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a. Current Enrollment (June 2016)
Premium
Base
HDHP
Total
Employee Only
630
569
226
1,425
Employee + Spouse
123
104
40
267
Employee + 1 Child
61
80
35
176
Employee + 2 or More Children
114
149
65
328
Employee + Spouse + 1 Child
42
83
52
177
Employee + Spouse + 2 or More Children
78
154
96
328
Total
1,048
1,139
514
2,701
b. Current Premium Equivalent Rates
Premium
Base
HDHP
Employee Only
$730.00
$640.00
$520.00
Employee + Spouse
$1,360.00
$1,130.00
$900.00
Employee + 1 Child
$1,070.00
$880.00
$710.00
Employee + 2 or More Children
$1,380.00
$1,130.00
$920.00
Employee + Spouse + 1 Child
$1,700.00
$1,370.00
$1,150.00
Employee + Spouse + 2 or More Children
$2,000.00
$1,630.00
$1,390.00
c. Total Current Funding
Premium
Base
HDHP
Total
Employee Only
$459,900
$364,160
$117,520
Employee + Spouse
$167,280
$117,520
$36,000
Employee + 1 Child
$65,270
$70,400
$24,850
Employee + 2 or More Children
$157,320
$168,370
$59,800
Employee + Spouse + 1 Child
$71,400
$113,710
$59,800
Employee + Spouse + 2 or More Children
$156,000
$251,020
$133,440
Total
$1,077,170
$1,085,180
$431,410
$2,593,760
PEPM Premium Rates:
$960.30
Total Monthly:
$2,593,760
Total Annual:
$31,125,120
d. Percent Change in Funding Rates
Current PEPM Funding Rate:
$960.30
Med Proj
Rx Proj
Admin
Stop Loss
Projected PEPM Funding Rate:
$976.24
$672.52
$236.26
$42.30
$25.16
Recommended Rate Action:
1.66%
% of Total:
68.89%
24.20%
4.33% 2.58%
Used Rate Action:
1.66%
% of Total:
e.
Estimated 2017 Premium Equivalent Rates
Premium
Base
HDHP
Employee Only
$743.00
$651.00
$529.00
Employee + Spouse
$1,383.00
$1,149.00
$915.00
Employee + 1 Child
$1,088.00
$895.00
$722.00
Rates have been rounded up to the nearest dollar.
Employee + 2 or More Children
$1,403.00
$1,149.00
$936.00
Employee + Spouse + 1 Child
$1,729.00
$1,393.00
$1,170.00
Employee + Spouse + 2 or More Children
$2,034.00
$1,658.00
$1,414.00
Renewal Monthly Funding:
$1,095,779
$1,103,667
$438,848
Total Monthly:
Annual Funding:
Increase:
ABC Company
Medical and Pharmacy Funding Rate Projection For a January 1, 2017 Effective Date
— Premium Equivalent Rate Change —
93.09%
$908.78
$2,638,294
$31,659,528
1.72%
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