Segal Report

5783032v1/00914.015 
 
 
 
Rachel Calisi 
Senior Health Consultant 
T 602.381.4027 
rcalisi@segalco.com 
1501 West Fountainhead Parkway, Suite 370 
Tempe, AZ 85282 
segalco.com 
 
 
October 10, 2023 
Ms. Rae Lynn Nielsen 
Human Resources Director 
City of Chandler  
PO Box 4008   
Chandler, AZ 85244-4008 
 
Re:     City of Chandler  
           Medical and Prescription Drug Plan Monthly Reporting 
           January 1, 2023 through December 31, 2023 – Data through August 
Dear Rae Lynn:  
Enclosed is the monthly experience reporting for the City’s medical and prescription drug plans. 
The report contains medical claims, prescription drug claims, enrollment, and expense 
information as furnished by Blue Cross Blue Shield of Arizona (Whyzen Analytics reporting tool) 
through August 31, 2023. 
For the month of August, Medical paid claims were approximately $1,771,000 while net Rx 
claims were about $511,000. For the 2023 plan year-to-date, claims and expenses (after stop-
loss reimbursements and pharmacy rebates) exceeded contributions by approximately 
$1,134,000 or 6.8% of contributions. Based on paid claims and expenses, Actives and Retirees 
on the Red Plan, as well as Actives on the Blue Plan, and Retirees on the White Plan 
experienced an operating deficit, as displayed on Page 8. 
There are twelve claimants with paid claims in excess of $100,000 during the reporting period. 
There are three individuals in the current plan year who has exceeded the stop loss deductible 
of $350,000. 
Expenses included in this report are medical plan administration, stop-loss premium, capitation 
for behavioral health & chiropractic services, value based services, out-of-network shared 
savings costs, HSA administration, and fees associated with the Affordable Care Act. Also 
included is the amount of $99,454 per month from the 2023 Operating Budget. These expenses 
exclude those funded by Blue Cross Blue Shield of Arizona. These expenses include categories 
such as wellness incentives, wellness portal, personnel support, audit & financial services, 
promotional, operating supplies & equipment, bank charges, contractual services, IT reports, 
and health savings and flex account contributions.   
In August 2023, approximately 39.8% of all active employees and retirees were enrolled in the 
Red plan, with 5.1% enrolled in the Blue plan, and 55.1% enrolled in the White plan. The current

Ms. Rae Lynn Nielsen 
October 10, 2023 
Page 2 
 
5783032v1/00914.015 
 
 
 
average total enrollment in 2023 is approximately 2.2% higher than the 2022 average 
enrollment.  
I look forward to discussing this report with you. 
Sincerely yours, 
 
Rachel Calisi 
Senior Health Consultant

City of Chandler
(Data Through August 2023)
10/10/2023
Presented by: Rachel Calisi
© 2023 by The Segal Group Inc.
Medical/Rx Monthly Reporting:    
January 2023 - December 2023

Aug'23
Jan'23-Aug'23
Jan'22-Dec'22
Aug'23
Jan'23-Aug'23
Jan'22-Dec'22
Contributions (PEPM)
$1,143.23
$1,141.04
$1,063.64
Avg. # of Employees
1,819
1,812
1,773
Net Paid Medical Claims (PEPM)
$839.88
$800.82
$847.10
Avg. # of Members
4,675
4,668
4,650
Net Paid Rx Claims (PEPM)
$280.84
$235.81
$201.38
Ratio Members to EEs
2.57
2.58
2.62
Total Claims (PEPM)
$1,120.71
$1,036.63
$1,048.48
Age/Gender Index 1
-
0.981
0.973
Stop Loss & Adm Expenses (PEPM)
$183.76
$182.46
$161.99
Total Claims & Expenses (PEPM)
$1,304.47
$1,219.09
$1,210.47
Surplus/Deficit (PEPM)
-$161.24
-$78.05
-$146.83
Loss Ratio
114%
107%
114%
PEPM % Change
7.0%
0.7%
Jan'23-Aug'23
Jan'22-Aug'22
% Change
# of Claimants
12
23
-47.8%
$ of Medical/Rx Paid Claims
$3,287,335
$4,114,187
-20.1%
% of Medical/Rx Paid Claims
19.7%
28.1%
-30.0%
Jan'23-Aug'23
Jan'22-Dec'22
% Change
Jan'23-Aug'23
Jan'22-Dec'22
% Change
Bed Days/1,000
290.8
350.7
-17.1%
Generic (PEPM)
$31.55
$29.53
6.9%
Avg Length of Stay
6.3
6.9
-8.6%
Brand Preferred (PEPM)
$223.35
$227.47
-1.8%
Brand Non-Preferred (PEPM)
$11.95
$13.40
-10.8%
Specialty (PEPM)
$168.57
$106.53
58.2%
Total (PEPM)
$435.43
$376.94
15.5%
Jan'23-Aug'23
Jan'22-Dec'22
% Change
Jan'23-Aug'23
Jan'22-Dec'22
% Change
In-Network Allowed %
97.8%
97.3%
0.6%
Retail Scripts PMPY
9.52
14.19
-32.9%
Discount from Billed5
68.9%
66.4%
3.8%
Mail Order Scripts PMPY
0.29
0.26
11.2%
% Mail Order
3.0%
1.8%
63.9%
Jan'23-Aug'23
Jan'22-Dec'22
% Change
Generic Dispensing Rate
81.5%
82.2%
-0.8%
Jan'23-Aug'23
Jan'22-Dec'22
% Change
Generic Plan Paid/Script
$10.13
$9.41
7.6%
Member Cost Share %
15.1%
13.4%
12.7%
Brand Plan Paid/Script
$349.43
$368.71
-5.2%
Plan Paid %
84.9%
86.6%
-2.0%
Specialty Plan Paid/Script
$4,942.92
$3,940.46
25.4%
Total Plan Paid/Script
$113.87
$98.71
15.4%
1
Pharmacy Spend 2
Medical In-Network Usage & Discounts
Pharmacy Retail vs Mail Order
Pharmacy Per Script Metrics2
Medical/Rx Plan - Member Cost Sharing 3
(1) BCBS factor for measuring the cost deviation of a population from that of a benchmark population based on age and gender attributes.
(2) The amount that plan participants enrolled in the White plan pay for their prescription drugs is not included in the Pharmacy Spend and Pharmacy Per Script Metric sections of the Dashboard because the information is not available 
broken down by pharmacy category in the BCBSAZ Whyzen system.  Differences in pharmacy spend may also be due to the reporting data source.
(3) Cost share means the member's out-of-pocket expense compared to the sum of plan paid claims plus member out-of-pocket. Percentages do not reflect employee contributions.
(4) Percentages are rounded to the first decimal.   (5) Dashboard Large Claims data is taken from the BCBSAZ Whyzen reporting tool, which is a utilization "snapshot in time" possibly resulting in a difference between the dashboard 
and the monthly report.                                                                                                                                                                                                                                                                                                                 
Inpatient Hospital
City of Chandler
HealthPlan Dashboard - Data thru August 2023
Income vs Paid Medical/Rx Claims + Expenses
Demographics
Large Claimants (> $100,000)
5782527
Financial
Prescription Drugs (Rx)
Enrollment
Medical Utilization
Medical Network
Medical/Rx Plan Design

Month
Enrollment
Contributions1
Medical Paid2,3
Stop Loss Refunds
Rx Paid
Net Claims
Expenses4
Total Paid Claims 
and Expenses
Surplus/
(Deficit)
Total Loss 
Ratio
Jan-22
1,760
$1,871,210
$1,507,401
($191,783)
$326,101
$1,641,719
$281,799
$1,923,518
($52,308)
102.8%
Feb-22
1,756
$1,865,487
$1,231,204
($21,351)
$235,866
$1,445,719
$284,154
$1,729,873
$135,614
92.7%
Mar-22
1,747
$1,857,678
$1,649,945
($117,877)
$288,374
$1,820,442
$283,206
$2,103,648
($245,971)
113.2%
Apr-22
1,748
$1,858,559
$818,074
$123,627
$318,247
$1,259,948
$283,190
$1,543,138
$315,421
83.0%
May-22
1,751
$1,861,273
$1,078,484
($78,321)
$317,526
$1,317,688
$280,830
$1,598,519
$262,755
85.9%
Jun-22
1,760
$1,873,065
$1,879,251
($100,053)
$415,766
$2,194,964
$287,330
$2,482,294
($609,229)
132.5%
Jul-22
1,751
$1,866,769
$2,082,781
($74,800)
$336,149
$2,344,130
$283,699
$2,627,829
($761,060)
140.8%
Aug-22
1,786
$1,900,415
$1,848,497
($226,992)
$427,426
$2,048,932
$287,501
$2,336,433
($436,018)
122.9%
Sep-22
1,808
$1,923,563
$1,923,765
($138,353)
$358,691
$2,144,102
$289,810
$2,433,912
($510,349)
126.5%
Oct-22
1,809
$1,924,393
$1,704,342
($119,102)
$466,946
$2,052,187
$308,866
$2,361,053
($436,660)
122.7%
Nov-22
1,815
$1,930,281
$1,721,274
($226,115)
$416,835
$1,911,995
$290,621
$2,202,616
($272,336)
114.1%
Dec-22
1,821
$1,935,584
$1,927,357
($147,886)
$383,966
$2,163,436
$291,273
$2,454,710
($519,126)
126.8%
2022 Total
21,312
$22,668,277
$19,372,376
($1,319,006)
$4,291,893
$22,345,263
$3,452,281
$25,797,543
($3,129,267)
113.8%
2022 Avg.
1,776
$1,889,023
$1,614,365
($109,917)
$357,658
$1,862,105
$287,690
$2,149,795
($260,772)
113.8%
Jan-23
1,813
$2,072,635
$1,757,955
($529,140)
$346,274
$1,575,089
$310,806
$1,885,895
$186,740
91.0%
Feb-23
1,809
$2,065,461
$2,234,521
($651,299)
$373,487
$1,956,708
$321,404
$2,278,112
($212,651)
110.3%
Mar-23
1,810
$2,069,164
$1,496,646
($141,915)
$307,300
$1,662,031
$321,862
$1,983,893
$85,271
95.9%
Apr-23
1,803
$2,055,673
$1,389,050
($29,892)
$472,317
$1,831,474
$328,899
$2,160,373
($104,700)
105.1%
May-23
1,815
$2,067,151
$1,519,940
($28,001)
$498,414
$1,990,353
$347,770
$2,338,123
($270,973)
113.1%
Jun-23
1,825
$2,076,418
$1,596,502
$2,865
$451,471
$2,050,838
$340,928
$2,391,766
($315,348)
115.2%
Jul-23
1,829
$2,085,306
$1,557,845
($72,498)
$464,618
$1,949,965
$343,934
$2,293,899
($208,593)
110.0%
Aug-23
1,819
$2,079,534
$1,771,460
($243,721)
$510,839
$2,038,578
$334,255
$2,372,833
($293,299)
114.1%
Sep-23
Oct-23
Nov-23
Dec-23
2023 Total
14,523
$16,571,343
$13,323,918
($1,693,602)
$3,424,721
$15,055,037
$2,649,858
$17,704,894
($1,133,551)
106.8%
2023 Avg.
1,815
$2,071,418
$1,665,490
($211,700)
$428,090
$1,881,880
$331,232
$2,213,112
($141,694)
106.8%
2
City of Chandler
2022-2023 Medical/Rx Contributions and Expenses
Year-to-date through August 2023
(1) Contributions for COBRA are assumed to be the same as the Actives. (2) Medical Paid claims include BCBSAZ AEA amounts, access fees, and capitation.
(3) Medical Paid claims includes retroactive adjustments which causes discrepancies when comparing to BCBSAZ invoices. (4) Expenses include prorated monthly PCORI fees.
(5) Enrollment may change retrospectively based on updated BCBSAZ reporting.
$1,885,895 
$4,164,007 
$6,147,900 
$8,308,272 
$10,646,396 
$13,038,162 
$15,332,061 
$17,704,894 
$1,923,518 
$3,653,391 
$5,757,039 
$7,300,177 
$8,898,696 
$11,380,990 
$14,008,819 
$16,345,252 
$18,779,164 
$21,140,217 
$23,342,834 
$25,797,543 
 $-
 $5,000,000
 $10,000,000
 $15,000,000
 $20,000,000
 $25,000,000
 $30,000,000
Jan.
Feb.
Mar.
Apr.
May
Jun.
Jul.
Aug.
Sept.
Oct.
Nov.
Dec.
2023 vs 2022 Cumulative Paid Claims & Expenses
2023 Cumulative Claims & Expenses
2022 Cumulative Claims & Expenses
5782527

Red
Blue
White
Total
Red
Blue
White
Total
Red
Blue
White
Total
Jan-23
639
63
895
1,597
73
22
121
216
712
85
1,016
1,813
Feb-23
637
63
891
1,591
75
22
121
218
712
85
1,012
1,809
Mar-23
644
62
885
1,591
74
22
123
219
718
84
1,008
1,810
Apr-23
636
64
883
1,583
73
22
125
220
709
86
1,008
1,803
May-23
644
67
885
1,596
73
22
124
219
717
89
1,009
1,815
Jun-23
649
69
886
1,604
74
22
125
221
723
91
1,011
1,825
Jul-23
654
71
879
1,604
76
22
127
225
730
93
1,006
1,829
Aug-23
649
71
875
1,595
75
22
127
224
724
93
1,002
1,819
Sep-23
Oct-23
Nov-23
Dec-23
2023 Avg.
644
66
885
1,595
74
22
124
220
718
88
1,009
1,815
% of Total
35%
4%
49%
88%
4%
1%
7%
12%
40%
5%
56%
100%
2022 Avg.
604
64
892
1,559
77
26
114
217
681
90
1,005
1,776
% Change
7%
4%
-1%
2%
-4%
-15%
9%
2%
5%
-2%
0%
2%
3
City of Chandler
2023 Enrollment by Status and Plan
Year-to-date through August 2023
TOTAL
ACTIVE
RETIREE
0
500
1,000
Jan-23
Feb-23
Mar-23
Apr-23
May-23
Jun-23
Jul-23
Aug-23
Sep-23
Oct-23
Nov-23
Dec-23
Active Enrollment by Plan 
ACTIVE Red
ACTIVE Blue
ACTIVE White
0
20
40
60
80
100
120
140
Jan-23
Feb-23
Mar-23
Apr-23
May-23
Jun-23
Jul-23
Aug-23
Sep-23
Oct-23
Nov-23
Dec-23
Retiree Enrollment by Plan
RETIREE Red
RETIREE Blue
RETIREE White
5782527

Notes:
Paid claims illustrated include capitation but are not reduced for stop loss reimbursements and prescription drug rebates.
The claims information by Active and Retiree status is approximate based on the status information reported to Blue Cross Blue Shield as of the date the claim was adjudicated.
4
City of Chandler
2023 Medical/Rx Paid Claims by Plan and Status
Year-to-date through August 2023
$1,441 
$1,207 
$782 
$1,065 
$2,389 
$443 
$1,671 
$1,790 
$1,539 
$1,017 
$891 
$1,153 
$0
$500
$1,000
$1,500
$2,000
$2,500
$3,000
$3,500
Red
Blue
White
All Plans
Claims per Employee per Month
Medical/Rx YTD Claims Paid by Plan and Status -- 2023 Plan Year
Actives '23
Retirees '23
All '23
$1,494 
$1,158 
$727 
$1,041 
$2,343 
$1,523 
$1,127 
$1,608 
$1,590 
$1,263 
$772 
$1,110 
$0
$500
$1,000
$1,500
$2,000
$2,500
$3,000
$3,500
Red
Blue
White
All Plans
Claims per Employee per Month
Medical/Rx Claims Paid by Plan and Status -- 2022 Plan Year
Actives '22
Retirees '22
All '22
5782527

Enrollment
Contributions
Claims & 
Expenses
Active 
Loss Ratio Enrollment Contributions
Claims & 
Expenses
Retiree 
Loss Ratio Enrollment Contributions
Total Claims 
& Expenses
Total Loss 
Ratio
All Plans
12,761
$14,940,349
$15,923,397
107%
1,762
$1,630,995
$3,475,099
213%
14,523
$16,571,343
$19,398,496
117%
% of Total
88%
90%
82%
12%
10%
18%
100%
100%
100%
Red Plan
5,152
$7,391,404
$8,362,699
113%
593
$650,152
$1,524,939
235%
5,745
$8,041,556
$9,887,638
123%
% of Total
90%
92%
85%
10%
8%
15%
40%
49%
51%
Blue Plan
530
$558,492
$736,695
132%
176
$163,798
$110,118
67%
706
$722,289
$846,813
117%
% of Total
75%
77%
87%
25%
23%
13%
5%
4%
4%
White Plan
7,079
$6,990,453
$6,824,004
98%
993
$817,045
$1,840,041
225%
8,072
$7,807,498
$8,664,045
111%
% of Total
88%
90%
79%
12%
10%
21%
56%
47%
45%
4/10/2015
*
5
The claims information by Active and Retiree is approximate based on the status information reported to Blue Cross Blue Shield as of the date the claim was adjudicated.
Notes: Paid claims include capitation but are unadjusted for stop loss reimbursements.  
City of Chandler
2023 Contributions and Paid Claims by Status and Plan
Year-to-date through August 2023
ACTIVE
RETIREE
TOTAL
Percent of Total rows sum Active and Retiree columns by plan and show each plan's percentage of the total in the Total columns.                             
 $-
 $2,000,000
 $4,000,000
 $6,000,000
 $8,000,000
 $10,000,000
 $12,000,000
 $14,000,000
 $16,000,000
Jan-23
Feb-23
Mar-23
Apr-23
May-23
Jun-23
Jul-23
Aug-23
Sep-23
Oct-23
Nov-23
Dec-23
$ Year-to-Date
Active Contributions vs Claims and Expenses
 $-
 $500,000
 $1,000,000
 $1,500,000
 $2,000,000
 $2,500,000
 $3,000,000
 $3,500,000
 $4,000,000
Jan-23
Feb-23
Mar-23
Apr-23
May-23
Jun-23
Jul-23
Aug-23
Sep-23
Oct-23
Nov-23
Dec-23
$ Year-to-Date
Retiree Contributions vs Claims and Expenses 
 Contributions
 Claims & Expenses
5782527

Month
EE
EE+SP
EE+Ch(rn)
EE+Fam
EE
EE+SP
EE+Ch(rn)
EE+Fam
EE
EE+SP
EE+Ch(rn)
EE+Fam
Jan-23
171
137
91
240
31
7
13
12
293
105
93
404
Feb-23
173
133
92
239
32
7
12
12
294
100
91
406
Mar-23
176
136
93
239
31
7
12
12
291
99
89
406
Apr-23
174
137
95
230
31
7
12
14
291
98
88
406
May-23
177
140
95
232
33
7
13
14
297
96
88
404
Jun-23
183
143
95
228
33
8
13
15
297
94
88
407
Jul-23
183
141
97
233
35
8
12
16
295
93
88
403
Aug-23
178
140
96
235
35
8
12
16
292
93
88
402
Sep-23
Oct-23
Nov-23
Dec-23
2023 Total
1,415
1,107
754
1,876
261
59
99
111
2,350
778
713
3,238
2023 Avg.
177
138
94
235
33
7
12
14
294
97
89
405
Month
Retiree
Ret+SP
Ret+Ch(rn)
Ret+Fam
Retiree
Ret+SP
Ret+Ch(rn)
Ret+Fam
Retiree
Ret+SP
Ret+Ch(rn)
Ret+Fam
Jan-23
39
29
3
2
12
9
0
1
52
49
4
16
Feb-23
40
30
3
2
12
9
0
1
54
48
4
15
Mar-23
40
29
3
2
12
9
0
1
54
48
5
16
Apr-23
40
28
3
2
12
9
0
1
54
48
6
17
May-23
40
28
3
2
12
9
0
1
53
48
6
17
Jun-23
40
29
3
2
12
9
0
1
53
47
6
19
Jul-23
39
32
3
2
12
9
0
1
55
45
7
20
Aug-23
38
32
3
2
12
9
0
1
54
45
7
21
Sep-23
Oct-23
Nov-23
Dec-23
2023 Total
316
237
24
16
96
72
0
8
429
378
45
141
2023 Avg.
40
30
3
2
12
9
0
1
54
47
6
18
6
City of Chandler
Enrollment by Tier
Year-to-date through August 2023
 Red
 Blue
 White
Actives
Retirees
Red
Blue
White
5782527

Month
EE
EE+SP
EE+Ch(rn)
EE+Fam
EE
EE+SP
EE+Ch(rn)
EE+Fam
EE
EE+SP
EE+Ch(rn)
EE+Fam
Jan-22
148
136
81
226
26
6
10
14
277
117
100
415
Feb-22
145
136
81
223
26
7
10
14
278
115
99
413
Mar-22
141
136
81
222
25
8
10
14
278
111
99
410
Apr-22
144
135
82
223
25
8
10
14
278
110
97
407
May-22
146
132
83
225
28
9
11
14
276
110
96
405
Jun-22
151
134
85
225
28
9
12
15
271
110
96
405
Jul-22
149
133
87
225
29
9
12
15
268
107
94
403
Aug-22
154
137
89
229
33
8
13
16
277
109
93
407
Sep-22
158
140
91
232
32
8
14
16
284
110
91
409
Oct-22
163
132
90
240
29
8
15
16
292
107
89
406
Nov-22
168
133
91
243
31
8
15
16
292
105
89
405
Dec-22
173
133
91
242
32
7
15
17
291
105
90
406
2022 Total
1,840
1,617
1,032
2,755
344
95
147
181
3,362
1,316
1,133
4,891
2022 Avg.
153
135
86
230
29
8
12
15
280
110
94
408
Month
Retiree
Ret+SP
Ret+Ch(rn)
Ret+Fam
Retiree
Ret+SP
Ret+Ch(rn)
Ret+Fam
Retiree
Ret+SP
Ret+Ch(rn)
Ret+Fam
Jan-22
33
32
5
3
14
13
0
0
47
44
4
9
Feb-22
34
33
5
3
14
12
0
1
48
44
4
11
Mar-22
33
34
5
3
14
12
0
1
48
45
4
13
Apr-22
36
33
5
3
14
12
0
1
47
45
4
15
May-22
37
34
4
3
14
12
0
1
49
44
3
15
Jun-22
37
34
4
3
14
12
0
1
50
44
3
17
Jul-22
37
35
4
3
14
11
0
1
48
47
3
17
Aug-22
37
35
4
3
14
10
0
1
49
47
4
17
Sep-22
36
35
4
4
14
10
0
1
50
48
4
17
Oct-22
37
35
4
3
13
10
0
1
51
48
3
17
Nov-22
37
33
4
3
13
10
0
1
52
46
4
16
Dec-22
38
32
4
4
12
10
0
1
52
46
4
16
2022 Total
432
405
52
38
164
134
0
11
591
548
44
180
2022 Avg.
36
34
4
3
14
11
0
1
49
46
4
15
7
Actives
Retirees
Red
Blue
White
City of Chandler
Enrollment by Tier
Plan Year 2022
 Red
 Blue
 White
5782527

4/10/2015
*
8
City of Chandler
2023 Contributions and Expenses by Status and Plan
Year-to-date through August 2023
Claims include capitation (allocated by claims paid year-to-date), but are unreduced for stop loss reimbursements.
Expenses on these graphs are limited to self-insurance administrative fees, PCORI fees, and paid claims.
The claims information by Active and Retiree status is approximate based on the status information reported to Blue Cross as of the date the claim was adjudicated.
$1,435 
$1,054 
$987 
$1,171 
$1,623 
$1,390 
$964 
$1,248 
($189)
($336)
$24 
($77)
-$2,000
-$1,500
-$1,000
-$500
$0
$500
$1,000
$1,500
$2,000
$2,500
$3,000
Red
Blue
White
All Plans
$ per Employee per Month
Active Surplus/(Deficit) by Plan
Contributions
Claims+Expenses
Surplus/(Deficit)
$1,096 
$931 
$823 
$926 
$2,572 
$626 
$1,853 
$1,972 
($1,475)
$305 
($1,030)
($1,047)
-$2,000
-$1,500
-$1,000
-$500
$0
$500
$1,000
$1,500
$2,000
$2,500
$3,000
Red
Blue
White
All Plans
$ per Employee per Month
Retiree Surplus/(Deficit) by Plan
Contributions
Claims+Expenses
Surplus/(Deficit)
88%
12%
Enrollment
Active %
Retiree %
90%
10%
Contributions
Active
Retiree
82%
18%
Claims and Expenses
Active
Retiree
5782527

Rank
Plan
Medical/Rx Paid YTD
Medical/Rx Paid in Excess of 
$350K Stop Loss Deductible
1
White Plan
$697,567
$347,567
2
Red Plan
$439,349
$89,349
3
White Plan
$388,292
$38,292
4
Red Plan
$309,473
$0
5
White Plan
$268,973
$0
6
White Plan
$266,737
$0
7
White Plan
$251,089
$0
8
Blue Plan
$167,489
$0
9
Red Plan
$137,948
$0
10
Red Plan
$129,255
$0
11
White Plan
$124,912
$0
12
White Plan
$106,250
$0
$3,287,335
$475,209
19.6%
City of Chandler
2023 Incurred Medical Claims Paid in Excess of $100,000
Year-to-date through August 2023
9
Total of twelve claimants
Percentage of Total Medical/Rx Paid:
19.6%
80.4%
Large Claims
All Other Medical/Rx Claims
5782527

Twelve Month Period 
Ending
(a)
Enrollment
(b)
Medical Claims 
Paid
(c)
Stop Loss 
Reimbursements
(d)=(b)+(c)
Net Medical 
Claims
(e)
Rx Paid
(f)=(d)+(e)
Net Claims
(d)/(a)
Net Medical 
Claims PEPM
(e)/(a)
Rx Claims PEPM
Aug-22
20,996
$18,725,563
($1,369,990)
$17,355,574
$4,236,868
$21,592,441
$826.61
$201.79
Sep-22
21,087
$19,317,256
($1,376,623)
$17,940,633
$4,216,574
$22,157,206
$850.79
$199.96
Oct-22
21,163
$19,420,783
($1,375,851)
$18,044,932
$4,260,514
$22,305,446
$852.66
$201.32
Nov-22
21,243
$19,475,389
($1,417,669)
$18,057,719
$4,332,196
$22,389,915
$850.06
$203.94
Dec-22
21,312
$19,372,376
($1,319,006)
$18,053,370
$4,291,893
$22,345,263
$847.10
$201.38
Jan-23
21,365
$19,622,929
($1,656,363)
$17,966,567
$4,312,066
$22,278,633
$840.93
$201.83
Feb-23
21,418
$20,626,247
($2,286,311)
$18,339,935
$4,449,687
$22,789,622
$856.29
$207.75
Mar-23
21,481
$20,472,947
($2,310,350)
$18,162,598
$4,468,614
$22,631,211
$845.52
$208.03
Apr-23
21,536
$21,043,923
($2,463,869)
$18,580,054
$4,622,683
$23,202,738
$862.74
$214.65
May-23
21,600
$21,485,380
($2,413,549)
$19,071,831
$4,803,572
$23,875,402
$882.96
$222.39
Jun-23
21,665
$21,202,631
($2,310,632)
$18,891,999
$4,839,277
$23,731,276
$872.01
$223.37
Jul-23
21,743
$20,677,694
($2,308,329)
$18,369,365
$4,967,746
$23,337,111
$844.84
$228.48
Aug-23
21,776
$20,600,656
($2,325,058)
$18,275,598
$5,051,159
$23,326,757
$839.25
$231.96
Notes:
Medical Claims Paid includes capitation. 
10
City of Chandler
Thirteen Month Snapshot - Medical and Rx Plan Paid Claims Through August 2023
$827
$851
$853
$850
$847
$841
$856
$846
$863
$883
$872
$845
$839
$790
$800
$810
$820
$830
$840
$850
$860
$870
$880
$890
Claims per Employee per Month
12-Month Period Ending
Rolling Twelve Month Net Medical Claims PEPM
Net Medical Trend 1.5%
$202 $200 $201 $204 $201 $202
$208 $208
$215
$222 $223
$228 $232
$160
$170
$180
$190
$200
$210
$220
$230
$240
$250
$260
Claims per Employee per Month
12-Month Period Ending
Rolling Twelve Month Rx Claims PEPM
Rx Trend 14.9%
5782527