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I. Cost Versus Funding
Plan Year: January 1, 2016 - December 31, 2016
ABC Company
6 Month Reporting Period: January 1, 2016 - June 30, 2016
C. Cost versus funding
—
By plan
High
1,058 $383,794 $4,938,036 $2,017,748
$0
$6,955,784 $1,095 $7,339,578 $1,156 $6,502,774 $1,024
112.9%
Base
1,141 $413,712 $2,825,771 $1,166,469
$0
$3,992,240
$583
$4,405,951
$644
$6,503,854
$950
67.7%
QHDHP
517
$195,177 $1,522,305 $413,774
$0
$1,936,080
$624
$2,131,257
$687
$2,597,821
$838
82.0%
Adjustments
$11
$64
$75
$75
Total
2,716 $992,683 $9,286,123 $3,598,055
$0
$12,884,178 $791 $13,876,861 $852 $15,604,449 $958
88.9%
D. Employee versus employer funding
—
By plan
High
1,058
$6,502,774 $1,024
$2,691,093
$424
41.4%
$3,811,681
$600
58.6%
Base
1,141
$6,503,854
$950
$1,475,442
$216
22.7%
$5,028,412
$735
77.3%
QHDHP
517
$2,597,821
$838
$542,923
$175
20.9%
$2,054,898
$663
79.1%
Total
2,716
$15,604,449 $958
$4,709,458 $289
30.2%
$10,894,991 $669
69.8%
Subs
Fixed
Costs
Medical
Claims
Pharmacy
Claims
> Specific
Claims
Employer Funding (Total Less Employee)
Claims
Total Cost (Claims + Fixed)
Total Funding
Net
Claims
PSPM
Claims
Total
Cost
PSPM
Cost
Total
Funding
PSPM
Funding
Loss
Ratio
Total Funding (EE + ER)
Employee Funding
% Employer
Funding
Subs
Total
Funding
PSPM
Funding
Employee
Funding
PSPM
Funding
% Employee
Funding
Employer
Funding
PSPM
Funding
3