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SSP SF Sample Dashboard

Page 1

January 2024 December 2024

COMPANY ABC PLAN YEAR DASHBOARD Percent of Expected Cost

Expected Cost

Actual Cost

Actual Cost PEPY (Annualized)

Claims

Fees

99.7%

$3,561,969

$3,549,733

$13,380

$2,579,968

$969,765

Plan Cost Summary 

2024

Fixed Cost

Month

Subscribers

Members

ISL

ASL

Admin Fee

Fixed Cost

Fixed Cost YTD

1/1/2024 2/1/2024 3/1/2024 4/1/2024 5/1/2024 6/1/2024 7/1/2024 8/1/2024 10/1/2024 11/1/2024 12/1/2024 Total

307 298 294 292 291 291 284 278 283 284 283 3,184

541 532 533 524 520 520 512 501 508 512 518 5,723

$67,191 $65,607 $64,878 $63,747 $63,401 $63,182 $61,633 $59,993 $62,382 $62,071 $61,068 $695,154

$2,389 $2,318 $2,287 $2,271 $2,263 $2,263 $2,208 $2,161 $2,200 $2,208 $2,200 $24,768

$24,096 $23,383 $23,066 $22,908 $22,828 $22,828 $22,273 $21,798 $22,194 $22,273 $22,194 $249,843

$93,676 $91,308 $90,231 $88,926 $88,492 $88,273 $86,115 $83,952 $86,777 $86,553 $85,462 $969,765

$93,676 $184,984 $275,215 $364,141 $452,633 $540,907 $627,021 $710,973 $797,750 $884,303 $969,765 $969,765

Blank

Sub

Members

ISL

ASL

Admin

Fixed

Fixed

289

520

$63,196

$2,252

$22,713

$88,160

$88,160

Rx

Stop Loss Reimb & Adjustments

Total Claims $278,001 $231,766 $227,155 $195,022 $296,534 $152,628 $221,848 $263,034 $196,330 $184,230 $333,419 $2,579,968

Average

Plan Period

ISL

25.76%

ASL Admin Fee

2.55% 71.68%

Cost Comparison Actual Cost

Expected Cost

Max Cost

$0.4M

Aggregate Report Month 

1/1/2024 2/1/2024 3/1/2024 4/1/2024 5/1/2024 6/1/2024 7/1/2024 8/1/2024 10/1/2024 11/1/2024 12/1/2024 Total

Expected Claims

Medical

$250,553 $495,198 $737,126 $974,838 $1,211,258 $1,446,861 $1,676,689 $1,900,401 $2,133,022 $2,364,484 $2,592,204 $2,592,204

$243,104 $203,740 $193,854 $157,083 $263,137 $101,939 $177,622 $221,760 $146,078 $141,846 $295,687 $2,145,852

$34,897 $28,026 $33,301 $37,939 $33,397 $50,689 $44,226 $41,274 $50,251 $42,384 $37,732 $434,116

$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0

Claims YTD

Fees YTD

Actual Cost YTD

Expected Cost

Percent of Expected Cost

$278,001 $509,767 $736,923 $931,945 $1,228,479 $1,381,107 $1,602,955 $1,865,989 $2,062,319 $2,246,549 $2,579,968 $2,579,968

$93,676 $184,984 $275,215 $364,141 $452,633 $540,907 $627,021 $710,973 $797,750 $884,303 $969,765 $969,765

$371,678 $694,751 $1,012,138 $1,296,086 $1,681,112 $1,922,014 $2,229,977 $2,576,962 $2,860,069 $3,130,852 $3,549,733 $3,549,733

$344,229 $335,953 $332,160 $326,637 $324,912 $323,876 $315,943 $307,664 $319,397 $318,015 $313,182 $3,561,969

107.97% 102.14% 99.98% 96.80% 101.03% 96.69% 96.80% 98.68% 97.59% 96.37% 99.66% 99.66%

Blank

Expected Claims

Medical

Rx

Reimbursem…

Claims

Claims

Fixed Cost

Actual Cost

Expected Cost

Percent of Ex…

Average

$235,655

$195,077

$39,465

$0

$234,543

$234,543

$88,160

$322,703

$323,815

99.66%

$0.2M

r r y n n b Ja Fe Ma Ap Ma Ju

l t Ju Aug Oc Nov Dec

Gross Claims Medical Claims

16.8%

Rx Claims

83.2%

*Does not include SL Reimbursements or Rx Rebates


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