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7.1. SR 03-20-2000
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7.1. SR 03-20-2000
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CITY OF ELK RIVER <br />CLAIMS AND LOSS RATIO HISTORY <br /> <br />Company Blue Cross Medica Medica Health Partners Health Partners Medica(PHP) <br />Time Period 8/1/98-3/1/99 4/1/97-3/31-98 4/1/96-3/31/97 4/1/93-3/31/94 8/1/92-4/30/93 4/1/91-3/31/92 <br />Premium Paid by City 140,021 193,080 158,493 173,945 101,921 134,860 <br /> <br />Total Claims 254,377 358,180 467,980 325,531 129,092 220,458 <br />Negotiated Savings 91,939 109,079 264,620 85,181 26,644 52,313 <br />Claims paid by Ins. Co. 162,438 249,101 203,360 240,350 102,448 168,145 <br /> <br />Loss Ratio 116.01% <br />(claims paid as percent of premiums received) <br /> <br />129.01% 128.31% 138.18% 100.52% 124.68% <br /> <br />The insurance company bases its rates heavily on a group's loss ratio. Health insurance "trend" or the <br />average or expected cost increase is also considered. Ongoing claims (those that require frequent and <br />or long term treatment) affect the premium. <br /> <br />When requesting bids for the 1994-1995 contract year, seven out of seven companies did not bid <br />because of the City's loss ratio and potential for future losses. <br /> <br /> <br />
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