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Rachel Calisi, GBDS, CEBS Senior Health Consultant T 602.381.4027 M 480.490.7306 rcalisi@segalco.com 1501 West Fountainhead Parkway Suite 370 Tempe, AZ 85282-1936 segalco.com 5943456v2/00914.015 May 14, 2025 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, 2025 through December 31, 2025 – Data through March 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 March 31, 2025. For the month of March, Medical paid claims were approximately $2,482,400 while net Rx claims were about $379,800. For the 2025 plan year to date, claims and expenses (after stop- loss reimbursements and pharmacy rebates) exceeded contributions by approximately $331,700 or 4.5% of contributions. Based on paid claims and expenses, Retirees and Actives 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 is one claimant with paid claims in excess of $100,000 during the reporting period. There are no claimants in the current plan year to date who have 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 $126,692 per month from the estimated 2025 Operating Budget. These expenses exclude those funded by Blue Cross Blue Shield of Arizona. These expenses include categories such as wellness incentives, personnel support, audit & financial services, promotional, operating supplies & equipment, bank charges, contractual services, and health savings and flex account contributions. In March 2025, approximately 37.1% of all active employees and retirees were enrolled in the Red plan, with 5.1% enrolled in the Blue plan, and 57.7% enrolled in the White plan. The average total enrollment in 2025 is approximately 1.2% higher than the 2024 average enrollment. 5943456v2/00914.015 Rae Lynn Nielsen May 14, 2025 Page 2 This document has been prepared for the exclusive use and benefit of the City of Chandler, based upon information provided by you and your other service providers or otherwise made available to Segal at the time this document was created. Segal makes no representation or warranty as to the accuracy of any forward-looking statements and does not guarantee any particular outcome or result. Except as may be required by law, this document should not be shared, copied or quoted, in whole or in part, without the consent of Segal. This document does not constitute legal, tax or investment advice or create or imply a fiduciary relationship. You are encouraged to discuss any issues raised with your legal, tax and other advisors before taking, or refraining from taking, any action. I look forward to discussing this report with you. Sincerely yours, Rachel Calisi, GBDS, CEBS Senior Health Consultant City of Chandler (Data Through March 2025) 05/14/2025 Presented by: Rachel Calisi © 2025 by The Segal Group Inc. Medical/Rx Monthly Reporting: January 2025 - December 2025 Mar'25 Jan'25-Mar'25 Jan'24-Dec'24 Mar'25 Jan'25-Mar'25 Jan'24-Dec'24 Contributions (PEPM) $1,306.55 $1,305.87 $1,218.43 Avg. # of Employees 1,891 1,890 1,868 Net Paid Medical Claims (PEPM) $1,312.24 $944.02 $868.80 Avg. # of Members 4,806 4,803 4,732 Net Paid Rx Claims (PEPM) $200.85 $194.88 $258.63 Ratio Members to EEs 2.54 2.54 2.53 Total Claims (PEPM) $1,513.09 $1,138.90 $1,127.43 Age/Gender Index 1 - 0.941 0.944 Stop Loss & Adm Expenses (PEPM) $228.30 $225.41 $212.71 Total Claims & Expenses (PEPM) $1,741.39 $1,364.31 $1,340.14 Surplus/Deficit (PEPM) -$434.85 -$58.43 -$121.71 Loss Ratio 133% 104% 110% PEPM % Change 27.6% 1.8% Jan'25-Mar'25 Jan'24-Mar'24 % Change # of Claimants 1 4 -75.0% $ of Medical/Rx Paid Claims $200,221 $469,204 -57.3% % of Medical/Rx Paid Claims 3.0% 7.6% -60.0% Jan'25-Mar'25 Jan'24-Dec'24 % Change Jan'25-Mar'25 Jan'24-Dec'24 % Change Bed Days/1,000 110.8 234.0 -52.7% Generic (PEPM) $16.36 $23.34 -29.9% Avg Length of Stay 4.4 5.3 -17.1% Brand Preferred (PEPM) $175.46 $196.82 -10.9% Brand Non-Preferred (PEPM) $10.44 $20.70 -49.5% Specialty (PEPM) $205.34 $278.25 -26.2% Total (PEPM) $407.60 $519.10 -21.5% Jan'25-Mar'25 Jan'24-Dec'24 % Change Jan'25-Mar'25 Jan'24-Dec'24 % Change In-Network Allowed % 98.6% 96.2% 2.5% Retail Scripts PMPY 9.40 11.00 -14.6% Discount from Billed5 68.1% 68.2% -0.1% Mail Order Scripts PMPY 0.34 0.39 -14.2% % Mail Order 3.5% 3.5% 0.4% Jan'25-Mar'25 Jan'24-Dec'24 % Change Generic Dispensing Rate 83.9% 83.4% 0.6% Jan'25-Mar'25 Jan'24-Dec'24 % Change Generic Plan Paid/Script $7.91 $9.86 -19.8% Member Cost Share % 26.7% 14.7% 81.6% Brand Plan Paid/Script $506.95 $499.13 1.6% Plan Paid % 73.3% 85.3% -14.1% Specialty Plan Paid/Script $6,562.74 $7,541.56 -13.0% Total Plan Paid/Script $165.29 $182.82 -9.6% 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 March 2025 Income vs Paid Medical/Rx Claims + Expenses Demographics Large Claimants (> $100,000) 5943439 Financial Prescription Drugs (Rx) Enrollment Medical Utilization Medical Network Medical/Rx Plan Design Month Enrollment Contributions1 Medical Paid2,3 Stop Loss Refunds Rx Paid Rx Rebates Net Claims Expenses4 Total Paid Claims and Expenses Surplus/ (Deficit) Total Loss Ratio Jan-24 1,837 $2,255,077 $2,391,086 ($121,423) $410,269 $0 $2,679,932 $327,895 $3,007,827 ($752,750) 133.4% Feb-24 1,871 $2,282,167 $1,181,504 ($92,637) $432,642 $0 $1,521,510 $386,675 $1,908,185 $373,982 83.6% Mar-24 1,866 $2,276,847 $1,419,172 ($20,165) $414,950 $0 $1,813,957 $395,792 $2,209,748 $67,098 97.1% Apr-24 1,861 $2,267,739 $1,725,393 ($8,572) $409,060 $0 $2,125,881 $428,808 $2,554,689 ($286,950) 112.7% May-24 1,867 $2,269,373 $1,793,138 $0 $565,709 $0 $2,358,847 $393,110 $2,751,957 ($482,584) 121.3% Jun-24 1,866 $2,268,861 $1,764,187 ($1,853) $591,275 $0 $2,353,608 $390,143 $2,743,751 ($474,890) 120.9% Jul-24 1,879 $2,282,875 $1,783,173 ($67,503) $560,440 $0 $2,276,109 $428,029 $2,704,139 ($421,264) 118.5% Aug-24 1,879 $2,285,642 $1,861,896 ($2,003) $565,136 $0 $2,425,029 $401,274 $2,826,303 ($540,662) 123.7% Sep-24 1,873 $2,282,149 $1,649,463 ($477) $515,968 $0 $2,164,953 $411,554 $2,576,508 ($294,358) 112.9% Oct-24 1,881 $2,290,288 $1,446,977 ($18) $526,203 $0 $1,973,162 $394,475 $2,367,637 ($77,349) 103.4% Nov-24 1,880 $2,290,795 $1,219,703 $0 $586,109 ($319,040) $1,486,772 $409,738 $1,896,510 $394,285 82.8% Dec-24 1,886 $2,297,060 $1,620,147 ($40,176) $546,539 $0 $2,126,510 $406,916 $2,533,427 ($236,367) 110.3% 2024 Total 22,446 $27,348,873 $19,855,837 ($354,825) $6,124,299 ($319,040) $25,306,271 $4,774,410 $30,080,680 ($2,731,808) 110.0% 2024 Avg. 1,871 $2,279,073 $1,654,653 ($29,569) $510,358 ($26,587) $2,108,856 $397,867 $2,506,723 ($227,651) 110.0% Jan-25 1,893 $2,472,662 $1,305,024 ($24,025) $445,129 $0 $1,726,127 $421,745 $2,147,872 $324,790 86.9% Feb-25 1,893 $2,470,093 $1,597,614 ($883) $458,094 ($176,701) $1,878,125 $426,198 $2,304,323 $165,770 93.3% Mar-25 1,891 $2,470,680 $2,482,351 ($897) $379,806 $0 $2,861,261 $431,712 $3,292,973 ($822,292) 133.3% Apr-25 May-25 Jun-25 Jul-25 Aug-25 Sep-25 Oct-25 Nov-25 Dec-25 2025 Total 5,677 $7,413,435 $5,384,989 ($25,804) $1,283,029 ($176,701) $6,465,513 $1,279,655 $7,745,167 ($331,732) 104.5% 2025 Avg. 1,892 $2,471,145 $1,794,996 ($8,601) $427,676 ($58,900) $2,155,171 $426,552 $2,581,722 ($110,577) 104.5% 2 City of Chandler 2024-2025 Medical/Rx Contributions and Expenses Year-to-date through March 2025 (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. $2,147,872 $4,452,195 $7,745,167 $3,007,827 $4,916,012 $7,125,760 $9,680,449 $12,432,405 $15,176,157 $17,880,295 $20,706,599 $23,283,106 $25,650,743 $27,547,254 $30,080,680 $- $5,000,000 $10,000,000 $15,000,000 $20,000,000 $25,000,000 $30,000,000 $35,000,000 Jan. Feb. Mar. Apr. May Jun. Jul. Aug. Sept. Oct. Nov. Dec. 2025 vs 2024 Cumulative Paid Claims & Expenses 2025 Cumulative Claims & Expenses 2024 Cumulative Claims & Expenses 5943439 Red Blue White Total Red Blue White Total Red Blue White Total Jan-25 639 75 967 1,681 63 20 129 212 702 95 1,096 1,893 Feb-25 639 77 963 1,679 65 20 129 214 704 97 1,092 1,893 Mar-25 638 77 963 1,678 64 20 129 213 702 97 1,092 1,891 Apr-25 May-25 Jun-25 Jul-25 Aug-25 Sep-25 Oct-25 Nov-25 Dec-25 2025 Avg. 639 76 964 1,679 64 20 129 213 703 96 1,093 1,892 % of Total 34% 4% 51% 89% 3% 1% 7% 11% 37% 5% 58% 100% 2024 Avg. 660 75 915 1,650 71 21 129 221 730 96 1,044 1,871 % Change -3.2% 1.2% 5.4% 1.8% -9.2% -4.8% -0.3% -3.5% -3.8% -0.1% 4.7% 1.2% 3 City of Chandler 2025 Enrollment by Status and Plan Year-to-date through March 2025 TOTAL ACTIVE RETIREE 0 500 1,000 1,500 Jan-25 Feb-25 Mar-25 Apr-25 May-25 Jun-25 Jul-25 Aug-25 Sep-25 Oct-25 Nov-25 Dec-25 Active Enrollment by Plan ACTIVE Red ACTIVE Blue ACTIVE White 0 20 40 60 80 100 120 140 Jan-25 Feb-25 Mar-25 Apr-25 May-25 Jun-25 Jul-25 Aug-25 Sep-25 Oct-25 Nov-25 Dec-25 Retiree Enrollment by Plan RETIREE Red RETIREE Blue RETIREE White 5943439 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 2025 Medical/Rx Paid Claims by Plan and Status Year-to-date through March 2025 $1,543 $1,176 $792 $1,095 $3,299 $783 $1,214 $1,800 $1,703 $1,095 $842 $1,175 $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 -- 2025 Plan Year Actives '25 Retirees '25 All '25 $1,565 $1,384 $741 $1,100 $2,065 $1,544 $1,338 $1,590 $1,613 $1,419 $815 $1,157 $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 -- 2024 Plan Year Actives '24 Retirees '24 All '24 5943439 Enrollment Contributions Claims & Expenses Active Loss Ratio Enrollment Contributions Claims & Expenses Retiree Loss Ratio Enrollment Contributions Total Claims & Expenses Total Loss Ratio All Plans 5,038 $6,724,710 $6,653,407 99% 639 $688,725 $1,294,266 188% 5,677 $7,413,435 $7,947,673 107% % of Total 89% 91% 84% 11% 9% 16% 100% 100% 100% Red Plan 1,916 $3,153,399 $3,387,968 107% 192 $262,988 $676,676 257% 2,108 $3,416,387 $4,064,644 119% % of Total 91% 92% 83% 9% 8% 17% 37% 46% 51% Blue Plan 229 $280,321 $320,968 115% 60 $64,146 $60,487 94% 289 $344,467 $381,455 111% % of Total 79% 81% 84% 21% 19% 16% 5% 5% 5% White Plan 2,893 $3,290,991 $2,944,471 89% 387 $361,591 $557,103 154% 3,280 $3,652,582 $3,501,574 96% % of Total 88% 90% 84% 12% 10% 16% 58% 49% 44% 04/10/2015 * 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 and prescription drug rebates. City of Chandler 2025 Contributions and Paid Claims by Status and Plan Year-to-date through March 2025 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. $- $1,000,000 $2,000,000 $3,000,000 $4,000,000 $5,000,000 $6,000,000 $7,000,000 $8,000,000 Jan-25 Feb-25 Mar-25 Apr-25 May-25 Jun-25 Jul-25 Aug-25 Sep-25 Oct-25 Nov-25 Dec-25 $ Year-to-Date Active Contributions vs Claims and Expenses $- $200,000 $400,000 $600,000 $800,000 $1,000,000 $1,200,000 $1,400,000 Jan-25 Feb-25 Mar-25 Apr-25 May-25 Jun-25 Jul-25 Aug-25 Sep-25 Oct-25 Nov-25 Dec-25 $ Year-to-Date Retiree Contributions vs Claims and Expenses Contributions Claims & Expenses 5943439 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-25 186 147 89 217 38 9 11 17 330 107 103 427 Feb-25 186 146 91 216 40 9 11 17 333 104 103 423 Mar-25 186 144 90 218 39 10 11 17 333 104 101 425 Apr-25 May-25 Jun-25 Jul-25 Aug-25 Sep-25 Oct-25 Nov-25 Dec-25 2025 Total 558 437 270 651 117 28 33 51 996 315 307 1,275 2025 Avg. 186 146 90 217 39 9 11 17 332 105 102 425 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-25 25 29 6 3 11 7 1 1 65 40 7 17 Feb-25 27 28 6 4 11 7 1 1 63 40 7 19 Mar-25 27 27 6 4 12 6 1 1 62 40 7 20 Apr-25 May-25 Jun-25 Jul-25 Aug-25 Sep-25 Oct-25 Nov-25 Dec-25 2025 Total 79 84 18 11 34 20 3 3 190 120 21 56 2025 Avg. 26 28 6 4 11 7 1 1 63 40 7 19 6 City of Chandler Enrollment by Tier Year-to-date through March 2025 Red Blue White Actives Retirees Red Blue White 5943439 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-24 181 148 95 233 37 4 16 17 292 101 93 395 Feb-24 185 147 100 229 37 4 17 18 310 104 94 399 Mar-24 188 149 99 228 36 4 17 18 309 102 93 399 Apr-24 190 146 101 226 34 5 18 18 310 100 93 397 May-24 190 144 100 225 34 5 19 17 315 106 94 396 Jun-24 184 142 100 228 34 5 19 17 321 104 95 397 Jul-24 191 144 100 227 34 5 18 17 321 105 99 400 Aug-24 190 141 98 227 33 5 18 17 321 105 99 405 Sep-24 193 142 98 227 32 5 18 17 317 105 97 404 Oct-24 194 142 100 225 35 5 18 19 320 99 97 407 Nov-24 189 142 100 227 36 5 18 19 323 100 97 408 Dec-24 193 141 99 229 37 6 19 19 323 101 97 405 2024 Total 2,268 1,728 1,190 2,731 419 58 215 213 3,782 1,232 1,148 4,812 2024 Avg. 189 144 99 228 35 5 18 18 315 103 96 401 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-24 35 30 4 2 13 8 0 1 65 42 7 18 Feb-24 35 29 4 3 12 8 0 1 65 44 7 19 Mar-24 33 29 4 3 12 8 0 1 65 44 7 18 Apr-24 33 30 4 3 13 7 0 1 65 43 7 17 May-24 33 30 4 3 12 7 0 1 65 41 7 19 Jun-24 34 30 4 3 12 7 0 1 64 41 7 17 Jul-24 33 30 5 3 12 7 1 1 62 40 7 17 Aug-24 32 32 6 3 12 7 1 2 62 39 7 17 Sep-24 31 31 6 3 11 7 1 2 61 40 7 18 Oct-24 30 31 6 4 11 7 1 2 62 41 7 18 Nov-24 28 30 6 4 12 6 1 2 61 41 7 18 Dec-24 29 31 6 4 12 6 1 2 60 41 8 17 2024 Total 386 363 59 38 144 85 6 17 757 497 85 213 2024 Avg. 32 30 5 3 12 7 1 1 63 41 7 18 7 Actives Retirees Red Blue White City of Chandler Enrollment by Tier Plan Year 2024 Red Blue White 5943439 04/10/2015 * 8 City of Chandler 2025 Contributions and Expenses by Status and Plan Year-to-date through March 2025 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. $1,646 $1,224 $1,138 $1,335 $1,768 $1,402 $1,018 $1,321 ($122) ($177) $120 $14 -$3,000 -$2,000 -$1,000 $0 $1,000 $2,000 $3,000 $4,000 Red Blue White All Plans $ per Employee per Month Active Surplus/(Deficit) by Plan Contributions Claims+Expenses Surplus/(Deficit) $1,370 $1,069 $934 $1,078 $3,524 $1,008 $1,440 $2,025 ($2,155) $61 ($505) ($948) -$3,000 -$2,000 -$1,000 $0 $1,000 $2,000 $3,000 $4,000 Red Blue White All Plans $ per Employee per Month Retiree Surplus/(Deficit) by Plan Contributions Claims+Expenses Surplus/(Deficit) 89% 11% Enrollment Active % Retiree % 91% 9% Contributions Active Retiree 84% 16% Claims and Expenses Active Retiree 5943439 Rank Plan Medical/Rx Paid YTD Medical/Rx Paid in Excess of $350K Stop Loss Deductible 1 Red Plan $200,212 $0 $200,212 $0 3.0% City of Chandler 2025 Incurred Medical Claims Paid in Excess of $100,000 Year-to-date through March 2025 9 Total of one claimants Percentage of Total Medical/Rx Paid: 3.0% 97.0% Large Claims All Other Medical/Rx Claims 5943439 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 Mar-24 22,010 $20,072,038 ($1,277,469) $18,794,569 $5,670,366 $24,464,935 $853.91 $257.63 Apr-24 22,068 $20,408,381 ($1,256,148) $19,152,232 $5,607,109 $24,759,341 $867.87 $254.08 May-24 22,120 $20,681,578 ($1,228,147) $19,453,431 $5,674,403 $25,127,835 $879.45 $256.53 Jun-24 22,161 $20,849,263 ($1,232,865) $19,616,398 $5,814,207 $25,430,605 $885.18 $262.36 Jul-24 22,213 $21,074,591 ($1,227,870) $19,846,720 $5,910,029 $25,756,750 $893.47 $266.06 Aug-24 22,272 $21,165,027 ($986,152) $20,178,875 $5,964,326 $26,143,201 $906.02 $267.79 Sep-24 22,310 $21,130,907 ($800,784) $20,330,123 $5,989,654 $26,319,777 $911.26 $268.47 Oct-24 22,357 $20,641,305 ($637,894) $20,003,411 $6,013,052 $26,016,463 $894.73 $268.96 Nov-24 22,402 $19,923,145 ($532,383) $19,390,762 $6,062,379 $25,453,141 $865.58 $270.62 Dec-24 22,446 $19,855,837 ($354,825) $19,501,011 $6,124,299 $25,625,311 $868.80 $272.85 Jan-25 22,502 $18,769,775 ($257,428) $18,512,346 $6,159,159 $24,671,506 $822.70 $273.72 Feb-25 22,524 $19,185,885 ($165,674) $19,020,211 $6,184,611 $25,204,822 $844.44 $274.58 Mar-25 22,549 $20,249,064 ($146,406) $20,102,659 $6,149,467 $26,252,126 $891.51 $272.72 Notes: Medical Claims Paid includes capitation. 10 City of Chandler Thirteen Month Snapshot - Medical and Rx Plan Paid Claims Through March 2025 $854 $868 $879 $885 $893 $906 $911 $895 $866 $869 $823 $844 $892 $760 $780 $800 $820 $840 $860 $880 $900 $920 Claims per Employee per Month 12-Month Period Ending Rolling Twelve Month Net Medical Claims PEPM Net Medical Trend 4.4% $258 $254 $257 $262 $266 $268 $268 $269 $271 $273 $274 $275 $273 $230 $240 $250 $260 $270 $280 Claims per Employee per Month 12-Month Period Ending Rolling Twelve Month Rx Claims PEPM Rx Trend 5.9% 5943439