Open Loss Runs Summary.pdf
PDF 417 KB Posted
- Solicitation number
- 74BAI-S3531
- Issued by
- Nevada
About this file
The document appears to be a comprehensive claims loss report detailing workers' compensation claims from 1985 to 2022. The report contains a detailed breakdown of various types of claims, including Permanent Total Disability, Temporary Disability, Death Claims, and Medical Only claims, spanning multiple decades. Each entry provides extensive financial information such as medical activity paid, indemnity activity paid, total activity paid, medical and indemnity reserves, and total incurred costs.
The total cumulative financial impact across all claims is substantial, with aggregate totals showing approximately $31.3 million in medical paid, $22.5 million in indemnity paid, $5.8 million in other paid expenses, resulting in a total paid amount of around $59.5 million. The claims cover a wide range of injury types and severities, with loss dates ranging from 1985 to 2022, indicating a long-term tracking of workplace injury and compensation records. The data is meticulously organized, showing claim status (Open or Resolved), detailed financial breakdowns for each claim, and tracking medical, indemnity, and other related expenses across multiple categories of worker compensation incidents.
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Other files
| File | Type | Posted |
|---|---|---|
| 74BAI-S3531 Standard-form-contract.docx | DOCX document | |
| 74BAI-S3531 Q and A.xlsx | XLSX spreadsheet | |
| 74BAI-S3531 Workers Comp Claim TPA RFP~5.docx | DOCX document | |
| 74BAI-S3531 Cost Schedule.docx | DOCX document | |
| 74BAI-S3531 Terms-and-conditions-for-services.pdf | ||
| 74BAI-S3531 Vendor-Information-Response.pdf | ||
| 74BAI-S3531 Workers Comp Claim TPA RFP~4.docx | DOCX document | |
| Quote Instructions.pdf | ||
| 74BAI-S3531 Certification-regarding-lobbying.pdf |
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Text version
Loss Type Loss Date Claim Status
Medical Activity Paid
Indemnity Activity Paid
Exp activity
Legal Activity
Paid
Rehab Activity
Paid
Total Activity Paid
Medical Paid Indemnity Paid Other Paid Total Paid Medical Reserves
Indemnity Reserves
Other Reserves Total Reserves Medical Incurred
Indemnity Incurred
Other Incurred Total Incurred
Perm Total Dis 7/13/1985 O 0.00 1,182.76 0.00 0.00 1,182.76 58,339.97 669,756.16 10,926.53 739,022.66 25,173.39 15,651.92 7,661.09 48,486.40 83,513.36 685,408.08 18,587.62 787,509.06 Death claim 3/30/1989 O 0.00 1,915.62 0.00 0.00 1,915.62 5,216.92 710,111.73 0.00 715,328.65 0.00 11,933.21 0.00 11,933.21 5,216.92 722,044.94 0.00 727,261.86 Perm Total Dis 8/27/1989 O 0.00 0.00 0.00 0.00 0.00 709,757.73 338,716.82 60,603.14 1,109,077.69 461,015.97 244,833.78 116,913.29 822,763.04 1,170,773.70 583,550.60 177,516.43 1,931,840.73 Perm Total Dis 5/19/1992 O 111.03 0.00 0.00 0.00 154.76 209,441.10 930.66 25,236.40 235,608.16 167,378.12 1,569.34 13,615.36 182,562.82 376,819.22 2,500.00 38,851.76 418,170.98 Perm Total Dis 11/7/1992 O 0.00 1,046.01 0.00 0.00 1,046.01 138,071.90 320,292.83 6,386.98 464,751.71 3,000.00 4,947.81 1,875.80 9,823.61 141,071.90 325,240.64 8,262.78 474,575.32 Temp disability 7/5/1995 R 7,417.76 0.00 374.00 0.00 8,586.12 253,451.66 133,186.35 54,160.73 440,798.74 3,995.77 3,259.17 7,951.81 15,206.75 257,447.43 136,445.52 62,112.54 456,005.49 Perm Total Dis 9/22/1998 O 0.00 3,620.41 0.00 0.00 3,620.41 0.00 278,603.87 240.00 278,843.87 0.00 346,829.61 3,260.00 350,089.61 0.00 625,433.48 3,500.00 628,933.48 Perm Total Dis 1/6/1999 R 0.00 2,383.67 0.00 0.00 2,383.67 365,120.06 603,134.93 126,273.91 1,094,528.90 356,028.15 7,576.45 41,020.52 404,625.12 721,148.21 610,711.38 167,294.43 1,499,154.02 Death claim 6/10/1999 O 0.00 2,640.83 0.00 0.00 0.00 2,640.83 1,065.26 752,908.75 21,541.29 775,515.30 0.00 13,523.02 586.00 14,109.02 1,065.26 766,431.77 22,127.29 789,624.32 PP 7/18/2000 O 0.00 0.00 0.00 0.00 0.00 0.00 291,755.50 192,420.71 117,732.56 601,908.77 0.00 5,200.00 50.00 5,250.00 291,755.50 197,620.71 117,782.56 607,158.77 Perm Total Dis 7/26/2000 O 0.00 2,894.54 0.00 0.00 2,894.54 495,345.57 716,985.60 107,118.81 1,319,449.98 85,920.27 36,780.04 46,200.34 168,900.65 581,265.84 753,765.64 153,319.15 1,488,350.63 PP 9/22/2000 O 607.50 0.00 82.38 0.00 0.00 689.88 446,111.83 167,884.76 123,924.64 737,921.23 17,003.00 4,917.80 7,221.71 29,142.51 463,114.83 172,802.56 131,146.35 767,063.74 PP 9/28/2000 O 0.00 227.83 0.00 0.00 0.00 227.83 248,567.56 139,815.84 121,494.32 509,877.72 0.00 15,357.85 0.00 15,357.85 248,567.56 155,173.69 121,494.32 525,235.57 PP 2/14/2001 O 0.00 204.56 0.00 0.00 0.00 204.56 396,835.33 180,794.65 145,503.75 723,133.73 42,315.00 81,421.64 7,388.00 131,124.64 439,150.33 262,216.29 152,891.75 854,258.37 Temp disability 3/26/2001 O 112.47 0.00 0.00 0.00 150.34 142,453.25 50,808.50 56,970.96 250,232.71 15,113.17 1.00 6,325.95 21,440.12 157,566.42 50,809.50 63,296.91 271,672.83 Perm Total Dis 4/11/2001 O 2,232.95 4,207.41 0.00 0.00 0.00 6,440.36 824,159.59 905,243.31 67,662.79 1,797,065.69 76,211.64 486,323.54 1,570.00 564,105.18 900,371.23 1,391,566.85 69,232.79 2,361,170.87 PP 6/5/2001 R 974.33 0.00 0.00 0.00 1,105.78 255,751.30 91,203.11 11,257.11 358,211.52 6,402.42 0.00 7,435.04 13,837.46 262,153.72 91,203.11 18,692.15 372,048.98 PP 8/1/2001 O 0.00 114.55 0.00 0.00 0.00 114.55 12,719.47 35,866.57 845.31 49,431.35 0.00 8,747.35 0.00 8,747.35 12,719.47 44,613.92 845.31 58,178.70 Temp disability 9/25/2001 O 0.00 0.00 0.00 0.00 0.00 0.00 559,467.64 259,882.22 161,160.30 980,510.16 0.00 0.00 638.00 638.00 559,467.64 259,882.22 161,798.30 981,148.16 PP 1/30/2002 O 0.00 0.00 0.00 0.00 0.00 0.00 160,798.07 152,292.87 17,339.85 330,430.79 2,287.65 1.00 2,955.69 5,244.34 163,085.72 152,293.87 20,295.54 335,675.13 PP 4/15/2002 O 0.00 0.00 0.00 0.00 0.00 0.00 150,408.46 49,161.64 66,484.97 266,055.07 0.00 10,018.63 2,973.56 12,992.19 150,408.46 59,180.27 69,458.53 279,047.26 Perm Total Dis 5/20/2002 O 15,565.97 2,991.72 0.00 0.00 18,990.09 2,599,457.94 445,599.25 274,254.29 3,319,311.48 3,907,191.12 377,726.88 556.71 4,285,474.71 6,506,649.06 823,326.13 274,811.00 7,604,786.19 Temp disability 2/8/2003 O 195.69 0.00 0.00 0.00 214.73 467,729.52 122,850.45 75,793.52 666,373.49 5,554.62 15,839.82 8,009.51 29,403.95 473,284.14 138,690.27 83,803.03 695,777.44 PP 5/28/2003 O 0.00 445.97 0.00 0.00 0.00 445.97 266,331.09 206,627.82 67,086.80 540,045.71 0.00 17,583.18 0.00 17,583.18 266,331.09 224,211.00 67,086.80 557,628.89 Temp disability 11/14/2003 R 0.00 0.00 0.00 0.00 0.00 0.00 128,801.61 5,944.75 883.56 135,629.92 4,982.15 0.00 1,478.21 6,460.36 133,783.76 5,944.75 2,361.77 142,090.28 Perm Total Dis 1/19/2004 O 0.00 3,105.97 0.00 0.00 0.00 3,105.97 101,927.26 633,469.93 30,335.82 765,733.01 0.00 10,850.18 451.00 11,301.18 101,927.26 644,320.11 30,786.82 777,034.19 Death claim 4/20/2004 O 0.00 1,510.57 0.00 0.00 0.00 1,510.57 88,919.96 338,946.36 10,341.32 438,207.64 0.00 9,019.58 240.00 9,259.58 88,919.96 347,965.94 10,581.32 447,467.22 PP 5/25/2004 O 0.00 0.00 0.00 0.00 0.00 0.00 460,136.68 168,348.61 91,963.39 720,448.68 0.00 1,266.14 0.00 1,266.14 460,136.68 169,614.75 91,963.39 721,714.82 Temp disability 9/17/2004 O 0.00 0.00 0.00 0.00 0.00 0.00 62,198.08 46,905.17 49,669.64 158,772.89 24,642.00 26,350.00 12,057.00 63,049.00 86,840.08 73,255.17 61,726.64 221,821.89 PP 9/21/2005 O 53.96 432.57 22.05 0.00 0.00 508.58 100,920.35 235,088.77 52,016.03 388,025.15 784.16 2,919.58 411.80 4,115.54 101,704.51 238,008.35 52,427.83 392,140.69 PD 3/6/2006 O 0.00 0.00 0.00 0.00 0.00 0.00 96,883.56 111,742.39 2,525.55 211,151.50 0.00 13,152.90 0.00 13,152.90 96,883.56 124,895.29 2,525.55 224,304.40 PP 5/12/2006 O 0.00 225.30 0.00 0.00 0.00 225.30 258,841.81 97,517.30 46,588.26 402,947.37 0.00 9,283.20 0.00 9,283.20 258,841.81 106,800.50 46,588.26 412,230.57 Temp disability 5/16/2006 O 139.59 0.00 16.78 0.00 0.00 156.37 440,334.59 62,137.92 6,500.11 508,972.62 41,621.15 0.00 3,775.50 45,396.65 481,955.74 62,137.92 10,275.61 554,369.27 PP 4/7/2007 O 0.00 0.00 0.00 2,887.36 2,887.36 8,961.86 54,034.88 29,470.11 92,466.85 1,085.39 5,668.96 16,347.10 23,101.45 10,047.25 59,703.84 45,817.21 115,568.30 PP 5/2/2007 O 0.00 254.27 0.00 0.00 0.00 254.27 207,542.79 53,650.44 1,501.63 262,694.86 0.00 74,243.38 0.00 74,243.38 207,542.79 127,893.82 1,501.63 336,938.24 PP 3/20/2008 O 0.00 139.10 0.00 0.00 0.00 139.10 107,312.88 198,651.38 36,960.11 342,924.37 0.00 29,934.40 0.00 29,934.40 107,312.88 228,585.78 36,960.11 372,858.77 PP 11/19/2008 O 233.50 245.58 91.19 0.00 0.00 570.27 194,898.83 215,748.22 72,938.62 483,585.67 3,651.26 17,405.52 1,246.31 22,303.09 198,550.09 233,153.74 74,184.93 505,888.76 Medical only 3/27/2012 R 0.00 0.00 0.00 0.00 0.00 326.39 0.00 2,221.07 2,547.46 3,173.61 0.00 1,778.93 4,952.54 3,500.00 0.00 4,000.00 7,500.00 PP 12/27/2012 O 0.00 257.12 0.00 0.00 0.00 257.12 59,392.56 114,557.33 49,866.52 223,816.41 0.00 12,434.40 0.00 12,434.40 59,392.56 126,991.73 49,866.52 236,250.81 Temp disability 9/26/2013 O 3,496.22 2,200.32 37.89 0.00 0.00 5,734.43 1,712,925.39 274,576.70 93,059.41 2,080,561.50 396,742.07 685,202.08 95,550.33 1,177,494.48 2,109,667.46 959,778.78 188,609.74 3,258,055.98 Temp disability 4/29/2015 O 0.00 3,284.68 0.00 0.00 3,284.68 9,518.15 239,662.19 4,195.86 253,376.20 2,970.12 10,650.60 1,218.87 14,839.59 12,488.27 250,312.79 5,414.73 268,215.79 Temp disability 11/30/2015 O 0.00 684.81 0.00 0.00 684.81 4,413,590.00 6,377,611.44 1,133,616.00 11,924,817.44 0.00 16,434.24 0.00 16,434.24 4,413,590.00 6,394,045.68 1,133,616.00 11,941,251.68 Perm Total Dis 12/14/2015 O 6,146.46 3,676.10 99.88 0.00 0.00 9,922.44 1,101,930.28 377,664.32 24,914.86 1,504,509.46 951,701.09 440,530.40 390,307.13 1,782,538.62 2,053,631.37 818,194.72 415,221.99 3,287,048.08 PP 2/20/2016 O 0.00 358.13 0.00 0.00 358.13 65,030.76 416,979.30 69,675.07 551,685.13 19,665.75 106,006.48 2,283.19 127,955.42 84,696.51 522,985.78 71,958.26 679,640.55 PP 6/6/2016 O 0.00 0.00 153.00 0.00 153.00 68,898.76 205,663.76 81,963.03 356,525.55 348.51 4,642.33 44,036.42 49,027.26 69,247.27 210,306.09 125,999.45 405,552.81 Temp disability 7/18/2016 O 0.00 199.64 0.00 4,168.60 4,368.24 98,969.25 407,522.29 177,506.24 683,997.78 1,336.98 62,651.41 2,504.92 66,493.31 100,306.23 470,173.70 180,011.16 750,491.09 PP 9/24/2016 O 0.00 0.00 0.00 0.00 0.00 4,742.50 74,505.37 18,345.78 97,593.65 1,000.00 0.00 3,370.12 4,370.12 5,742.50 74,505.37 21,715.90 101,963.77 Temp disability 2/28/2017 O 0.00 0.00 0.00 0.00 0.00 22,627.58 157,322.71 2,151.83 182,102.12 16,914.81 0.00 8,348.17 25,262.98 39,542.39 157,322.71 10,500.00 207,365.10 PP 5/14/2017 O 0.00 0.00 0.00 0.00 0.00 82,612.26 279,740.10 96,415.48 458,767.84 14,011.15 0.00 363.52 14,374.67 96,623.41 279,740.10 96,779.00 473,142.51 PP 9/29/2017 O 0.00 0.00 0.00 0.00 0.00 27,193.32 213,793.74 7,851.47 248,838.53 271.50 0.00 482.51 754.01 27,464.82 213,793.74 8,333.98 249,592.54 Temp disability 10/14/2017 O 0.00 0.00 0.00 0.00 0.00 32,284.94 336,852.24 108,753.21 477,890.39 766.40 7,385.32 -1,582.89 6,568.83 33,051.34 344,237.56 107,170.32 484,459.22 Temp disability 1/15/2018 O 0.00 0.00 0.00 0.00 0.00 37,303.70 45,522.39 5,350.59 88,176.68 1,196.30 8.44 5,899.41 7,104.15 38,500.00 45,530.83 11,250.00 95,280.83
Loss Type Loss Date Claim Status
Medical Activity Paid
Indemnity Activity Paid
Exp activity
Legal Activity
Paid
Rehab Activity
Paid
Total Activity Paid
Medical Paid Indemnity Paid Other Paid Total Paid Medical Reserves
Indemnity Reserves
Other Reserves Total Reserves Medical Incurred
Indemnity Incurred
Other Incurred Total Incurred
Temp disability 2/10/2018 R 884.55 0.00 0.00 0.00 1,115.55 6,733.37 104,101.39 2,280.01 113,114.77 615.45 0.00 769.00 1,384.45 7,348.82 104,101.39 3,049.01 114,499.22 Medical only 5/19/2018 O 900.05 0.00 877.50 0.00 2,013.30 1,310.84 0.00 2,348.26 3,659.10 2,439.16 0.00 901.74 3,340.90 3,750.00 0.00 3,250.00 7,000.00 Medical only 11/23/2018 O 0.00 0.00 0.00 0.00 0.00 2,407.94 0.00 1,977.09 4,385.03 902.90 0.00 537.10 1,440.00 3,310.84 0.00 2,514.19 5,825.03 PP 2/19/2019 O 0.00 0.00 39.31 0.00 39.31 2,155.22 16.01 2,001.81 4,173.04 0.00 103.99 1,998.19 2,102.18 2,155.22 120.00 4,000.00 6,275.22 PD 5/15/2019 O 0.00 0.00 0.00 0.00 0.00 18,757.54 101,211.21 76,127.86 196,096.61 0.00 0.00 5,829.28 5,829.28 18,757.54 101,211.21 81,957.14 201,925.89 Temp disability 5/27/2019 O 0.00 0.00 0.00 2,448.16 2,448.16 45,217.80 201,056.04 189,591.05 435,864.89 0.00 5,582.87 3,375.53 8,958.40 45,217.80 206,638.91 192,966.58 444,823.29 Medical only 6/5/2019 R 2,791.85 0.00 0.00 0.00 3,299.80 7,630.14 54,291.63 2,555.72 64,477.49 6,369.86 0.00 4,708.28 11,078.14 14,000.00 54,291.63 7,264.00 75,555.63 PP 6/8/2019 O 0.00 0.00 0.00 0.00 0.00 11,454.33 73,819.97 16,901.76 102,176.06 0.00 0.00 64,905.56 64,905.56 11,454.33 73,819.97 81,807.32 167,081.62 PP 6/24/2019 O 0.00 0.00 0.00 0.00 0.00 7,826.30 2,303.78 1,139.25 11,269.33 0.00 15,636.86 2,860.75 18,497.61 7,826.30 17,940.64 4,000.00 29,766.94 Temp disability 8/23/2019 O 0.00 0.00 0.00 0.00 0.00 20,899.17 41,871.05 6,976.82 69,747.04 14.77 0.00 4,418.22 4,432.99 20,913.94 41,871.05 11,395.04 74,180.03 PP 9/10/2019 R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2,585.40 2,585.40 0.00 0.00 9,000.00 9,000.00 0.00 0.00 11,585.40 11,585.40 Temp disability 11/1/2019 O 354.98 3,738.56 17.00 0.00 4,254.22 280,577.03 220,975.60 53,690.88 555,243.51 4,911.28 11,012.23 4,189.16 20,112.67 285,488.31 231,987.83 57,880.04 575,356.18 Temp disability 12/17/2019 R 0.00 0.00 0.00 0.00 0.00 26,491.66 93,574.16 4,089.83 124,155.65 0.00 0.00 0.00 0.00 26,491.66 93,574.16 4,089.83 124,155.65 Temp disability 12/28/2019 O 0.00 0.00 0.00 0.00 0.00 21,761.63 177,537.21 113,188.24 312,487.08 0.00 0.00 3,970.00 3,970.00 21,761.63 177,537.21 117,158.24 316,457.08 Temp disability 1/4/2020 O 0.00 0.00 0.00 0.00 0.00 37,158.32 175,591.21 115,665.17 328,414.70 4,989.28 0.00 8,089.77 13,079.05 42,147.60 175,591.21 123,754.94 341,493.75 PP 1/5/2020 O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 39,737.14 39,737.14 0.00 0.00 24,762.86 24,762.86 0.00 0.00 64,500.00 64,500.00 Medical only 2/6/2020 O 0.00 0.00 0.00 0.00 0.00 5,045.90 72,983.32 3,212.90 81,242.12 339.35 16.68 1,162.10 1,518.13 5,385.25 73,000.00 4,375.00 82,760.25 PD 3/6/2020 R 0.00 0.00 0.00 0.00 0.00 25,822.27 36,753.08 946.44 63,521.79 1,596.80 0.00 194.74 1,791.54 27,419.07 36,753.08 1,141.18 65,313.33 Medical only 3/8/2020 O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 99.00 99.00 0.00 0.00 201.00 201.00 0.00 0.00 300.00 300.00 Temp disability 3/14/2020 R 0.00 0.00 0.00 0.00 0.00 7,084.09 137,089.28 400.40 144,573.77 0.00 0.00 0.00 0.00 7,084.09 137,089.28 400.40 144,573.77 Medical only 3/14/2020 O 0.00 0.00 0.00 0.00 0.00 0.00 50,000.00 78.10 50,078.10 0.00 0.00 2,496.90 2,496.90 0.00 50,000.00 2,575.00 52,575.00 Temp disability 12/8/2020 O 0.00 0.00 0.00 0.00 0.00 2,242,423.44 340,719.82 304,003.27 2,887,146.53 1,760.56 240.83 922.73 2,924.12 2,244,184.00 340,960.65 304,926.00 2,890,070.65 Temp disability 8/18/2021 O 0.00 290.97 0.00 0.00 290.97 2,847,411.00 760,647.98 139,189.00 3,747,247.98 0.00 31,424.76 0.00 31,424.76 2,847,411.00 792,072.74 139,189.00 3,778,672.74 Temp disability 2/28/2022 O 0.00 0.00 0.00 0.00 0.00 782,219.00 0.00 125,761.00 907,980.00 0.00 0.00 83.00 83.00 782,219.00 0.00 125,844.00 908,063.00 Temp disability 3/21/2022 O 0.00 0.00 0.00 0.00 0.00 3,679,101.83 352,777.47 305,945.00 4,337,824.30 95.17 7,397.72 942.00 8,434.89 3,679,197.00 360,175.19 306,887.00 4,346,259.19 Temp disability 6/29/2022 O 0.00 0.00 0.00 0.00 0.00 2,133,303.37 209,327.92 243,668.00 2,586,299.29 782.63 2,042.08 0.00 2,824.71 2,134,086.00 211,370.00 243,668.00 2,589,124.00
78 42,218.86 44,479.57 350.17 1,460.81 9,504.12 100,590.76 31,266,175.01 22,475,887.53 5,781,738.93 59,523,801.47 6,686,271.90 3,329,540.60 1,021,093.84 11,036,906.34 37,952,446.91 25,805,428.13 6,802,832.77 70,560,707.81
File details come from the government source that posted it. Updated .