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Aggregate Report (Paid)

2016-02

2016-03

2016-04

2016-05

2016-06

2016-07

2016-08

2016-09

2016-10

2016-11

2016-12

2017-01

$0

$60,000

$120,000

$180,000

$240,000

$300,000

$360,000

$420,000

$480,000

$540,000

$600,000

$660,000

$720,000

$780,000

$840,000

Plan Paid (Medical)

Plan Paid (Pharmacy)

# OF

CLAIM

SERVICE

LINES

MEMBER PAID

(MEDICAL)

MEMBER PAID

(PHARMACY)

PLAN PAID

(MEDICAL)

PLAN PAID

(PHARMACY)

# OF ENROLLED

DEPENDENTS

# OF

ENROLLED

EMPLOYEES

# OF

ENROLLED

MEMBERS

MONTH

PAID

6,594

$164,688.68

$20,645.34

$338,822.57

$123,371.21

709

1,220

1,929

2016-02

8,136

$207,946.67

$21,889.24

$450,087.05

$139,202.04

712

1,204

1,916

2016-03

7,643

$169,191.41

$25,901.40

$416,877.74

$154,871.63

702

1,174

1,876

2016-04

7,259

$143,420.00

$20,510.17

$780,659.56

$132,020.21

647

1,144

1,791

2016-05

8,499

$189,933.63

$15,900.40

$621,233.62

$145,024.37

636

1,127

1,763

2016-06

6,503

$77,423.21

$21,603.41

$400,266.22

$198,734.23

630

1,111

1,741

2016-07

7,041

$143,583.11

$23,523.80

$725,575.63

$142,618.64

640

1,195

1,835

2016-08

7,667

$171,750.76

$29,132.21

$363,260.84

$143,533.01

633

1,191

1,824

2016-09

6,151

$124,467.10

$22,748.02

$370,839.38

$112,352.91

634

1,168

1,802

2016-10

6,811

$124,457.47

$23,649.64

$535,889.24

$129,902.83

629

1,161

1,790

2016-11

7,588

$128,787.89

$26,781.52

$523,297.31

$186,951.48

636

1,191

1,827

2016-12

6,160

$149,928.79

$22,564.72

$510,759.29

$137,750.39

639

1,220

1,859

2017-01

86,052

$1,795,578.72

$274,849.87

$6,037,568.45

$1,746,332.95

901

1,666

2,567

Page 3 of 41

Incurred: 2/1/2016 to 1/31/2017

Episode Treatment Groups, third party software included in Design180 ™, is the proprietary and copyrighted

intellectual property of Symmetry ™. Copyright © 2015, NavigatorMD, Inc.

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