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1. Enrollment Snap Shot
(June 2016)
Premium
Base
HDHP
Total
E
630
569
226
1,425
ES
123
104
40
267
EC(1)
61
80
35
176
EC(2+)
114
149
65
328
ESC(1)
42
83
52
177
ESC(2+)
78
154
96
328
Total
1,048
1,139
514
2,701
39%
42%
19%
2. Current 2016 Premium Equivalent Rates
Premium
Base
HDHP
E
$730.00
$640.00
$520.00
ES
$1,360.00
$1,130.00
$900.00
EC(1)
$1,070.00
$880.00
$710.00
EC(2+)
$1,380.00
$1,130.00
$920.00
ESC(1)
$1,700.00
$1,370.00
$1,150.00
ESC(2+)
$2,000.00
$1,630.00
$1,390.00
Total Monthly:
$1,077,170
$1,085,180
$431,410
Grand Total Monthly:
(Excluding HSA)
Annual:
3. Rate Action with No Plan Changes
Expected:
1.66%
Low End of Expected:
-3.34%
High End of Expected:
6.66%
Very High End:
20.59%
4. Renewal With No Plan Changes
Premium
Base
HDHP
E
$743.00
$651.00
$529.00
ES
$1,383.00
$1,149.00
$915.00
EC(1)
$1,088.00
$895.00
$722.00
EC(2+)
$1,403.00
$1,149.00
$936.00
ESC(1)
$1,729.00
$1,393.00
$1,170.00
ESC(2+)
$2,034.00
$1,658.00
$1,414.00
Total Monthly:
$1,095,779
$1,103,667
$438,848
Grand Total Monthly:
Annual:
Increase %:
5. Fixed Costs as a % of Expected Funding Rates
Administration
4.33%
Stop Loss
2.58%
Contribution to Reserve
0.00%
(Renewal rates do not include a contribution to the reserve)
Total:
6.91%
Portion for Claims
93.09%
1.72%
$2,593,760
$31,125,120
$2,638,294
$31,659,528
ABC Company
Medical and Pharmacy Funding Rate Projection For a January 1, 2017 Effective Date
— Summary —
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