92
VECTRUS SYSTEMS CORPORATION
MEDICAL: CATASTROPHIC CLAIMANT ACTIVITY
Period: From Jan 1, 2015 To Dec 31, 2015
SPECIFIC STOP LOSS AMOUNT: 50000
Relationship of Participant
Age
Paid Claims
DEPENDENT
50
$314,583.01
MEMBER
32
$279,860.49
MEMBER
40
$264,190.00
MEMBER
63
$198,810.09
DEPENDENT
18
$151,404.24
MEMBER
64
$134,994.14
DEPENDENT
55
$129,953.08
DEPENDENT
49
$115,373.75
MEMBER
54
$108,164.29
DEPENDENT
57
$104,926.49
DEPENDENT
40
$83,704.65
MEMBER
43
$80,485.08
MEMBER
34
$67,240.16
DEPENDENT
61
$66,592.57
MEMBER
60
$64,501.03
DEPENDENT
1
$63,980.48
MEMBER
34
$57,398.79
MEMBER
30
$53,399.47
MEMBER
52
$52,230.12
DEPENDENT
20
$51,727.96
DEPENDENT
60
$51,653.59
Total Amount
$2,495,173.48
Confidential, unpublished property of CIGNA.
Do not duplicate or distribute.
Use and distribution limited solely to authorized personnel.
(c) Copyright 2016 (CIGNA Corporation)