Exhibit_F_St_Cloud_Cigna_MUE_1021_to_0922.pdf
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- Solicitation number
- 2024-007
- Issued by
- Polk County, Florida
About this file
This document is a Monthly Healthcare Detail Experience Report from Cigna for the City of St. Cloud, covering healthcare claims data from October 2021 through September 2022. The report details a Retrospective Experience Rated healthcare plan for the city, specifically an OAP1 (Open Access Plan) product type, tracking monthly healthcare utilization and financial metrics for the organization.
The report shows total annual claims of $5,476,882, with a consistent monthly enrollment of approximately 488-495 subscribers and 1,011-1,045 total members. The breakdown includes fixed charges, in-network and out-of-network medical expenses, and prescription drug costs. Fixed monthly charges ranged from $38,546 to $43,725, while total monthly claims fluctuated between $347,330 and $573,644. The most significant expense categories are in-network medical costs ($4,124,053 annually) and prescription drugs ($853,897 annually), indicating a comprehensive healthcare coverage approach for city employees.
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Date: 1/25/2023
ADVICE Reporting System
This report contains proprietary and/or confidential information. Disclosure is strictly prohibited except to the extent required by law.
CITY OF ST. CLOUD
MONTHLY HEALTHCARE DETAIL EXPERIENCE REPORT
October 2021 thru September 2022 Rating Type : RETROSPECTIVE EXPERIENCE RATED Reported Claims: All Claims, All HRA, ATM, Check, Clms Fwrd, Debit Note: Paid claim dollars include amounts deducted from your account and paid to vendors for cost containment services.
YTD/MONTH PRODUCT TYPE FIXED CHARGES IN NETWORK OUT OF NETWORK DRUG TOTAL CLAIMS TOTAL SUBS TOTAL MBRS Oct-21 OAP1 $107 $102,983 $101 $35,341 $138,532 479 1,036 Oct-2021 Total $107 $102,983 $101 $35,341 $138,532 479 1,036
Nov-21 OAP1 $38,619 $238,176 $808 $87,141 $364,744 478 1,022 Nov-2021 Total $38,619 $238,176 $808 $87,141 $364,744 478 1,022
Dec-21 OAP1 $39,023 $468,419 $4,275 $61,927 $573,644 481 1,030 Dec-2021 Total $39,023 $468,419 $4,275 $61,927 $573,644 481 1,030
Jan-22 OAP1 $39,636 $435,612 $7,028 $49,633 $531,908 491 1,045 Jan-2022 Total $39,636 $435,612 $7,028 $49,633 $531,908 491 1,045
Feb-22 OAP1 $39,442 $205,592 $5,364 $96,932 $347,330 488 1,040 Feb-2022 Total $39,442 $205,592 $5,364 $96,932 $347,330 488 1,040
Mar-22 OAP1 $38,546 $331,342 $3,167 $80,373 $453,427 488 1,037 Mar-2022 Total $38,546 $331,342 $3,167 $80,373 $453,427 488 1,037
Apr-22 OAP1 $39,947 $398,328 $1,304 $87,528 $527,106 490 1,034 Apr-2022 Total $39,947 $398,328 $1,304 $87,528 $527,106 490 1,034
May-22 OAP1 $40,182 $404,911 $945 $72,965 $519,004 495 1,042 May-2022 Total $40,182 $404,911 $945 $72,965 $519,004 495 1,042
Jun-22 OAP1 $42,997 $426,443 $3,908 $77,462 $550,810 495 1,033 Jun-2022 Total $42,997 $426,443 $3,908 $77,462 $550,810 495 1,033
Jul-22 OAP1 $43,725 $386,694 $23,270 $81,469 $535,158 493 1,030 Jul-2022 Total $43,725 $386,694 $23,270 $81,469 $535,158 493 1,030
Aug-22 OAP1 $40,147 $302,326 $4,489 $70,836 $417,798 488 1,017 Aug-2022 Total $40,147 $302,326 $4,489 $70,836 $417,798 488 1,017
Sep-22 OAP1 $39,681 $423,227 $2,221 $52,292 $517,421 488 1,011 Sep-2022 Total $39,681 $423,227 $2,221 $52,292 $517,421 488 1,011
Date: 1/25/2023
ADVICE Reporting System
This report contains proprietary and/or confidential information. Disclosure is strictly prohibited except to the extent required by law.
CITY OF ST. CLOUD
MONTHLY HEALTHCARE DETAIL EXPERIENCE REPORT
October 2021 thru September 2022 Rating Type : RETROSPECTIVE EXPERIENCE RATED Reported Claims: All Claims, All HRA, ATM, Check, Clms Fwrd, Debit Note: Paid claim dollars include amounts deducted from your account and paid to vendors for cost containment services.
YTD/MONTH PRODUCT TYPE FIXED CHARGES IN NETWORK OUT OF NETWORK DRUG TOTAL CLAIMS TOTAL SUBS TOTAL MBRS
PRODUCT TYPE Totals OAP1 $442,054 $4,124,053 $56,878 $853,897 $5,476,882 5,854 12,377 Grand Total $442,054 $4,124,053 $56,878 $853,897 $5,476,882 5,854 12,377
Account _ Product-1
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