INSURANCE_-_CLAIMS_EXPERIENCE_FROM_FEB_2010_TO_NOV_2012.pdf

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Medical and Life Insurance Services
Solicitation number
SLE200-13-R-0004
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ATTACHMENT TO QUESTIONS AND ANSWERS

CLAIMS EXPERIENCE OF THE INSURED POPULATION

(EXCLUDING THE RIDER POPULATION) FOR THE YEARS 20010-2013

PLEASE NOTE THAT THE COVERAGES IN THE NEW SOLICITATION ARE SUBSTENTIALLY

DIFFERENT THAN THE CURRENT CONTRACT BASED ON WHICH THE BELOW CALIMS

HISTORY IS PROVIDED

CLAIMS EXPERIENCE

FROM FEBRUARY 8, 2010 TO MAY 11, 2010

NUMBER OF INSURED 2,760

DESCRIPTION AMOUNT IN US$ NO. OF CLAIMS

In-Patient 246,158.67 219 Out-Patient 184,962.56 3,657

CLAIMS EXPERIENCE

FROM MAY 12, 2010 TO AUGUST 11, 2010

NUMBER OF INSURED 1415

DESCRIPTION AMOUNT IN US$ NO. OF CLAIMS

In-Patient 217,699.74 230 Out-Patient 143,583.63 2,933

CLAIMS EXPERIENCE

FROM AUGUST 12, 2010 TO NOVEMBER 11, 2010

NUMBER OF INSURED 1422

DESCRIPTION AMOUNT IN US$ NO. OF CLAIMS

“Note to Offerors:

The claims information is provided for informational purposes and under no circumstances shall it be construed to change any terms or conditions or requirements within the solicitation. In addition, for any answer provided regarding the number of personnel or claims data incurred under the existing contract, please be advised that the benefits under this solicitation have changed and that this data may not be indicative of future claims. Therefore, it is each offeror’s decision on whether to use or not to use this information. However, under no circumstances shall the U.S. Government be liable for this data or shall it become the basis for a request to adjust the premium rates once the contract is awarded. Rather, offerors are advised any adjustments to contract premium rates shall be in accordance with the Price Adjustment clauses B.4 and B.8 of the contract.”

(EXCLUDING THE RIDER POPULATION) FOR THE YEARS 20010-2013

In-Patient 194,744.06 228 Out-Patient 143,158.58 3,006

CLAIMS EXPERIENCE

FROM NOVEMBER 12, 2010 TO FEBRUARY 11, 2011

NUMBER OF INSURED 1,439

DESCRIPTION AMOUNT IN US$ NO. OF CLAIMS

In-Patient 192,672.70 197 Out-Patient 170,431.91 3,285

CLAIMS EXPERIENCE

FROM FEBRUARY 12, 2011 TO MAY 11, 2011

NUMBER OF INSURED 1,433

DESCRIPTION AMOUNT IN US$ NO. OF CLAIMS

In-Patient 224,035.35 206 Out-Patient 177,795.32 3,222

CLAIMS EXPERIENCE

FROM MAY 12, 2011 TO AUGUST 11, 2011

NUMBER OF INSURED 1,448

DESCRIPTION AMOUNT IN US$ NO. OF CLAIMS

In-Patient 242,555.14 213 Out-Patient 153,555.55 2,947

CLAIMS EXPERIENCE

FROM AUGUST 12, 2011 TO NOVEMBER 11, 2011

NUMBER OF INSURED 1,463

DESCRIPTION AMOUNT IN US$ NO. OF CLAIMS

In-Patient 230,004.85 228 Out-Patient 155,673.49 3,006

(EXCLUDING THE RIDER POPULATION) FOR THE YEARS 20010-2013

CLAIMS EXPERIENCE

FROM NOVEMBER 12, 2011 TO FEBRUARY 11, 2012

NUMBER OF INSURED 1,467

DESCRIPTION AMOUNT IN US$ NO. OF CLAIMS

In-Patient 244,148.84 196 Out-Patient 171,400.63 3,271

CLAIMS EXPERIENCE

FROM FEBRUARY 12, 2012 TO MAY 11, 2012

NUMBER OF INSURED 1,464

DESCRIPTION AMOUNT IN US$ NO. OF CLAIMS

In-Patient 220,304.47 221 Out-Patient 198,361.68 3,581

CLAIMS EXPERIENCE

FROM MAY 12, 2012 TO AUGUST 11, 2012

NUMBER OF INSURED 1,481

DESCRIPTION AMOUNT IN US$ NO. OF CLAIMS

In-Patient 266,813.51 246 Out-Patient 163,602.53 2,796

CLAIMS EXPERIENCE

FROM AUGUST 12, 2012 TO NOVEMBER 11, 2012

NUMBER OF INSURED 1,503

DESCRIPTION AMOUNT IN US$ NO. OF CLAIMS

In-Patient 321,559.55 300 Out-Patient 165,292.23 2,868

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