March 4, 2013 - Cabarrus County

2012 – 2013 Experience
Mark III Employee Benefits
Subs Members FFS Medical Pharmacy Total Claims
Clm/sub
/mth
Administrative
Costs
Stop -Loss
Credits
Credits
7.12 WSACC
Total Costs
Mature
July-12 $492,832.00 $44,138.00 $536,970.00 $172,822.00 $22,396.50 $364,148.00
August-12 $274,273.00 -$22.00 $274,251.00 $113,143.00 $0.00 $161,108.00
September-12 $15,584.00 -$32.00 $15,434.00 $0.00 $0.00 $15,434.00
October-12 $15,698.00 $0.00 $15,698.00 $4,642.00 $362.00 $11,056.00
November-12 -$6,820.00 $0.00 -$6,820.00 $4,319.00 $0.00 -$11,139.00
December-12 $1,826.00 $0.00 $1,826.00 $44.00 $0.00 $1,782.00
Total $793,393.00 $44,084.00 $837,359.00
OAP
Runout
County
Expected
Costs
County
Expected
Costs
Subs Members FFS Medical Pharmacy Total Claims
Clm/sub
/mth
Administrative
Costs
Clinic
Costs
Stop -Loss
Credits Credits
Total Costs
Mature
July-12 669 928 $76,354.62 $58,279.01 $134,633.63 $201.25 $65,943.33 $33,000.00 $0.00 $0.00 $200,576.96 $462,807.51
August-12 665 925 $295,650.00 $92,446.00 $388,217.00 $583.78 $65,549.05 $33,000.00 $0.00 $0.00 $453,766.05 $460,040.35
September-12 662 924 $420,153.00 $77,301.00 $497,573.00 $751.62 $65,253.34 $33,000.00 $0.00 $0.00 $562,826.34 $457,964.98
October-12 665 927 $340,261.00 $98,239.00 $440,250.00 $662.03 $65,549.05 $33,000.00 $0.00 $0.00 $505,799.05 $460,040.35
November-12 657 917 $417,802.00 $70,367.00 $488,318.00 $743.25 $64,760.49 $33,000.00 $12,229.00 $0.00 $553,078.49 $454,506.03
December-12 653 914 $327,419.00 $70,302.00 $397,869.00 $609.29 $64,366.21 $33,000.00 $10,927.00 $0.00 $462,235.21 $451,738.87
Total 3,971 5,535 $1,877,639.62 $466,934.01 $2,346,860.63 $591.00
HSA
County
Expected
Costs
Subs Members FFS Medical Pharmacy Total Claims
Clm/sub
/mth
Administrative
Costs
Clinic
Costs
Stop -Loss
Credits Credits
Total Costs
Mature
July-12 271 396 $6,129.66 $184.75 $6,314.41 $23.30 $26,712.47 $0.00 $0.00 $0.00 $33,026.88 $187,475.09
August-12 268 391 $89,248.00 $3,926.00 $93,222.00 $347.84 $26,416.76 $0.00 $0.00 $0.00 $119,638.76 $185,399.72
September-12 265 389 $57,949.00 $11,508.00 $69,505.00 $262.28 $26,121.05 $0.00 $1,511.00 $0.00 $95,626.05 $183,324.35
October-12 267 393 $121,878.00 $6,946.00 $128,871.00 $482.66 $26,318.19 $0.00 -$558.00 $0.00 $155,189.19 $184,707.93
November-12 270 394 $118,745.00 $14,694.00 $133,489.00 $494.40 $26,613.90 $0.00 $285.00 $0.00 $160,102.90 $186,783.30
December-12 271 395 $60,995.00 $12,906.00 $73,951.00 $272.88 $26,712.47 $0.00 $15,213.00 $0.00 $100,663.47 $187,475.09
Total 1,612 2,358 $454,944.66 $50,164.75 $505,352.41 $313.49
Combined
County
Expected
Costs
Subs Members FFS Medical Pharmacy Total Claims
Clm/sub
/mth
Administrative
Costs
Clinic
Costs
Stop-loss
Credits Credits
Total Costs
Mature
July-12 940 1,324 $575,316.28 $102,601.76 $677,918.04 $721.19 $92,655.80 $33,000.00 $172,822.00 $22,396.50 $748,177.34 $650,282.60
August-12 933 1,316 $659,171.00 $96,350.00 $755,690.00 $809.96 $91,965.81 $33,000.00 $113,143.00 $0.00 $847,655.81 $645,440.07
September-12 927 1,313 $493,686.00 $88,777.00 $582,512.00 $628.38 $91,374.39 $33,000.00 $1,511.00 $0.00 $673,886.39 $641,289.33
October-12 932 1,320 $477,837.00 $105,185.00 $584,819.00 $627.49 $91,867.24 $33,000.00 $4,084.00 $362.00 $676,324.24 $644,748.28
November-12 927 1,311 $529,727.00 $85,061.00 $614,987.00 $663.42 $91,374.39 $33,000.00 $16,833.00 $0.00 $706,361.39 $641,289.33
December-12 924 1,309 $390,240.00 $83,208.00 $473,646.00 $512.60 $91,078.68 $33,000.00 $26,184.00 $0.00 $564,724.68 $639,213.96
Total 5,583 7,893 $3,125,977.28 $561,182.76 $3,689,572.04 $660.86 $550,316.31 $198,000.00 $334,577.00 $22,758.50 $4,217,129.85 $3,862,263.57
Rx/Sub/Mth $117.59 89.01%
90.67% Internal Trend -$354,866.28
Attachment number 1
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