Extracted text (via pymupdf)
33047 characters
Mary Fedor
Senior Consultant
T 480.550.0362
M 602.750.4078
mfedor@segalco.com
1501 West Fountainhead Parkway
Suite 370
Tempe, AZ 85282-1936
segalco.com
#5989889v1/00914.015
June 1, 2026
Fernanda Acurio
Human Resources Manager
City of Chandler
PO Box 4008
Chandler, AZ 85244-4008
Re: City of Chandler
Medical and Prescription Drug Plan Monthly Reporting
January 1, 2026 through December 31, 2026 – Data through March
Dear Fernanda:
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, 2026.
For the month of March, Medical paid claims were approximately $2,053,200 while net Rx
claims were about $470,100. For the 2026 plan year to date, claims and expenses (after stop-
loss reimbursements and pharmacy rebates) were above contributions by approximately
$447,900 or 5.6% of contributions. Based on paid claims and expenses, Actives and Retirees
on the Blue Plan experienced an operating deficit, along with Retirees on the Red Plan and
White Plan, as displayed on Page 8.
There are four claimants with paid claims in excess of $100,000 during the reporting period.
There are zero 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 $67,800 per month from the estimated 2026 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 2026, approximately 35.2% of all active employees and retirees were enrolled in the
Red plan, with 4.6% enrolled in the Blue plan, and 60.2% enrolled in the White plan. The
average total enrollment in 2026 is approximately 2.9% higher than the 2025 average
enrollment.
Fernanda Acurio
June 1, 2026
Page 2
#5989889v1/00914.015
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 required by law or required for the Client’s proper
administration, this document should not be copied, reproduced, or shared with other parties
without Segal’s consent and, in such instances, should only be shared in its entirety. 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,
Mary Fedor
Senior Consultant
City of Chandler
Medical/Rx Monthly Reporting:
January 2026 - December 2026
(Data Through March 2026)
6/1/2026
Presented by: Mary Fedor
© 2026 by The Segal Group Inc. All rights reserved.
City of Chandler
HealthPlan Dashboard - Data thru March 2026
Metrics
Mar'26
Jan'26-Mar'26
Jan'25-Dec'25
Metrics
Mar'26
Jan'26-Mar'26
Jan'25-Dec'25
Contributions (PEPM)6
$1,362.78
$1,364.05
$1,307.96
Avg. # of Employees
1,944
1,945
1,891
Net Paid Medical Claims (PEPM)
$1,055.42
$887.84
$1,204.23
Avg. # of Members
4,947
4,961
4,817
Net Paid Rx Claims (PEPM)
$241.84
$226.91
$263.17
Ratio Members to EEs
2.54
2.55
2.55
Total Claims (PEPM)
$1,297.26
$1,114.75
$1,467.40
Age/Gender Index 1
-
0.942
0.943
Stop Loss & Adm Expenses (PEPM)
$157.62
$172.54
$227.70
Total Claims & Expenses (PEPM)
$1,454.88
$1,287.29
$1,695.11
Surplus/Deficit (PEPM)
-$92.10
$76.76
-$387.15
Loss Ratio
107%
94%
130%
PEPM % Change
13.0%
-24.1%
Metrics
Jan'26-Mar'26
Jan'25-Mar'25
% Change
# of Claimants
4
1
300.0%
$ of Medical/Rx Paid Claims
$429,962
$200,221
114.7%
% of Medical/Rx Paid Claims
6.4%
3.0%
111.5%
Metrics
Jan'26-Mar'26
Jan'25-Dec'25
% Change
Metrics
Jan'26-Mar'26
Jan'25-Dec'25
% Change
Bed Days/1,000
139.5
259.7
-46.3%
Generic (PEPM)
$15.18
$21.71
-30.1%
Avg Length of Stay
3.5
4.4
-21.5%
Brand Preferred (PEPM)
$190.62
$231.25
-17.6%
Brand Non-Preferred (PEPM)
$8.68
$11.42
-24.1%
Specialty (PEPM)
$224.18
$313.55
-28.5%
Total (PEPM)
$438.65
$577.93
-24.1%
Metrics
Jan'26-Mar'26
Jan'25-Dec'25
% Change
Metrics
Jan'26-Mar'26
Jan'25-Dec'25
% Change
In-Network Allowed %
99.6%
96.1%
3.6%
Retail Scripts PMPY
9.73
11.72
-17.0%
Discount from Billed5
67.2%
66.0%
1.9%
Mail Order Scripts PMPY
0.40
0.47
-14.6%
% Mail Order
3.9%
3.8%
2.8%
Metrics
Jan'26-Mar'26
Jan'25-Dec'25
% Change
Generic Dispensing Rate
83.4%
83.2%
0.3%
Metrics
Jan'26-Mar'26
Jan'25-Dec'25
% Change
Generic Plan Paid/Script
$6.77
$8.47
-20.1%
Member Cost Share %
25.2%
11.8%
113.3%
Brand Plan Paid/Script
$491.79
$518.27
-5.1%
Plan Paid %
74.8%
88.2%
-15.2%
Specialty Plan Paid/Script
$5,609.35
$6,533.39
-14.1%
Total Plan Paid/Script
$163.19
$187.76
-13.1%
5989984
Financial
Prescription Drugs (Rx)
2
Enrollment
Medical Utilization
Medical Network
Medical/Rx Plan Design
(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 Phar macy 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" pos sibly resulting in a difference between the dashboard and the monthly report.
(6) Retiree enrollment and contributions are estimated for Jan 2026 and subject to updates once actuals are available.
Income vs Paid Medical/Rx Claims + Expenses
Pharmacy Spend2
Pharmacy Retail vs Mail Order
Pharmacy Per Script Metrics2
Demographics
Large Claimants (> $100,000)
Inpatient Hospital
Medical In-Network Usage & Discounts
Medical/Rx Plan - Member Cost Sharing3
City of Chandler
2025-2026 Medical/Rx Contributions and Expenses
Year-to-date through March 2026
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-25
1,888
$2,466,316
$1,305,024
($24,025)
$445,129
$0
$1,726,127
$421,069
$2,147,196
$319,120
87.1%
Feb-25
1,888
$2,463,414
$1,597,614
($883)
$458,094
($176,701)
$1,878,125
$425,517
$2,303,642
$159,772
93.5%
Mar-25
1,886
$2,466,464
$2,482,351
($897)
$379,806
$0
$2,861,261
$431,031
$3,292,292
($825,827)
133.5%
Apr-25
1,883
$2,461,954
$2,248,996
($44,893)
$575,693
$0
$2,779,796
$429,998
$3,209,794
($747,839)
130.4%
May-25
1,871
$2,448,132
$2,424,209
($240)
$486,142
($172,934)
$2,737,178
$431,398
$3,168,576
($720,443)
129.4%
Jun-25
1,875
$2,452,954
$2,005,554
($411)
$600,164
$0
$2,605,307
$402,132
$3,007,439
($554,484)
122.6%
Jul-25
1,882
$2,463,067
$2,865,701
($26)
$580,271
$0
$3,445,946
$414,929
$3,860,875
($1,397,808)
156.8%
Aug-25
1,893
$2,479,584
$2,468,819
($98,917)
$525,941
($186,362)
$2,709,481
$445,941
$3,155,422
($675,838)
127.3%
Sep-25
1,892
$2,475,194
$2,658,890
($1,648)
$650,647
$0
$3,307,889
$411,447
$3,719,337
($1,244,143)
150.3%
Oct-25
1,901
$2,489,674
$2,983,630
($212,167)
$720,400
($199,888)
$3,291,975
$429,803
$3,721,778
($1,232,105)
149.5%
Nov-25
1,914
$2,501,278
$2,218,334
($328,599)
$665,265
$0
$2,555,000
$448,245
$3,003,245
($501,967)
120.1%
Dec-25
1,917
$2,509,478
$3,400,703
($623,073)
$619,656
$0
$3,397,286
$475,078
$3,872,364
($1,362,887)
154.3%
2025 Total
22,690
$29,677,509
$28,659,826
($1,335,778)
$6,707,209
($735,885)
$33,295,371
$5,166,587
$38,461,958
($8,784,449)
129.6%
2025 Avg.
1,891
$2,473,126
$2,388,319
($111,315)
$558,934
($61,324)
$2,774,614
$430,549
$3,205,163
($732,037)
129.6%
Jan-26
1,949
$2,662,862
$1,468,995
($30,808)
$564,997
($223,891)
$1,779,293
$344,105
$2,123,398
$539,464
79.7%
Feb-26
1,942
$2,647,127
$1,695,626
($4,984)
$512,768
$0
$2,203,410
$356,239
$2,559,649
$87,478
96.7%
Mar-26
1,944
$2,649,243
$2,053,214
($1,478)
$470,139
$0
$2,521,875
$306,416
$2,828,291
($179,049)
106.8%
Apr-26
May-26
Jun-26
Jul-26
Aug-26
Sep-26
Oct-26
Nov-26
Dec-26
2026 Total
5,835
$7,959,231
$5,217,834
($37,270)
$1,547,905
($223,891)
$6,504,578
$1,006,760
$7,511,338
$447,893
94.4%
2026 Avg.
1,945
$2,653,077
$1,739,278
($12,423)
$515,968
($74,630)
$2,168,193
$335,587
$2,503,779
$149,298
94.4%
(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 and budgeted interest income as an offset to operating expenses.
(5) Enrollment may change retrospectively based on updated BCBSAZ reporting. Retiree enrollment and contributions are estimated for Jan 2026 and subject to updates once actuals are available.
$2,123,398
$4,683,047
$7,511,338
$2,147,196
$4,450,838
$7,743,129
$10,952,923
$14,121,499
$17,128,937
$20,989,812
$24,145,234
$27,864,571
$31,586,349
$34,589,594
$38,461,958
Jan.
Feb.
Mar.
Apr.
May
Jun.
Jul.
Aug.
Sept.
Oct.
Nov.
Dec.
Dollars
Month
2026 vs 2025 Cumulative Paid Claims & Expenses
2026 Cumulative Claims & Expenses
2025 Cumulative Claims & Expenses
5989984
3
City of Chandler
2026 Medical/Rx Paid Claims by Plan and Status
Year-to-date through March 2026
$1,477
$1,588
$842
$1,102
$2,740
$1,123
$1,078
$1,566
$1,606
$1,485
$872
$1,160
Red
Blue
White
All Plans
Claims
(PEPM)
Plan
Medical/Rx YTD Claims Paid by Plan and Status -- 2026 Plan Year
Actives '26
Retirees '26
All '26
$1,924
$1,334
$1,130
$1,441
$2,720
$1,546
$2,422
$2,431
$2,002
$1,379
$1,291
$1,559
Red
Blue
White
All Plans
Claims
(PEPM)
Plan
Medical/Rx Claims Paid by Plan and Status -- 2025 Plan Year
Actives '25
Retirees '25
All '25
5989984
4
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.
City of Chandler
2026 Enrollment by Status and Plan
Year-to-date through March 2026
Month
Active Red
Active Blue
Active White
Active Total
Retiree Red
Retiree Blue
Retiree White
Retiree Total
Total Red
Total Blue
Total White
Total All
Jan-26
627
67
1,014
1,708
71
19
151
241
698
86
1,165
1,949
Feb-26
614
67
1,020
1,701
70
19
152
241
684
86
1,172
1,942
Mar-26
614
69
1,019
1,702
70
20
152
242
684
89
1,171
1,944
Apr-26
May-26
Jun-26
Jul-26
Aug-26
Sep-26
Oct-26
Nov-26
Dec-26
2026 Avg.
618
68
1,018
1,704
70
19
152
241
689
87
1,169
1,945
% of Total
31.8%
3.5%
52.3%
87.6%
3.6%
1.0%
7.8%
12.4%
35.4%
4.5%
60.1%
100.0%
2025 Avg.
632
78
956
1,666
68
21
136
225
700
99
1,092
1,891
% Change
-2.1%
-12.9%
6.4%
2.3%
3.1%
-7.6%
11.6%
7.2%
-1.6%
-11.7%
7.1%
2.9%
-
500
1,000
1,500
Jan-26
Feb-26
Mar-26
Apr-26
May-26
Jun-26
Jul-26
Aug-26
Sep-26
Oct-26
Nov-26
Dec-26
Count
Month
Active Enrollment by Plan
Active Red
Active Blue
Active White
-
50
100
150
200
Jan-26
Feb-26
Mar-26
Apr-26
May-26
Jun-26
Jul-26
Aug-26
Sep-26
Oct-26
Nov-26
Dec-26
Count
Month
Retiree Enrollment by Plan
Retiree Red
Retiree Blue
Retiree White
5989984
5
City of Chandler
Enrollment by Tier
Year-to-date through March 2026
Month
Red EE
Red EE+SP
Red EE+Ch(rn)
Red EE+Fam
Blue EE
Blue EE+SP
Blue EE+Ch(rn)
Blue EE+Fam
White EE
White EE+SP
White EE+Ch(rn)
White EE+Fam
Jan-26
181
128
92
226
34
8
9
16
349
117
112
436
Feb-26
177
126
90
221
34
8
9
16
351
117
113
439
Mar-26
177
126
90
221
35
8
9
17
351
117
113
438
Apr-26
May-26
Jun-26
Jul-26
Aug-26
Sep-26
Oct-26
Nov-26
Dec-26
2026 Total
535
380
272
668
103
24
27
49
1,051
351
338
1,313
2026 Avg.
178
127
91
223
34
8
9
16
350
117
113
438
Month
Red Retiree
Red Ret+SP
Red Ret+Ch(rn)
Red Ret+Fam
Blue Retiree
Blue Ret+SP
Blue Ret+Ch(rn)
Blue Ret+Fam
White Retiree
White Ret+SP
White Ret+Ch(rn)
White Ret+Fam
Jan-26
30
31
7
3
11
7
-
1
67
46
9
29
Feb-26
29
31
7
3
11
7
-
1
68
46
9
29
Mar-26
29
31
7
3
12
7
-
1
68
46
9
29
Apr-26
May-26
Jun-26
Jul-26
Aug-26
Sep-26
Oct-26
Nov-26
Dec-26
2026 Total
88
93
21
9
34
21
-
3
203
138
27
87
2026 Avg.
29
31
7
3
11
7
-
1
68
46
9
29
5989984
6
City of Chandler
2026 Contributions and Paid Claims by Status and Plan
Year-to-date through March 2026
Medical Plan
Active Enrollment
Active Contributions
Active Claims & Expenses
Active Loss Ratio
Retiree Enrollment
Retiree Contributions
Retiree Claims & Expenses
Retiree Loss Ratio
Total Enrollment
Total Contributions
Total Claims & Expenses
Total Loss Ratio
All Plans
5,111
$7,127,853
$6,513,966
91%
724
$831,379
$1,258,533
151%
5,835
$7,959,231
$7,772,499
98%
% of Total
87.6%
89.6%
83.8%
12.4%
10.4%
16.2%
100.0%
100.0%
100.0%
Red Plan
1,855
$3,236,200
$3,060,608
95%
211
$300,049
$614,443
205%
2,066
$3,536,250
$3,675,051
104%
% of Total
90%
92%
83%
10%
8%
17%
35%
44%
47%
Blue Plan
203
$263,604
$357,319
136%
58
$64,996
$75,101
116%
261
$328,600
$432,420
132%
% of Total
78%
80%
83%
22%
20%
17%
4%
4%
6%
White Plan
3,053
$3,628,048
$3,096,039
85%
455
$466,333
$568,989
122%
3,508
$4,094,381
$3,665,028
90%
% of Total
87%
89%
84%
13%
11%
16%
60%
51%
47%
$2,385,798
$4,756,193
$7,127,853
$1,926,377
$4,049,867
$6,513,966
Jan-26
Feb-26
Mar-26
Apr-26
May-26
Jun-26
Jul-26
Aug-26
Sep-26
Oct-26
Nov-26
Dec-26
Dollars
Month
Active Contributions vs Claims and Expenses
Contributions
Claims & Expenses
$277,064
$553,796
$831,379
$451,720
$892,862
$1,258,533
Jan-26
Feb-26
Mar-26
Apr-26
May-26
Jun-26
Jul-26
Aug-26
Sep-26
Oct-26
Nov-26
Dec-26
Dollars
Month
Retiree Contributions vs Claims and Expenses
Contributions
Claims & Expenses
5989984
Notes:
Paid claims include capitation but are unadjusted for stop loss reimbursements and prescription drug rebates. Retiree enrollment is estimated and subject to updates once actuals are available.
Percent of Total rows sum Active and Retiree columns by plan and show each plan's percentage of the total in the Total columns.
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.
7
City of Chandler
Enrollment by Tier
Plan Year 2025
Month
Red EE
Red EE+SP
Red EE+Ch(rn)
Red EE+Fam
Blue EE
Blue EE+SP
Blue EE+Ch(rn)
Blue EE+Fam
White EE
White EE+SP
White EE+Ch(rn)
White EE+Fam
Jan-25
186
146
89
217
38
9
11
17
329
106
103
426
Feb-25
186
145
91
215
40
9
11
17
332
104
103
423
Mar-25
186
143
90
219
39
10
11
17
332
104
101
424
Apr-25
182
141
88
219
40
9
11
17
331
105
101
421
May-25
179
136
89
221
41
9
10
17
329
105
102
417
Jun-25
181
135
90
224
42
10
10
16
327
108
102
411
Jul-25
184
132
91
225
41
10
10
17
323
108
105
414
Aug-25
183
128
92
228
40
9
10
18
325
112
105
413
Sep-25
179
127
93
228
41
9
10
18
327
110
105
410
Oct-25
178
129
92
231
40
8
11
20
330
109
106
406
Nov-25
180
131
93
228
39
8
12
20
334
110
107
407
Dec-25
179
132
93
229
39
9
12
20
333
110
107
412
2025 Total
2,183
1,625
1,091
2,684
480
109
129
214
3,952
1,291
1,247
4,984
2025 Avg.
182
135
91
224
40
9
11
18
329
108
104
415
Month
Red Retiree
Red Ret+SP
Red Ret+Ch(rn)
Red Ret+Fam
Blue Retiree
Blue Ret+SP
Blue Ret+Ch(rn)
Blue Ret+Fam
White Retiree
White Ret+SP
White Ret+Ch(rn)
White Ret+Fam
Jan-25
25
29
5
3
11
7
1
1
65
40
7
17
Feb-25
27
28
5
4
11
7
1
1
62
40
7
19
Mar-25
27
27
5
4
12
6
1
1
60
40
7
20
Apr-25
28
29
5
4
11
7
1
1
62
41
7
22
May-25
28
29
5
4
11
7
1
1
61
40
7
22
Jun-25
28
30
6
3
11
7
1
1
61
41
7
23
Jul-25
28
30
6
3
12
7
1
1
63
41
7
23
Aug-25
29
33
6
3
12
7
1
1
63
42
7
26
Sep-25
31
32
7
3
12
7
1
1
64
43
8
26
Oct-25
31
32
7
3
14
8
-
1
63
44
9
29
Nov-25
31
32
8
3
14
8
-
1
64
44
9
31
Dec-25
31
31
8
3
13
8
-
1
62
44
11
30
2025 Total
344
362
73
40
144
86
9
12
750
500
93
288
2025 Avg.
29
30
6
3
12
7
1
1
63
42
8
24
5989984
8
City of Chandler
2026 Contributions and Expenses by Status and Plan
Year-to-date through March 2026
$1,745
$1,299
$1,188
$1,395
$1,650
$1,760
$1,014
$1,274
$95
($462)
$174
$120
Red
Blue
White
All Plans
Dollars
(PEPM)
Plan
Active Surplus/(Deficit) by Plan
Contributions
Claims+Expenses
Surplus/(Deficit)
$1,422
$1,121
$1,025
$1,148
$2,912
$1,295
$1,251
$1,738
($1,490)
($174)
($226)
($590)
Red
Blue
White
All Plans
Dollars
(PEPM)
Plan
Retiree Surplus/(Deficit) by Plan
Contributions
Claims+Expenses
Surplus/(Deficit)
88%
12%
Enrollment
Active
Retiree
90%
10%
Contributions
Active
Retiree
84%
16%
Claims and Expenses
Active
Retiree
5989984
9
Notes:
Claims include capitation (allocated by claims paid year-to-date), but are unreduced for stop loss reimbursements.
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.
Expenses on these graphs are limited to self-insurance administrative fees, PCORI fees, and paid claims.
City of Chandler
2026 Incurred Medical Claims Paid in Excess of $100,000
Year-to-date through March 2026
Rank
Plan
Medical/Rx Paid YTD
Medical/Rx Paid in Excess
of $350K Stop Loss
Deductible
1
Red Plan
$124,903
$0
2
White Plan
$102,223
$0
3
White Plan
$101,614
$0
4
Blue Plan
$101,222
$0
Total of four claimants
$429,962
$0
Percentage of Total
Medical/Rx Paid:
6.4%
6.4%
93.6%
Medical/Rx Claims Paid in Excess of $100,000 vs. All
Other Claims Paid
Large Claims
All Other Medical/Rx
Claims
5989984
10
City of Chandler
Thirteen Month Snapshot - Medical and Rx Plan Paid Claims Through March 2026
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-25
22,534
$20,249,064
($146,406)
$20,102,659
$6,126,881
$26,229,540
$892.10
$271.89
Apr-25
22,556
$20,772,667
($182,727)
$20,589,940
$6,293,515
$26,883,455
$912.84
$279.02
May-25
22,560
$21,403,739
($182,967)
$21,220,772
$6,236,534
$27,457,306
$940.64
$276.44
Jun-25
22,569
$21,645,106
($181,524)
$21,463,582
$6,245,423
$27,709,005
$951.02
$276.73
Jul-25
22,572
$22,727,635
($114,048)
$22,613,587
$6,265,255
$28,878,842
$1,001.84
$277.57
Aug-25
22,586
$23,334,558
($210,962)
$23,123,596
$6,226,059
$29,349,655
$1,023.80
$275.66
Sep-25
22,605
$24,343,986
($212,133)
$24,131,853
$6,360,738
$30,492,591
$1,067.54
$281.39
Oct-25
22,625
$25,880,639
($424,281)
$25,456,357
$6,554,935
$32,011,292
$1,125.14
$289.72
Nov-25
22,659
$26,879,270
($752,880)
$26,126,389
$6,634,091
$32,760,481
$1,153.02
$292.78
Dec-25
22,690
$28,659,826
($1,335,778)
$27,324,048
$6,707,209
$34,031,256
$1,204.23
$295.60
Jan-26
22,751
$28,823,797
($1,342,560)
$27,481,236
$6,827,077
$34,308,313
$1,207.91
$300.08
Feb-26
22,805
$28,921,808
($1,346,662)
$27,575,146
$6,881,751
$34,456,897
$1,209.17
$301.76
Mar-26
22,863
$28,492,671
($1,347,243)
$27,145,428
$6,972,084
$34,117,512
$1,187.31
$304.95
$272
$279
$276
$277
$278
$276
$281
$290
$293
$296
$300
$302
$305
Claims
(PEPM)
12-Month Period Ending
Rolling Twelve Month Rx Claims PEPM
Rx Trend 12.2%
5989984
$892
$913
$941
$951
$1,002
$1,024
$1,068 $1,125
$1,153
$1,204
$1,208
$1,209
$1,187
Claims
(PEPM)
12-Month Period Ending
Rolling Twelve Month Net Medical Claims
PEPM
Net Medical Trend 33.1%
11
Notes:
Medical Claims Paid includes capitation.