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 3
- Issued by
- Palm Beach County, Florida
About this file
This is a claims experience report from Solstice, a dental benefits provider, documenting the Palm Beach County Board of County Commissioners' dental plan utilization for the period March 1, 2024, through February 1, 2026. The report presents monthly data across three dental plan options: PPO (Preferred Provider Organization), PO (likely a variant plan), and DHMO (Dental Health Maintenance Organization). Each plan section details subscriber counts, member enrollment, claims incurred, and premium costs for each month within the experience period.
The PPO plan demonstrated the highest claims activity and premium costs, with monthly claims ranging from approximately $74,900 to $136,355 and monthly premiums ranging from approximately $93,588 to $126,301. The plan experienced significant growth beginning January 2026, coinciding with an increase in subscribers from approximately 2,100 to 2,500 and members from 3,700 to 4,500. The PO plan consistently maintained lower claims and premium amounts, with monthly claims ranging from $26,444 to $49,998 and premiums from approximately $37,404 to $40,135. The DHMO plan operated with substantially higher subscriber and member counts but lower overall claims costs, with monthly claims ranging from approximately $28,192 to $47,510 and premiums from $39,135 to $39,923. The report indicates this is a valued client relationship and provides contact information for the dedicated account manager, Laura Wicks, for account-related inquiries.
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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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