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CIGNA Global Medical
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CIGNA Global Experience Summary Report
A.
Medical & Rx
I.
All Medical Plans (All Plans, Expat & OCN)
Experience Highlights (Medical, Vision & Rx Excludes Evac)
A
B
C
D
E
F = C - E G = C/B H = F/B
Average
Enrollment
Total
Premium
Total Paid
Claims
Total Ind.
Claims
Above
$225,000
Excess
Claims
Above
$225,000
Adjusted
Claims
Pure Loss
Ratio
Net Loss
Ratio
(Remove Ind.
Large Claims
above $225K)
2014 3,730
$18,900,188 $16,865,240 $587,000 $137,000 $16,728,240
0.89
0.89
2015 3,338
$17,656,815 $13,171,278 $858,634 $183,634 $12,987,645
0.75
0.74
2016 3,215
$17,579,787 $12,478,559 $536,427
$86,427 $12,392,132
0.71
0.70
2017 (3 mo)
3,003
$3,950,644 $1,837,250
$0
$0 $1,837,250
0.47
0.47
Rolling 12 3,117
$16,638,234 $11,709,162 $659,991 $209,991 $11,499,171
0.70
0.69
Rate Action: 0% - 5%
[(R12 Paid Claims Less Claims Above 225K x Trend)/.8]/Current Premium = Rate Action Ratio
II. Individual Large Paid Claims (From Utilization Report - assumed paid with no adjustment for IBNR)
Note: Med + Rx
2014 2015 2016* Rolling 12
1
$295,019
$314,583
$274,112
$335,376
2
$291,981
$279,860
$262,315
$324,615
3
$205,080
$264,190
$167,240
$218,694
4
$202,342
$198,810
$161,926
$159,102
5
$200,288
$151,404
$129,953
$148,190
6
$181,609
$134,994
$128,657
$141,626
7
$178,156
$129,953
$114,437
$122,972
8
$162,896
$115,374
$104,622
$116,284
9
$162,580
$108,164
$96,058
$100,580
10
$145,250
$104,926
$89,299
$99,568
11
$134,993
$83,705
$80,420
$92,158
12
$125,554
$80,485
$79,221
$91,973
13
$119,936
$67,240
$77,167
$89,469
14
$115,321
$66,593
$67,787
$70,846
15
$113,103
$64,501
$67,367
$70,329
16
$108,259
$63,980
$63,572
$64,946
17
$105,149
$57,399
$61,092
$64,920
18
$94,563
$53,399
$59,027
$63,678
19
$88,156
$52,230
$53,722
$59,503
20
$86,472
$51,728
$52,660
$58,393
* Used 12 months through 2/17 for illustrative purposes
B.
Dental
C.
Evacuation
D.
Retrospective Refund/Dividend Potential for 2016 (Issued in August, 2017)
Over the past 12 months the paid loss ratio is 52%. This is a favorable loss ratio, however due to significant claim
fluctuations, the evacuation benefit is general based on a Cigna Global "manual" and not company specific experience
rated. It is assumed that Cigna Global's block of business is favorable and therefore, no rate change for 2018 is
anticipated.
Calendar Year 2016 experience was favorable. It is anticipated that once the IBNR is complete (through June, 2017)
the loss ratio will still be under 77% for 2016. Under an 77% loss ratio will lead to a retrospective refund.
Over the past 12 months the paid loss ratio is 66%. This is a favorable loss ratio which will lead to a favorable
renewal at or around a range of -5% to 2%.