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PEPM

2008

2009

2010

2011

2012

2013

2014

2015

2016 (YTD)

Total Actual Average Medical Costs PEPM*

$839.79

$704.42

$764.16

$875.38

$864.05

$890.31

$935.69

$1,079.42

$1,152.01

Trended Costs (PWC)

$839.79

$917.05

$1,004.17

$1,094.55

$1,187.58

$1,276.65

$1,359.63

$1,452.09

$1,546.48

PEPM Difference (PWC - ABC)

N/A

$212.63

$240.01

$219.17

$323.53

$386.35

$423.95

$372.67

$394.47

PEPM % Difference

N/A

30%

31%

25%

37%

43%

45%

35%

34%

AoA Actual Change Year over Year

N/A

-16.1% 8.5% 14.6% -1.3% 3.0% 5.1% 15.4% 6.7%

Trend Increases (PWC)

N/A

9.2% 9.5% 9.0% 8.5% 7.5% 6.5% 6.8% 6.5%

Loss Ratio

92%

73%

78%

86%

82%

81%

81%

91%

93%

Average Monthly Covered Employees

1,651

1,591

1,547

1,528

1,512

1,506

1,521

1,529

1,535

Year over Year Change

N/A

-3.6% -2.8% -1.2% -1.1% -0.4% 1.0% 0.5% 0.4%

Annual Variance vs. Trend (Savings)

N/A $4,059,472

$4,454,776

$4,019,715

$5,868,815

$6,981,275

$7,736,176

$6,835,561

$7,264,417

Cumulative Variance vs. Trend (Savings)

N/A $4,059,472

$8,514,248

$12,533,963 $18,402,779 $25,384,054 $33,120,229 $39,955,791 $47,220,208

*Includes RX & Stop Loss Reimbursements

Note: 2016 data is YTD of November 30, 2016.

Medical Trend History - PEPM

$840

$704

$764

$875

$864

$890

$936

$1,079

$1,152

$917

$1,004

$1,095

$1,188

$1,277

$1,360

$1,452

$1,546

$600

$700

$800

$900

$1,000

$1,100

$1,200

$1,300

$1,400

$1,500

$1,600

2008

2009

2010

2011

2012

2013

2014

2015

2016 (YTD)

ABC Actual PEPM

ABC Trended (PWC)