Attachment_3_-_Current_Enrollees_and_Premiums_By_Issue_Age_-_FLTCIP_1.0.pdf
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- OPM35-15-R-0002
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Office of Personnel Management
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Attachment 3 - Current Enrollees and Premiums By Issue Age - FLTCIP 1.0
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Current Enrollees and Premiums
By Issue Age
FLTCIP 1.0
Number of Active Enrollees as of Sept 30, 2014
Comprehensive & Facilities-Only Plans*
3 Year 5 Year Unlimited
ACI
FPO
ACI
FPO
ACI
FPO
Issue Age 4% 5% 4% 5% 4% 5%
<33 66 463 243 59 254 216 135 657 647
33-37 104 633 290 85 522 335 148 920 665
38-42 306 1,462 589 269 1,374 748 355 1,733 1,104
43-47 737 2,718 1,195 653 2,535 1,473 607 2,571 1,507
48-52 1,868 4,656 2,415 1,444 4,345 2,611 1,081 3,202 1,988
53-57 3,432 6,012 3,918 2,267 4,905 3,493 1,340 3,158 2,216
58-62 3,988 5,621 4,627 2,237 3,244 3,094 1,152 2,074 1,873
63-67 3,530 4,074 4,990 1,339 1,702 2,453 821 1,019 1,472
68-72 552 4,020 4,242 157 1,151 1,637 81 672 791
73-77 11 1,224 1,876 5 242 475 0 103 155
78+ 3 320 723 0 59 155 0 21 52
Total 14,597 31,203 25,108 8,515 20,333 16,690 5,720 16,130 12,470
Average Daily Maximum Benefit at Issue as of Sept 30, 2014
ACI
FPO
ACI
FPO
Issue Age 4% 5% 4% 5% 4% 5%
<33 $101 $103 $106 $148 $148 $160 $148 $150 $159
33-37 $113 $106 $110 $149 $148 $164 $144 $153 $161
38-42 $112 $107 $112 $149 $148 $163 $147 $150 $162
43-47 $112 $109 $116 $142 $146 $164 $148 $152 $160
48-52 $114 $110 $117 $144 $146 $163 $148 $148 $160
53-57 $113 $110 $117 $141 $143 $157 $141 $147 $155
58-62 $112 $109 $112 $140 $141 $153 $139 $144 $152
63-67 $108 $107 $110 $139 $141 $146 $138 $141 $146
68-72 $106 $105 $108 $137 $139 $143 $138 $138 $142
73-77 $107 $102 $107 $155 $131 $137 $0 $130 $128
78+ $83 $102 $102 $0 $129 $130 $0 $120 $128
Average $107 $106 $111 $145 $142 $153 $144 $143 $150
*Excludes Nonstandard plan enrollees
There are 365 Nonstandard FLTCIP 1.0 enrollees as of Sept 30, 2014
By Issue Age
FLTCIP 2.0
Comprehensive*
2 Year 3 Year 5 Year Unlimited
ACI
FPO
ACI
FPO
ACI
FPO
Issue Age 4% 5% 4% 5% 4% 5% 4% 5%
<33 333 17 196 532 112 178 330 151 231 470 89 388
33-37 322 24 162 672 207 221 483 245 279 524 80 381
38-42 502 34 220 1,447 395 420 1,066 556 534 1,023 132 525
43-47 935 62 357 2,791 856 705 2,118 973 848 1,524 171 683
48-52 1,606 118 654 5,938 1,421 1,383 4,205 1,586 1,528 2,452 238 889
53-57 2,181 158 958 9,087 1,721 2,047 5,740 1,748 1,850 2,724 206 908
58-62 2,063 158 1,010 7,848 1,440 2,303 4,030 1,136 1,588 1,690 134 719
63-67 986 84 635 4,058 792 1,824 1,697 482 949 744 54 426
68-72 455 31 305 1,752 408 840 618 175 331 285 26 143
73-77 121 4 119 432 93 265 112 39 77 56 3 39
78+ 29 0 54 86 17 87 21 3 18 10 0 7
Total 9,533 690 4,670 34,643 7,462 10,273 20,420 7,094 8,233 11,502 1,133 5,108
Average Daily Maximum Benefit at Issue as of Sept 30, 2014
ACI
FPO
ACI
FPO
ACI
FPO
Issue Age 4% 5% 4% 5% 4% 5% 4% 5%
<33 $144 $156 $150 $159 $137 $171 $181 $194 $215 $170 $211 $210
33-37 $146 $156 $151 $154 $137 $177 $176 $176 $209 $164 $229 $211
38-42 $145 $165 $149 $156 $141 $168 $173 $173 $208 $162 $191 $211
43-47 $144 $174 $155 $150 $137 $169 $169 $173 $205 $159 $193 $205
48-52 $147 $167 $165 $148 $142 $171 $163 $170 $205 $155 $190 $206
53-57 $147 $164 $157 $142 $142 $172 $158 $169 $198 $150 $181 $191
58-62 $148 $160 $157 $142 $141 $170 $157 $168 $194 $148 $182 $184
63-67 $142 $154 $152 $134 $134 $164 $155 $162 $185 $144 $188 $179
68-72 $129 $155 $141 $124 $125 $148 $149 $152 $168 $145 $183 $170
73-77 $117 $138 $140 $114 $120 $129 $139 $144 $147 $136 $183 $166
78+ $103 $0 $120 $107 $112 $125 $140 $150 $168 $133 $0 $114
Average $138 $159 $149 $139 $133 $160 $160 $166 $191 $151 $193 $186
There are 173 Nonstandard FLTCIP 2.0 enrollees as of Sept 30, 2014
By Attained Age
Attained ACI
FPO
ACI
FPO
ACI
FPO
Age 4% 5% 4% 5% 4% 5% <33 5 64 35 4 13 19 19 56 101
33-37 18 126 72 9 55 52 35 151 175
38-42 35 196 108 31 120 87 57 357 300
43-47 76 498 185 67 332 239 139 699 500
48-52 193 1,022 455 176 926 521 286 1,380 919
53-57 492 2,097 851 454 1,964 1,080 517 2,274 1,314
58-62 1,362 3,786 1,789 1,037 3,570 2,024 885 2,963 1,743
63-67 2,851 5,713 3,348 2,189 5,058 3,330 1,335 3,332 2,313
68-72 3,960 5,901 4,385 2,354 4,063 3,456 1,229 2,514 1,989
73-77 3,695 4,505 4,874 1,593 2,181 2,745 911 1,291 1,640
78-82 1,887 4,022 4,735 596 1,341 1,952 305 771 1,049
83+ 23 3,273 4,271 5 710 1,185 2 342 427
Total 14,597 31,203 25,108 8,515 20,333 16,690 5,720 16,130 12,470
Current Average Daily Maximum Benefit as of Sept 30, 2014
3 Year 5 Year Unlimited
Attained ACI
FPO
ACI
FPO
ACI
FPO
Age 4% 5% 4% 5% 4% 5% <33 $175 $140 $133 $208 $239 $196 $252 $215 $212
33-37 $186 $152 $136 $235 $234 $213 $249 $213 $216 38-42 $171 $159 $153 $273 $226 $220 $263 $238 $215 43-47 $186 $167 $159 $262 $237 $231 $254 $240 $219 48-52 $189 $174 $160 $253 $244 $234 $247 $247 $227 53-57 $193 $179 $165 $249 $244 $237 $249 $246 $224 58-62 $190 $182 $170 $244 $244 $234 $243 $247 $227 63-67 $187 $184 $170 $234 $243 $228 $234 $243 $219 68-72 $181 $184 $163 $225 $239 $216 $223 $243 $210 73-77 $176 $180 $155 $225 $235 $203 $220 $235 $200 78-82 $176 $178 $147 $228 $235 $193 $226 $231 $190 83+ $136 $175 $137 $193 $229 $178 $186 $228 $169
Average $179 $171 $154 $236 $237 $215 $237 $235 $211
There are 365 Nonstandard FLTCIP 1.0 enrollees as of Sept 30, 2014
By Attained Age
Attained ACI
FPO
ACI
FPO
ACI
FPO
ACI
FPO
Age 4% 5% 4% 5% 4% 5% 4% 5%
<33 160 9 100 185 30 68 116 37 94 121 39 136
33-37 242 17 149 427 57 157 242 100 190 273 62 282
38-42 342 27 162 598 129 215 409 160 274 349 83 319
43-47 566 33 245 1,297 265 413 823 355 507 688 135 456
48-52 965 76 411 2,438 577 705 1,515 699 833 1,072 171 658
53-57 1,651 128 725 4,579 1,065 1,340 2,629 1,175 1,356 1,514 227 821
58-62 2,164 166 972 6,718 1,490 1,934 3,714 1,556 1,584 2,156 208 858
63-67 1,862 142 939 7,280 1,497 2,239 4,766 1,404 1,648 2,444 116 750
68-72 835 64 531 5,367 1,106 1,549 3,641 948 1,069 1,658 65 482
73-77 365 26 229 3,137 663 823 1,666 424 437 778 23 222
78-82 207 2 108 1,694 377 482 658 167 161 314 4 95
83+ 174 0 99 923 206 348 241 69 80 135 0 29
Total 9,533 690 4,670 34,643 7,462 10,273 20,420 7,094 8,233 11,502 1,133 5,108
Current Average Daily Maximum Benefit as of Sept 30, 2014
2 Year 3 Year 5 Year Unlimited
Attained ACI
FPO
ACI
FPO
ACI
FPO
ACI
FPO
Age 4% 5% 4% 5% 4% 5% 4% 5%
<33 $154 $167 $151 $181 $181 $185 $207 $236 $227 $200 $236 $238
33-37 $164 $174 $156 $188 $191 $184 $210 $237 $225 $210 $260 $229
38-42 $164 $188 $154 $191 $193 $189 $215 $229 $222 $206 $251 $231
43-47 $164 $173 $157 $191 $202 $187 $217 $234 $224 $212 $221 $235
48-52 $167 $198 $166 $191 $198 $193 $217 $237 $227 $213 $229 $233
53-57 $169 $190 $168 $190 $198 $188 $215 $238 $224 $213 $229 $225
58-62 $168 $188 $162 $185 $193 $188 $216 $239 $217 $217 $217 $210
63-67 $167 $185 $160 $183 $193 $182 $223 $238 $210 $221 $224 $198
68-72 $159 $183 $152 $180 $187 $174 $225 $241 $200 $223 $228 $195
73-77 $155 $173 $138 $178 $185 $157 $224 $234 $186 $227 $224 $186
78-82 $133 $148 $124 $174 $181 $146 $222 $234 $172 $223 $232 $181
83+ $118 $0 $99 $171 $178 $130 $221 $218 $164 $219 $0 $149
Average $157 $179 $149 $183 $190 $175 $218 $235 $208 $215 $232 $209
There are 173 Nonstandard FLTCIP 2.0 enrollees as of Sept 30, 2014
By State/Territory and Gender
Enrollees as of Sept 30, 2014 State Female Male Total State Female Male Total
AK 589 536 1,125 NC 4,138 3,194 7,332
AL 3,373 2,573 5,946 ND 277 231 508
AR 904 713 1,617 NE 814 691 1,505
AZ 2,932 2,333 5,265 NH 600 563 1,163
CA 11,514 9,483 20,997 NJ 2,253 1,989 4,242
CO 3,782 3,158 6,940 NM 1,446 1,118 2,564
CT 518 468 986 NV 1,030 902 1,932
DC 2,860 2,175 5,035 NY 2,992 2,509 5,501
DE 585 434 1,019 OH 3,224 2,667 5,891
FL 7,968 6,427 14,395 OK 1,840 1,394 3,234
GA 4,809 3,420 8,229 OR 1,882 1,634 3,516
GU 43 46 89 PA 3,943 3,405 7,348
HI 2,171 2,069 4,240 PR 148 111 259
IA 903 771 1,674 RI 310 297 607
ID 743 672 1,415 SC 2,115 1,610 3,725
IL 3,586 2,809 6,395 SD 497 440 937
IN 1,353 1,109 2,462 TN 2,781 2,167 4,948
KS 1,529 1,254 2,783 TX 9,016 6,937 15,953
KY 1,337 1,012 2,349 UT 928 813 1,741
LA 1,166 862 2,028 VA 20,659 17,178 37,837
MA 1,819 1,561 3,380 VI 33 23 56
MD 19,101 14,438 33,539 VT 229 213 442
ME 562 482 1,044 WA 3,984 3,554 7,538
MI 1,717 1,385 3,102 WI 1,214 1,013 2,227
MN 1,444 1,250 2,694 WV 887 693 1,580
MO 2,756 2,083 4,839 WY 272 233 505
MP 3 1 4 Other* 1,012 1,029 2,041 MS 1,119 794 1,913 Unknown 72 77 149
MT 679 601 1,280 Total 150,461 121,604 272,065
*Other includes enrollees in Freely Associated States and foreign countries
Plan Distribution of Enrollees as of September 2014
Plan Benefit % of Enrollees
Benefit Type Comprehensive 93% Facilities-Only 7%
Inflation Protection 4% Inflation Option 39% 5% Inflation Option 31% Future Purchase Option 30% Non-Standard Option Less Than 1%
Waiting Period 30 Service Day Waiting Period 8% 90 Service Day Waiting Period 47% 90 Calendar Day Waiting Period 44% Other Less Than 1%
Benefit Frequency Daily Benefit 93% Weekly Benefit 7%
Affiliation at Time of Application Employee 52% Spouse of Employee 17% Retiree/Spouses of Retiree 27% Other Qualified Applicant 4%
FLTCIP Eligible Population Information
Civilian Employees:
http://www.opm.gov/feddata/index.htm
Civilian Annuitants:
http://www.fedbens.us/Retire_Stats.pdf
Military Employees and Annuitants:
http://actuary.defense.gov http://www.opm.gov/feddata/index.htm http://www.fedbens.us/Retire_Stats.pdf http://actuary.defense.gov/
Premium Rates for Current Enrollees
Monthly Premium Rates
$100/day Nursing Home and ALF and $75/day Home Care Benefit
90-Day Waiting Period
Issue 3 Year 5 Year Unlimited
Age FPO 4% ACI 5% ACI FPO 4% ACI 5% ACI FPO 4% ACI 5% ACI
30 $8.40 $25.41 $40.00 $9.40 $30.31 $48.25 $11.40 $41.24 $66.25
35 $10.40 $30.52 $46.25 $11.60 $36.92 $56.50 $14.60 $50.32 $77.50
40 $12.60 $36.78 $54.25 $14.60 $44.35 $66.00 $18.60 $60.87 $91.00
45 $16.40 $45.76 $65.00 $19.00 $55.19 $79.00 $24.80 $75.89 $109.00
50 $21.40 $56.96 $77.75 $25.00 $68.92 $94.75 $32.60 $94.51 $130.25
55 $29.60 $72.54 $95.00 $34.60 $88.20 $116.25 $45.40 $120.18 $158.75
60 $40.60 $92.70 $116.50 $48.20 $112.34 $142.00 $62.80 $152.39 $193.00
65 $58.80 $118.40 $148.00 $69.80 $144.20 $180.25 $90.20 $194.80 $243.50
70 $86.80 $133.28 $154.40 $103.00 $161.30 $187.80 $133.80 $216.75 $252.80
75 $156.80 $220.62 $245.00 $186.60 $268.04 $299.00 $243.60 $361.48 $403.40
80 $258.60 $338.22 $369.20 $308.00 $410.82 $450.40 $403.40 $555.67 $609.20
$100/day Nursing Home and ALF and $100/day Home Care Benefit
90-Day Waiting Period
Issue 2 Year 3 Year 5 Year Unlimited
Age FPO 4% ACI 5% ACI FPO 4% ACI 5% ACI FPO 4% ACI 5% ACI FPO 4% ACI 5% ACI
30 $7.79 $21.71 $34.17 $8.89 $27.18 $42.77 $10.10 $32.78 $52.19 $12.59 $45.15 $72.53
35 $9.52 $25.97 $39.36 $11.10 $32.64 $49.46 $12.58 $39.95 $61.13 $16.26 $55.12 $84.88
40 $11.37 $31.19 $46.00 $13.56 $39.33 $58.02 $15.99 $48.00 $71.43 $20.89 $66.70 $99.72
45 $14.66 $38.79 $55.10 $17.75 $48.97 $69.55 $20.94 $59.76 $85.55 $28.00 $83.19 $119.49
50 $18.99 $48.29 $65.92 $23.27 $60.97 $83.22 $27.70 $74.67 $102.65 $36.95 $103.64 $142.84
55 $26.14 $61.59 $80.66 $32.30 $77.67 $101.72 $38.47 $95.59 $126.00 $51.56 $131.83 $174.14
60 $35.76 $78.90 $99.15 $44.42 $99.31 $124.80 $53.74 $121.82 $153.98 $71.38 $167.21 $211.78
65 $51.89 $105.07 $126.54 $64.32 $131.60 $158.49 $77.83 $161.37 $195.44 $102.30 $220.10 $267.15
70 $76.51 $114.33 $132.44 $95.04 $142.83 $165.46 $115.05 $175.06 $203.82 $151.45 $237.93 $277.49
75 $137.96 $189.24 $210.15 $171.19 $235.87 $261.94 $208.65 $291.15 $324.77 $275.05 $397.07 $443.11
80 $227.12 $290.11 $316.68 $281.51 $360.79 $393.83 $344.75 $446.58 $489.61 $454.36 $610.78 $669.63
Premium Rates for New Enrollees Effective August 1, 2015
FLTCIP 2.1
$100/day Nursing Home and ALF and $100/day Home Care Benefit
90-Day Waiting Period Issue 2 Year 3 Year 5 Year Unlimited Age FPO 4% ACI 5% ACI FPO 4% ACI 5% ACI FPO 4% ACI 5% ACI FPO 4% ACI 5% ACI 30 $8.57 $38.58 $65.01 $9.78 $52.47 $89.17 $13.91 $83.09 $142.24 $19.11 $108.63 $185.89 35 $10.47 $41.80 $67.35 $12.21 $56.88 $92.34 $17.63 $90.23 $147.46 $24.41 $118.17 $193.02 40 $12.51 $45.29 $69.77 $14.92 $61.65 $95.62 $22.33 $97.99 $152.87 $31.18 $128.56 $200.43 45 $16.13 $48.84 $71.70 $19.53 $66.45 $98.16 $28.66 $105.64 $156.92 $40.23 $139.05 $206.37 50 $20.89 $53.38 $74.73 $25.60 $72.65 $102.25 $37.39 $115.68 $163.62 $52.66 $152.85 $216.02 55 $28.75 $67.75 $88.73 $35.53 $86.57 $116.52 $52.21 $137.44 $185.81 $72.95 $180.59 $243.97 60 $39.34 $86.79 $109.07 $48.86 $109.24 $137.28 $75.26 $168.47 $217.76 $105.37 $222.22 $287.12 65 $57.08 $115.58 $139.19 $71.62 $144.76 $174.34 $115.54 $220.63 $272.78 $162.36 $293.05 $362.51 70 $84.16 $126.82 $149.17 $105.09 $171.91 $203.01 $168.01 $273.05 $323.94 $233.80 $359.70 $426.83 75 $151.76 $208.16 $231.17 $188.31 $261.20 $296.56 $267.85 $384.30 $440.41 $368.42 $504.52 $577.86 80 $249.83 $319.12 $348.35 $309.66 $396.87 $433.21 $427.02 $540.88 $598.74 $580.54 $707.66 $782.33
FLTCIP Experience Fund
(dollars in millions)
Fiscal Year Ended Sept 30
Premium Income Claims Paid
Ending Balance Experience
Fund
2003 191.9 0.2 181.2 2004 269.2 1.6 377.6 2005 276.2 4.2 573.6 2006 287.5 8.2 783.0 2007 295.6 14.1 1,043.9 2008 308.1 21.2 1,283.6 2009 313.7 30.9 1,677.5 2010 334.9 43.3 2,053.9 2011 370.3 58.2 2,274.4 2012 416.4 71.9 2,972.0 2013 416.3 89.9 3,483.7
FLTCIP Eligible Population Information
File details come from the government source that posted it. Updated .