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December 30, 2016
June 30, 2017
I. Claims Costs (Including Run-out)
* MEDICAL
Meritain Paid Claims
$1,058,131
$2,118,550
Less Specific Claims
($32,581)
($32,581)
Adjustments including Non-Aggregate Claims
$50,852
$50,852
Total Medical
$1,076,402
$2,136,821
* RX
Express Scripts Paid Claims
$586,441
$1,208,068
Total Rx
$586,441
$1,208,068
* DENTAL
Meritain Paid Claims
$108,442
$219,867
Total Dental
$108,442
$219,867
Total Claims Costs
$1,771,285
$3,564,756
II. Administrative Costs (Administration & Stop Loss)
* Meritain Administration Fees
$84,667
$170,919
* Stop Loss Premium
$385,384
$778,173
* Patient Centered Outcome Research Fee
$682
$1,364
* Transitional Reinsurance Fee
$8,939
$23,520
* Consulting Services
$37,500
$75,000
* Online Enrollment Services (BAS)
(1)
$21,300
$42,600
* FSA Administration
$1,908
$3,816
Total Administrative Costs
$540,380
$1,095,392
III. Total Cost (I + II)
$2,311,665
$4,660,148
IV. Accrual / Budget / Conventional Premium Equivalent
* Medical / Rx
$2,463,959
$4,975,744
* Dental Only
$119,329
$239,957
Total Budget
$2,583,288
$5,215,700
V. Loss Ratio (III / IV)
Loss Ratio
89.49%
89.35%
Assumptions:
(1) BAS enrollment fees are based on average billing that reflects the entire employee population.
CATHOLIC DIOCESE OF SAVANNAH
JULY 2016 TO JUNE 2017
FINANCIAL RESULTS
Actual Through Annualized Through