RFP_26_041-Attachment 3_1 of 2_Claims Experience.pdf
PDF 12 KB Posted
- Attached to
- Multiple Option Dental Program
- Solicitation number
- RFP 680 26-041/DJ 1
- Issued by
- Palm Beach County, Florida
About this file
This is a Claims Experience report prepared by Solstice, a dental benefits provider, for the Palm Beach County Board of County Commissioners covering the period from March 1, 2024 through February 1, 2026. The document presents claims and premium data for three dental plan options: PPO, PO, and DHMO. The report tracks monthly subscriber counts, member enrollments, incurred claims, and premium amounts across the 24-month experience period, providing a comprehensive overview of plan utilization and costs for the county's dental program.
The claims experience data demonstrates significant variation in monthly claims activity across all three plan options. For the PPO plan, claims ranged from approximately $74,900 to $136,355 monthly, with premiums ranging from $93,588 to $126,301. The PO plan showed claims between $26,443 and $49,998 with corresponding premiums between $37,403 and $40,135. The DHMO plan similarly demonstrated fluctuating claims patterns. Notably, subscriber and member counts increased substantially beginning January 2025, with PPO subscribers rising from 2,101 to 2,519 by February 2026, and corresponding member increases from 3,703 to 4,501. The account is managed by dedicated Account Manager Laura Wicks at Solstice, indicating ongoing service relationship and support for the county's dental benefits administration.
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Text version
April 16, 2026
PBC Board of County Commissioners
Month Sub Member Claims Premium
3/1/2024 2053 3668 $84,308.57 $93,587.66
4/1/2024 2057 3677 $92,508.77 $93,903.18
5/1/2024 2063 3678 $87,402.13 $94,044.14
6/1/2024 2067 3680 $86,762.25 $94,227.08
7/1/2024 2075 3687 $93,783.79 $94,298.26
8/1/2024 2073 3678 $78,513.24 $94,164.46
9/1/2024 2074 3675 $79,248.48 $94,098.96
10/1/2024 2076 3671 $91,110.46 $94,021.56
11/1/2024 2084 3684 $75,314.90 $94,408.02
12/1/2024 2101 3703 $74,909.10 $94,914.40
1/1/2025 2257 3983 $106,030.32 $110,078.88
2/1/2025 2257 3971 $97,956.33 $109,827.00
3/1/2025 2258 3969 $100,410.71 $109,997.90
4/1/2025 2263 3980 $96,441.76 $110,153.98
5/1/2025 2269 3990 $100,113.95 $110,438.52
6/1/2025 2279 4000 $90,359.68 $111,047.36
7/1/2025 2290 4007 $87,952.76 $111,472.16
8/1/2025 2299 4029 $89,043.92 $112,001.28
9/1/2025 2305 4050 $98,926.69 $112,380.04
10/1/2025 2314 4054 $100,593.64 $112,426.96
11/1/2025 2314 4054 $89,157.84 $112,349.90
12/1/2025 2325 4071 $98,774.59 $112,874.40
1/1/2026 2499 4470 $120,288.39 $125,223.36
2/1/2026 2519 4501 $136,355.10 $126,300.76
As a valued client of Solstice, we thank you for your business over the past year. Below is the experience report for date range 3/1/2024-2/1/2026.
PPO
PO Box 19199 * Plantation, FL * 33318 * Tel: 954.370.1700 * Fax: 954.370.1701
Month Sub Member Claims Premium 3/1/2024 2242 4008 $49,997.58 $40,134.76
4/1/2024 2228 3979 $38,301.41 $39,875.76
5/1/2024 2217 3939 $40,331.93 $39,555.48
6/1/2024 2221 3944 $34,205.66 $39,610.50
7/1/2024 2228 3955 $44,460.31 $39,749.62
8/1/2024 2226 3957 $48,338.37 $39,792.14
9/1/2024 2217 3933 $40,060.70 $39,591.78
10/1/2024 2221 3941 $37,537.36 $39,686.38
11/1/2024 2232 3937 $30,738.25 $39,723.20
12/1/2024 2247 3948 $28,192.16 $39,922.30
1/1/2025 2095 3693 $39,669.59 $39,610.22
2/1/2025 2083 3677 $47,509.53 $39,449.52
3/1/2025 2077 3665 $42,827.67 $39,344.08
4/1/2025 2068 3645 $42,026.59 $39,193.66
5/1/2025 2078 3658 $29,489.43 $39,376.54
6/1/2025 2073 3648 $37,216.66 $39,294.80
7/1/2025 2072 3645 $42,682.74 $39,260.68
8/1/2025 2068 3638 $27,330.03 $39,152.82
9/1/2025 2068 3646 $33,736.22 $39,210.10
10/1/2025 2084 3664 $31,653.53 $39,459.84
11/1/2025 2079 3663 $33,412.31 $39,398.30
12/1/2025 2090 3680 $35,082.55 $39,585.88
1/1/2026 1977 3479 $40,466.92 $37,403.32
2/1/2026 1984 3495 $26,443.54 $37,544.96
Should you have any questions regarding your account, please contact your dedicated Account Manager, Laura Wicks at (954) 370-4306.
Solstice Has You Covered!
DHMO
PO Box 19199 * Plantation, FL * 33318 * Tel: 954.370.1700 * Fax: 954.370.1701
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