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Employer Group ABC
Incurred:
Apr 2014 thru Dec 2015
Paid:
Apr 2014 thru Mar 2016
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2.1 Demographics
Figure 2.1.1 presents total membership change, by relationship status, from previous period to current period. The
percentage changes are also provided so that period-over-period trends can be evaluated. Figure 2.1.2 presents the
distribution of current members in that specific period. For both total and current members, average PMPM is
provided, where dependents typically spend the least amount per month. Finally, Figure 2.1.3 and Table 2.1.1 show
the total claims paid and membership profile by age group and gender; in absolute terms employees and spouses
typically constitute proportionally more spend than dependents.
Figure 2.1.1 Total Member Count by relationship status
4,
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Member
Growth
Average PMPM
Apr 14 - Dec 14
Average PMPM
Apr 15 - Dec 15
PMPM
Growth
-17.1%
$919.17
$457.76
-50.2%
-17.2%
$507.86
$491.93
-3.1%
-19.9%
$155.49
$170.63
9.7%
Figure 2.1.2 Current Members
Member
Growth
Average PMPM
Apr 14 - Dec 14
Average PMPM
Apr 15 - Dec 15
PMPM
Growth
-16.0%
$844.97
$364.85
-56.8%
-14.1%
$502.79
$440.71
-12.3%
-15.4%
$148.69
$141.61
-4.8%
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Note:
*Totals included counts for the 'Unknown' category
Refer to Appendix 5.1 for more information on member expenses by relationship status.
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Source: Medical Intelligence : Individuals Module. For Relationship, filter using Rel Flag (E = Employees, S=Spouses, D = Dependents).
For Current Members, Current = ‘Y’.