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Member Cost Ranges

CLAIMANT COST RANGE

PLAN PAID

MEMBER PAID

% PLAN PAID OF TOTAL

PLAN PAID

# OF ENROLLED MEMBERS % MEMBERS OF ENROLLED

MEMBERS

<$1,000

$87,068.32

$172,517.66

8.54%

305

57.98%

$1,000-$2,500

$92,247.27

$63,013.81

9.04%

55

10.46%

$2,500-$5,000

$80,901.09

$35,319.77

7.93%

23

4.37%

$5,000-$10,000

$139,513.00

$44,248.12

13.68%

20

3.80%

$10,000-$50,000

$427,298.11

$78,091.91

41.90%

22

4.18%

$50,000+

$192,872.11

$10,626.05

18.91%

3

0.57%

No Claims

$0.00

$0.00

0.00%

98

18.63%

$1,019,899.90

$403,817.32

526

Relationships

RELATIONSHIP

PLAN PAID

% PLAN PAID OF TOTAL PLAN PAID

# OF CLAIMANTS

MEMBER PAID

PER MEMBER PER MONTH

SUBSCRIBER

$454,343.64

44.55%

158

$146,523.66

$79.86

SPOUSE

$312,097.43

30.60%

94

$143,947.29

$54.86

DEPENDENT

$253,458.83

24.85%

176

$113,346.37

$44.55

$1,019,899.90

428

$403,817.32

$179.27

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