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0® Blue4_miss 131uctAieldcd•Illinuis <br /> City Of Decatur <br /> • <br /> EXECUTIVE SUMMARY <br /> Group Detail <br /> Prior Period 07/01/2023.06/30/2026 Proposed P853 Prime <br /> Curren:Period 07/01/2024.06730/2025 Proposed Rx Pricing Method 'radmonal <br /> Proposed Product. PPO Offer Cohort <br /> Proposed Nemsora Broad PPO Proposed RX Network Traditional Select <br /> 1.Ve::Dei ng Enable BH Proposed Drug USC Balanced Bios:malar <br /> 5Z.Oeducib:e $200.500 <br /> Contract l'erm ZSi; Paid <br /> ASC Attachment:actor 125fr: <br /> Contrac,'erm;A-U.; Paid <br /> Demographics <br /> Enrollment P22346 P033337 PJ1005 PJ1009 Total <br /> 07/01x2024.06/33/2325 n t 21 249 ''66 547 <br /> 17101.^_C23-06120/D024 112 25 156 154 547 <br /> 99 Change .. . ,.. - 0_.. <br /> Average Contract Size <br /> 251:7 <br /> Financial <br /> Projected Period:01/01/2026.12131/2026 <br /> Projected Net Medica;Claims 09,177,719 <br /> Projected Net 3ru2 Claims 52.801,843 <br /> Projected Fixed Cosa 52072.111 <br /> Projected Cost as a%of Total Annualized Dollars <br /> 14.rn <br /> 3 Projected Net Medical Claims ISI <br /> 15.9% ' 3Projected Net Drug Claims <br /> CProjected Fixed Costs/ <br /> t <br /> CS>1: <br /> Specific fees can be found on the Total Projected Cost and/or Fee Comparison Page <br /> Plan Changes(proposed) <br /> Balanced Bloslmilar Drug List <br /> HSA Ded to 51,700 <br /> Additional Services(currently included) <br /> APR 001 APR Savings Program. <br /> External Appeals <br /> Member Rewards <br /> virtual Visits w BH <br /> a4'.e Cross aro Bur Sr nd or IL.a of Meal Can Sense Carp.ea a l.•uoul <br /> Legal Rr_are Campe,an iraexMerc ucaeee of roe One Cra•_s NV ab.510.14 a• M,w <br /> w.0✓�w..cm-.wvs 0.A:�E�aaw Mweor.^+...a rare.w�r..nr�n.rrv+..ear •••OP.+w, OCr.]; <br />