Attachment 0010 - Historical Members and Claims 2025.pdf

This document is a Health Insurance Claims Experience Form for a government group (OPM SANG US GOV) covering policy periods from 07 December 2024 to 06 December 2025. The form provides detailed monthly claims data across two policy years, tracking the number of lives insured, number of paid claims, and amounts of paid claims for different benefit categories including outpatient, inpatient, dental, optical, and maternity services.

Key statistics include total paid claims of 7,683,216 for the current policy year, with monthly claims ranging from 0 to 1,051,444. The number of insured lives varies between 174 and 256 per month. The top utilized providers are listed by number of paid claims and amounts, with the highest paid claims reaching 318,672 for one provider. The document includes a breakdown of claims by benefit type and a section for policy holder confirmation, with a reported date of 29-07-2025 for insurance company use.