Benefit L6 = Vendor Expense Benefit LSB = Lifetime Security Benefit LT = Long Term Disability ST = Short Term Disability XCL = Child Dependents Life XDL = Spouse and Child Dependents Life XSL = Spouse Dependents Life
Birth Date The month and year in which the claimant was born.
Incurred Date The month and year in which death or disability occurred.
Approved Date The month and year the claim was approved by Standard.
Term Date The month and year the claim was closed.
Pending Claim is pending.
Benefit Shown only for STD and LTD – The benefit prior to any reduction for income from other sources (i.e., the gross benefit).
Paid This Period The amount paid during the time period covered by the claims run. Negative amounts reflect adjustment and/or overpayment recoveries.
Paid This Claim The total amount paid since the incurred date of the claim.
Reserve End of Period This is the reserve held by Standard at the end of the time period covered by the claims run (set aside to pay future liabilities).
Reserve Beginning of Period This is the reserve held by Standard at the beginning of the time period covered by the claims run (set aside to pay future liabilities).
File details come from the government source that posted it. Updated .