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City of Decatur, Illinois <br /> Group Health Benefit Plan <br /> Summary of Plan Fixed Costs <br /> Plan TPA Administrator BCBS BCBS BCBS BCBS BCBS <br /> Benefit Plan Year 2013 2014 2015 2016 2017 <br /> Actual Actual Actual Expected Projected <br /> Claims Administration $ 368,027 $ 416,977 $ 399,223 $ 391,806 $ 434,218 <br /> Broker Fee 47,577 45,520 45,000 40,000 40,000 <br /> Specific Stop Loss 297,528 335,426 353,042 401,054 437,990 <br /> Aggregate Stop Loss 49,846 49,846 13,116 12,723 12,723 <br /> Access Fee 78,055 73,509 66,669 62,491 68,206 <br /> Rx Credit (96,663) (102,187) (96,356 <br /> (135,938) (170,286) <br /> Total Fixed Costs $ 744,370 $ 819,091 $ 780,694 $ 772,136 $ 822,851 <br /> chg year on year 10.0% -4.7% -1.1% 6.6% <br /> Total#of Covered Lives 602 597 593 593 <br /> Note(s) <br /> Fixed costs per EE <br /> Medical Claim Admin $ 55.05 $ 61.02 <br /> Broker Fee $ $ <br /> Specific Stop Loss $ 56.35 $ 61.55 <br /> Access Fee 1.57% 1.57% <br /> Rx Credit $ 19.10 $ 23.93 <br /> Prepared by: Office of the City Treasurer <br /> Date: November 13, 2016 <br />