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A I B I W I X I Y I Z
<br /> 1 MID-AMERICAN Hall County - Grand Island, NE
<br /> 2 BENEFITS, INC. GroupHealth Plan Rate Analysis - Effective 7/1/2020
<br /> all tie l Y
<br /> 3 Presented by Mid-American Benefits
<br /> 4
<br /> 5 Date:4/28/2020 BOARD MEETING PRESENTATION
<br /> 6 Current 2019/20 Current 2019/20 RENEWAL A RENEWAL B
<br /> 7-Plan Design Current Current Current Current
<br /> 8-Carrier Berkley L&H Client Funding Berkley L&H Berkley L&H
<br /> 10 Specific Contract Specific 12/18 Specific 12/18 Specific 12/18 Specific 12/18
<br /> 11 Specific Coverage Med & Rx Med & Rx Med & Rx Med & Rx
<br /> 12 Annual Plan Max Unlimited Unlimited Unlimited Unlimited
<br /> 13 Specific Attachment $65,000 $65,000 $65,000 $75,000
<br /> 14 Aggregating Specific $100,000 $100,000 $100,000 $100,000
<br /> 16 Lasers-Base $1,275,000 $1,275,000 $1,475,000 $1,475,000
<br /> 17 Lasers-Contingent $1,600,000 $1,600,000 $1,800,000 $1,800,000
<br /> Lasers-Number of Participants 4 Base 4 Base 3 Base 3 Base
<br /> 18 4 Contingent 4 Contingent 3 Contingent 3 Contingent
<br /> 52 EE's
<br /> 53 Total Fixed Cost-Single 109 $177.32 $177.32 $207.17 $187.47
<br /> 54 Total Fixed Cost-Family 146 $480.39 $480.39 $564.39 $508.09
<br /> 55 255
<br /> 56 Monthly Fixed Cost $89,893.64 $89,893.64 $105,489.74 $95,069.14
<br /> 57 Annual Fixed Cost $1,078,723.68 $1,078,723.68 $1,265,876.88 $1,140,829.68
<br /> 59
<br /> 60 Aggregate Contract Aggregate 12/12 Client Funding Aggregate 12/12 Aggregate 12/12
<br /> 61 Aggregate Coverage Med/Rx Med/Rx Med/Rx Med/Rx
<br /> 62
<br /> 63 Aggregate Factors-Single $604.73 $747.14 $670.64 $693.30
<br /> 64 Aggregate Factors-Family $1,725.15 $1,760.09 $1,887.82 $1,951.59
<br /> 65
<br /> 66 Monthly Aggregate Attachment $319,423.58 $339,690.16 $350,485.20 $362,325.12
<br /> 67 Annual Aggregate Attachment $3,833,082.96 $4,076,281.92 $4,205,822.40 $4,347,901.44
<br /> 69
<br /> 70 7% Increase
<br /> 71 Maximum Cost-Single $782.05 $924.46 $877.81 $880.77
<br /> 72 Maximum Cost-Family $2,205.54 $2,240.48 $2,452.21 $2,459.68
<br /> 13
<br /> 74 Monthly Maximum Cost $409,317.22 $429,583.80 $455,974.94 $457,394.26
<br /> 75 Annual Maximum Cost $4,911,806.64 $5,155,005.60 $5,471,699.28 $5,488,731.12
<br /> 77
<br /> w/Aggregating Spec& w/Aggregating Spec& w/Aggregating Spec&
<br /> 78 Base Laser Base Laser Base Laser
<br /> 79 Cost w/Agg Spec& Lasers $6,026,806.64 $6,851,699.28 $6,838,731.12
<br /> 84
<br /> 87 Monthly Expected Claims $255,538.86 $280,388.16 $289,860.10
<br /> 88 Annual Expected Claims $3,066,466.37 $3,364,657.92 $3,478,321.15
<br /> _g4..
<br /> 95 Monthly Expected Cost $345,432.50 $385,877.90 $384,929.24
<br /> 96 Annual Expected Cost $4,145,190.05 $4,630,534.80 $4,619,150.83
<br /> 97
<br /> Underwriting Underwriting
<br /> 98 Conditions&Contingencies: COMPLETE COMPLETE
<br /> Acceptance Req'd By Acceptance Req'd By
<br /> 99 4/30/2020 4/30/2020
<br /> 100
<br /> 101 This is a summary only of estimated costs and is not a binding contract or a guarantee of rates.
<br /> 102 Please refer to individual proposals for terms and conditions. Rates and factors are based on current plan of benefits subject to PPACA.
<br /> 103 Administration Fees Include: PPO Access,Pre-Cert/Utilization Review,Medical Claim Administration&COBRA Administration
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