107 / 208
Relationships
PER MEMBER PER
MONTH
MEMBER PAID
# OF CLAIMANTS
% PLAN PAID OF TOTAL
PLAN PAID
PLAN PAID
RELATIONSHIP
$221.67
$1,367,571.53
1,314
64.93 %
$4,784,120.88
SUBSCRIBER
$39.23
$162,488.92
119
11.49 %
$846,643.39
WIFE
$36.48
$119,632.02
152
10.68 %
$787,259.64
HUSBAND
$29.02
$120,771.71
185
8.50 %
$626,243.19
SON
$15.00
$142,416.69
223
4.39 %
$323,801.30
DAUGHTER
$0.00
$0.00
8
0.00 %
$0.00
Other
$341.40
$1,912,880.87
2,001
$7,368,068.40
Page 6 of 41
Incurred: 2/1/2016 to 1/31/2017
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