Unified Government of Athens Clarke County Li.xlsx

XLSX spreadsheet 24 KB Posted Apr 13, 2026

Attached to: RFP 26036 ¿ ACCGOV VOLUNTARY, DISABILITY, LIFE & FML BENEFITS
Solicitation number: PE-62960-NONST-2026-000000111
Issued by: Clayton County, Georgia

About this file

Written by GovTribe AI · Apr 20, 2026

This is a Life Paid Claims Report for the Unified Government of Athens-Clarke County covering the reporting period from January 1, 2021, through December 31, 2025. The document details life insurance claims processed by Unum Group for the organization's employees and retirees. The report encompasses basic life insurance coverage, accidental death and dismemberment (AD&D) benefits, and supplemental coverage. Claims are categorized by insured relationship (insured, spouse, or child), retiree status, and coverage type, with payment dates ranging throughout the five-year period.

The report identifies 168 total claims with a combined payout of $3,223,461.20, inclusive of basic insurance payments and interest. Individual claim amounts vary significantly, ranging from $0.00 to $136,000.00, with most basic life insurance claims paying $10,000.00 per claim. The data shows that approximately 60 percent of claims were paid to retirees (indicated by "Y" in the Retiree Indicator column), while the remaining claims covered active employees, spouses, and children. Several claims reflect stop payments and reversals indicating claim adjustments or overpayment corrections. The report was generated as of January 12, 2026, and displays no specific pricing terms, set-asides, or contract renewal information, functioning primarily as a historical record of claim activity for the covered period.

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Life Paid Claims Report

Reporting Period: 01/01/2021 - 12/31/2025

Organization: Unified Government of Athens-Clarke County

Payment	Payment Status	Insured Relationship	Retiree Indicator	Coverage	Basic Insurance Paid
04/19/2021	Paid	Insured	Y	LIFE	$10,000.00
05/10/2025	Paid	Insured	Y	LIFE	$10,000.00
03/23/2021	Paid	Insured	N	LIFE	$49,500.00
03/23/2021	Paid	Insured	N	LIFE	$49,500.00
09/02/2023	Paid	Insured	Y	LIFE	$10,000.00
12/11/2024	Paid	Insured	Y	LIFE	$10,000.00
05/08/2025	Paid	Insured	Y	LIFE	$10,000.00
06/21/2023	Paid	Insured	Y	LIFE	$5,000.00
06/21/2023	Paid	Insured	Y	LIFE	$5,000.00
04/03/2021	Paid	Insured	Y	LIFE	$10,000.00
08/17/2023	Paid	Spouse	Y	LIFE	$2,000.00
05/28/2025	Paid	Spouse	N	LIFE	$2,000.00
10/06/2025	Paid	Insured	Y	LIFE	$10,000.00
05/04/2023	Paid	Insured	Y	LIFE	$10,000.00
03/27/2021	Paid	Insured	Y	LIFE	$10,000.00
11/26/2024	Paid	Insured	Y	LIFE	$10,000.00
01/19/2023	Paid	Insured	Y	LIFE	$5,000.00
01/24/2023	Stop - Complete	Insured	Y	LIFE	($5,000.00)
01/19/2023	Paid	Insured	Y	LIFE	$5,000.00
01/24/2023	Paid	Insured	Y	LIFE	$5,000.00
07/07/2025	Paid	Insured	Y	LIFE	$10,000.00
07/25/2023	Paid	Insured	Y	LIFE	$10,000.00
01/09/2024	Paid	Insured	N	LIFE	$5,262.50
01/09/2024	Paid	Insured	N	LIFE	$4,737.50
01/19/2023	Paid	Insured	Y	LIFE	$10,000.00
03/21/2024	Paid	Insured	N	LIFE	$10,000.00
02/13/2023	Paid	Insured	Y	LIFE	$10,000.00
12/18/2024	Paid	Insured	Y	LIFE	$10,000.00
04/19/2022	Paid	Spouse	Y	LIFE	$2,000.00
02/15/2025	Paid	Insured	Y	LIFE	$5,000.00
02/15/2025	Paid	Insured	Y	LIFE	$5,000.00
10/06/2022	Paid	Spouse	Y	LIFE	$2,000.00
08/02/2025	Paid	Insured	Y	LIFE	$10,000.00
02/12/2024	Paid	Spouse	N	LIFE	$0.00
07/16/2024	Paid	Spouse	N	LIFE	$2,000.00
04/15/2023	Paid	Insured	Y	LIFE	$10,000.00
12/11/2025	Paid	Insured	Y	LIFE	$10,000.00
09/27/2022	Paid	Insured	Y	LIFE	$10,000.00
09/27/2023	Paid	Spouse	N	LIFE	$0.00
02/12/2022	Paid	Insured	Y	LIFE	$10,000.00
11/25/2025	Paid	Insured	Y	LIFE	$5,000.00
11/25/2025	Paid	Insured	Y	LIFE	$5,000.00
12/05/2023	Paid	Spouse	N	LIFE	$0.00
11/04/2023	Paid	Insured	Y	LIFE	$10,000.00
10/19/2022	Paid	Spouse	Y	LIFE	$2,000.00
06/16/2021	Paid	Insured	Y	LIFE	$10,000.00
05/25/2021	Paid	Child	N	LIFE	$0.00
10/24/2023	Paid	Insured	Y	LIFE	$5,000.00
10/24/2023	Paid	Insured	Y	LIFE	$5,000.00
11/27/2023	Stop - Complete	Insured	Y	LIFE	($5,000.00)
11/27/2023	Paid	Insured	Y	LIFE	$5,000.00
04/05/2021	Paid	Spouse	Y	LIFE	$2,000.00
09/11/2023	Paid	Insured	N	LIFE	$135,000.00
12/10/2024	Paid	Insured	Y	LIFE	$10,000.00
11/16/2024	Paid	Insured	Y	LIFE	$10,000.00
04/15/2021	Paid	Insured	Y	LIFE	$5,000.00
04/15/2021	Paid	Insured	Y	LIFE	$5,000.00
08/17/2022	Paid	Child	N	LIFE	$15,000.00
07/09/2024	Paid	Insured	N	LIFE	$10,000.00
10/16/2024	Paid	Spouse	Y	LIFE	$2,000.00
02/11/2025	Paid	Spouse	N	LIFE	$0.00
08/11/2021	Paid	Insured	Y	LIFE	$10,000.00
08/14/2023	Paid	Insured	Y	LIFE	$5,000.00
08/14/2023	Paid	Insured	Y	LIFE	$5,000.00
05/06/2021	Paid	Insured	Y	LIFE	$10,000.00
03/30/2021	Paid	Insured	Y	LIFE	$5,000.00
03/30/2021	Paid	Insured	Y	LIFE	$5,000.00
03/30/2021	Paid	Insured	Y	LIFE	$10,000.00
01/06/2024	Paid	Insured	N	LIFE	$5,000.00
01/06/2024	Paid	Insured	N	LIFE	$5,000.00
11/20/2023	Paid	Insured	Y	LIFE	$10,000.00
03/02/2022	Paid	Child	N	LIFE	$15,000.00
07/20/2021	Paid	Insured	N	LIFE	$118,000.00
05/10/2021	Paid	Spouse	Y	LIFE	$2,000.00
05/26/2021	Stop - Complete	Spouse	Y	LIFE	($2,000.00)
05/27/2021	Paid	Spouse	Y	LIFE	$2,000.00
07/22/2023	Paid	Insured	N	LIFE	$103,000.00
09/08/2025	Paid	Insured	Y	LIFE	$10,000.00
01/12/2021	Paid	Spouse	N	LIFE	$0.00
01/11/2024	Paid	Insured	N	LIFE	$10,000.00
11/04/2024	Paid	Insured	Y	LIFE	$10,000.00
10/13/2022	Paid	Insured	Y	LIFE	$10,000.00
08/15/2024	Paid	Insured	N	LIFE	$136,000.00
12/30/2021	Paid	Insured	Y	LIFE	$10,000.00
04/21/2025	Paid	Insured	Y	LIFE	$10,000.00
03/30/2021	Paid	Insured	Y	LIFE	$10,000.00
08/02/2022	Paid	Insured	Y	LIFE	$10,000.00
11/03/2021	Paid	Insured	Y	LIFE	$3,435.70
11/03/2021	Paid	Insured	Y	LIFE	$6,564.30
09/17/2022	Paid	Insured	Y	LIFE	$10,000.00
05/24/2025	Paid	Insured	Y	LIFE	$10,000.00
11/15/2022	Paid	Insured	N	AD&D	$36,500.00
10/21/2021	Paid	Spouse	Y	LIFE	$2,000.00
05/22/2021	Paid	Spouse	N	LIFE	$0.00
02/13/2025	Paid	Insured	Y	LIFE	$5,000.00
02/13/2025	Paid	Insured	Y	LIFE	$5,000.00
07/14/2022	Paid	Insured	N	LIFE	$85,000.00
06/27/2024	Paid	Insured	N	LIFE	$0.00
05/10/2025	Paid	Insured	N	LIFE	$100,000.00
03/30/2021	Paid	Insured	N	LIFE	$77,000.00
10/22/2024	Paid	Spouse	N	LIFE	$0.00
05/20/2025	Paid	Insured	Y	LIFE	$10,000.00
03/27/2021	Paid	Insured	Y	LIFE	$10,000.00
02/14/2022	Paid	Insured	Y	LIFE	$10,000.00
04/24/2024	Paid	Insured	N	LIFE	$5,000.00
04/24/2024	Paid	Insured	N	LIFE	$5,000.00
12/21/2021	Paid	Insured	Y	LIFE	$10,000.00
09/04/2021	Paid	Spouse	N	LIFE	$0.00
03/22/2021	Paid	Insured	Y	LIFE	$10,000.00
11/16/2023	Paid	Insured	Y	LIFE	$10,000.00
06/19/2021	Paid	Insured	Y	LIFE	$10,000.00
11/06/2021	Stop - Complete	Insured	Y	LIFE	($10,000.00)
11/06/2021	Paid	Insured	Y	LIFE	$10,000.00
04/24/2025	Paid	Insured	Y	LIFE	$10,000.00
05/15/2025	Paid	Insured	Y	LIFE	$8,821.56
06/23/2022	Paid	Insured	Y	LIFE	$10,000.00
09/09/2024	Paid	Insured	N	LIFE	$10,000.00
03/30/2021	Paid	Insured	Y	LIFE	$3,333.33
03/30/2021	Paid	Insured	Y	LIFE	$3,333.34
03/30/2021	Paid	Insured	Y	LIFE	$3,333.33
09/24/2025	Paid	Insured	Y	LIFE	$10,000.00
08/14/2023	Paid	Insured	Y	LIFE	$5,000.00
08/14/2023	Paid	Insured	Y	LIFE	$5,000.00
09/18/2023	Stop - Complete	Insured	Y	LIFE	($5,000.00)
09/18/2023	Paid	Insured	Y	LIFE	$5,000.00
05/06/2023	Paid	Spouse	Y	LIFE	$2,000.00
06/26/2024	Paid	Insured	N	LIFE	$2,000.00
05/11/2022	Paid	Insured	Y	LIFE	$5,000.00
05/11/2022	Paid	Insured	Y	LIFE	$5,000.00
08/26/2023	Paid	Insured	Y	LIFE	$10,000.00
02/13/2024	Paid	Insured	N	LIFE	$10,000.00
12/09/2024	Paid	Insured	Y	LIFE	$10,000.00
03/23/2024	Paid	Insured	N	LIFE	$10,000.00
05/18/2021	Paid	Insured	Y	LIFE	$10,000.00
07/30/2022	Paid	Insured	Y	LIFE	$10,000.00
02/12/2025	Paid	Insured	Y	LIFE	$10,000.00
04/16/2025	Paid	Spouse	Y	LIFE	$2,000.00
10/23/2025	Paid	Insured	Y	LIFE	$10,000.00
02/15/2023	Paid	Insured	Y	LIFE	$10,000.00
09/22/2021	Paid	Insured	Y	LIFE	$10,000.00
03/01/2022	Paid	Insured	Y	LIFE	$5,000.00
03/01/2022	Paid	Insured	Y	LIFE	$5,000.00
07/31/2024	Paid	Spouse	N	LIFE	$2,000.00
08/21/2024	Stop - Complete	Spouse	N	LIFE	($2,000.00)
08/21/2024	Paid	Spouse	N	LIFE	$2,000.00
03/30/2023	Paid	Insured	Y	LIFE	$10,000.00
12/11/2021	Paid	Insured	Y	LIFE	$10,000.00
01/08/2024	Paid	Insured	N	LIFE	$10,000.00
06/05/2025	Paid	Spouse	Y	LIFE	$2,000.00
09/16/2024	Paid	Spouse	N	LIFE	$0.00
09/07/2022	Paid	Insured	Y	LIFE	$10,000.00
02/18/2023	Paid	Insured	Y	LIFE	$10,000.00
02/18/2023	Paid	Insured	Y	LIFE	$10,000.00
01/31/2023	Paid	Insured	Y	LIFE	$10,000.00
09/17/2024	Paid	Insured	N	LIFE	$10,000.00
02/27/2025	Paid	Insured	Y	LIFE	$10,000.00
03/29/2021	Paid	Insured	Y	LIFE	$10,000.00
04/01/2023	Paid	Spouse	Y	LIFE	$2,000.00
10/03/2023	Paid	Insured	Y	LIFE	$10,000.00
04/01/2021	Paid	Insured	Y	LIFE	$10,000.00
03/27/2021	Paid	Insured	Y	LIFE	$10,000.00
10/10/2022	Paid	Insured	Y	LIFE	$10,000.00
10/28/2024	Paid	Spouse	N	LIFE	$2,000.00
12/05/2022	Paid	Insured	N	LIFE	$10,000.00
09/03/2025	Paid	Insured	Y	LIFE	$5,000.00
09/04/2025	Paid	Insured	Y	LIFE	$5,000.00
03/30/2021	Paid	Insured	Y	LIFE	$10,000.00
08/13/2024	Paid	Insured	N	LIFE	$10,000.00
07/25/2023	Paid	Insured	Y	LIFE	$10,000.00
10/30/2024	Paid	Insured	Y	LIFE	$10,000.00
05/28/2025	Paid	Insured	Y	LIFE	$10,000.00
12/13/2023	Paid	Spouse	Y	LIFE	$2,000.00
03/27/2021	Paid	Insured	Y	LIFE	$10,000.00
06/24/2021	Paid	Spouse	Y	LIFE	$2,000.00
04/24/2021	Paid	Spouse	Y	LIFE	$2,000.00
02/07/2023	Paid	Insured	Y	LIFE	$10,000.00
08/06/2024	Paid	Insured	N	LIFE	$5,000.00
08/06/2024	Paid	Insured	N	LIFE	$5,000.00
10/25/2025	Paid	Insured	Y	LIFE	$2,500.00
10/25/2025	Paid	Insured	Y	LIFE	$2,500.00
10/25/2025	Paid	Insured	Y	LIFE	$2,500.00
10/25/2025	Paid	Insured	Y	LIFE	$2,500.00
10/27/2025	Paid	Insured	Y	LIFE	$1,000.00
10/27/2025	Paid	Insured	Y	LIFE	$1,500.00
10/27/2025	Paid	Insured	Y	LIFE	$0.00
10/27/2025	Paid	Insured	Y	LIFE	$0.00
11/06/2021	Paid	Insured	Y	LIFE	$10,000.00
01/14/2023	Paid	Insured	Y	LIFE	$10,000.00
07/17/2025	Paid	Spouse	N	LIFE	$0.00
10/03/2023	Paid	Insured	Y	LIFE	$5,000.00
10/03/2023	Paid	Insured	Y	LIFE	$5,000.00
11/27/2023	Stop - Complete	Insured	Y	LIFE	($5,000.00)
11/27/2023	Paid	Insured	Y	LIFE	$5,000.00
10/21/2024	Paid	Insured	Y	LIFE	$10,000.00
02/12/2025	Paid	Insured	Y	LIFE	$10,000.00
12/06/2023	Paid	Insured	Y	LIFE	$10,000.00
11/18/2023	Paid	Insured	Y	LIFE	$5,000.00
11/18/2023	Paid	Insured	Y	LIFE	$5,000.00
03/24/2022	Paid	Insured	N	LIFE	$119,000.00
01/12/2023	Paid	Insured	Y	LIFE	$10,000.00
12/07/2024	Paid	Insured	Y	LIFE	$10,000.00
04/05/2025	Paid	Insured	Y	LIFE	$10,000.00
03/25/2021	Paid	Insured	Y	LIFE	$10,000.00
10/17/2024	Paid	Insured	Y	LIFE	$10,000.00
01/30/2024	Paid	Insured	N	LIFE	$2,171.52
01/30/2024	Paid	Insured	N	LIFE	$79,828.48
04/01/2024	Paid	Insured	N	LIFE	$1,380.00
04/01/2024	Paid	Insured	N	LIFE	$8,620.00
03/24/2021	Paid	Insured	Y	LIFE	$10,000.00
12/08/2021	Paid	Spouse	Y	LIFE	$2,000.00
09/16/2024	Paid	Insured	N	LIFE	$10,000.00
12/06/2022	Paid	Spouse	Y	LIFE	$2,000.00
05/08/2025	Paid	Insured	Y	LIFE	$10,000.00
03/09/2024	Paid	Insured	N	LIFE	$3,300.00
03/09/2024	Paid	Insured	N	LIFE	$3,300.00
03/09/2024	Paid	Insured	N	LIFE	$3,400.00
07/17/2023	Paid	Insured	Y	LIFE	$5,000.00
07/17/2023	Paid	Insured	Y	LIFE	$5,000.00
Total Claims: 168						$6,316.94	$3,223,461.20
Run As Of: 01/12/2026 01:02 PM

Selection Criteria : Organization(s) - Unified Government of Athens-Clarke County; Policy(s) - All Policies; Adverse Decision =No; Date = 01/01/2021 - 12/31/2025; Output Type = Excel; SSN Display = No Display;
Division(s) -	All Divisions;

Reference Life Paid Claims Report - Reference Information

Column Heading	Definition
Basic Insurance Paid	Amount of basic coverage paid.
Basic Interest Paid	Amount of interest paid on basic coverage.
Check/EFT #	Unique identifyer for a physical check of Electronic Funds Transfer (EFT). If blank, this is a repayment check issued to Unum for an overpayment.

Claim #	Unique identifier for each claim.
Claimant Name	Last, First name and Middle initial of employee on claim.
Coverage	Type of applicable insurance product (i.e. Life, AD&D, or GUL).
Division	Pertains to billing division except in those cases where the customer has specified separate divisions to be used for reporting purposes.
Gender	M = Male, F = Female. "Uncoded" will appear when the gender of the claimant has not been entered into the claim system.
Incurred	The date the Claim is incurred.
Insured Relationship	Relationship of the insured to the claimant of the coverage.
Legacy Claim #	Claim number assigned in the legacy Claim system and referenced on Claim payment checks.
Name of Insured	Name of person covered by the insurance policy.
Payment	Date of the check/EFT (Electronic Funds Transfer), Stop, Reversal or Repayment was issued.
Payment Status	-Status of the check or EFT (Electronic Funds Transfer):
	-Paid payments have been issued
	-Stop (SCOM) payment has not been paid and has been stopped for payment.
	-Reversal (RCOM) payment has been made to Unum for an overpay.
	-Repayment (FCOM) payment has been made to Unum for an overpay.
Policy #	Unique identifier for a policy.
Received	The date Unum received first notification of the Claim.
Retiree Indicator	Indicated "Y" if retired employee, "N" if employee is not retired.
SSN	Employee's Social Security Number / Tax ID Number.
Status	Indicates the current status of the claim. "Open" means the claim is currently being paid. "Closed" means no further liability exists.
Status Date	The effective date associated with the current status.
Status Reason	The justification for closing a claim.
Supplemental Insurance Paid	Amount of supplemental insurance paid.
Supplemental Interest Paid	Amount of interest paid on supplemental insurance.
Total Amount Paid	Sum of insurance and interest payments.

File details come from the government source that posted it. Updated Apr 20, 2026.