RFP%2031786-00193%20Appendix%207.1%20Claims_Conversion%20and%20Premium%20Experience%202018%20_June%202026%20Basic%20Term%20Life%20and%20Basic%20ADD.xlsb

This file is a claims, conversion, and premium experience appendix for RFP 31786-00193 related to Basic Term Life and Basic Accidental Death and Dismemberment (AD&D) insurance coverage for Tennessee. The document presents participating experience data for Policy Number 34294 spanning from January 1, 2018 through June 30, 2026, detailing claims history, premium information, and conversion activity across multiple coverage types including Basic Life, Spouse and Child Life, Spouse Life, Child Life, and various AD&D employee and dependent options. The data is presented on a cash basis for each calendar year or partial year period, providing historical performance metrics that serve as the foundation for evaluating the incumbent carrier's experience and informing pricing and risk assessment for the contract period.

The experience data reveals premium remitted amounts ranging from $6.2 million to $9.3 million annually, with corresponding billed claims and loss ratios generally ranging between 93% and 113%. Key metrics include approved waiver claims and paid claims counts for each coverage type, number of policy conversions annually ranging from 3 to 58, and conversion amounts ranging from $15,000 to $1.2 million. Notable trends show relatively stable loss ratios of approximately 98-99% from 2018 through 2020, elevated loss ratios of 106-113% in 2021-2022, and a return to normalized ratios of 98-99% in 2023-2025. The data includes a transition period in 2023 where old and new participating experience are separated, indicating a potential plan design change or carrier transition during that year.