Pre-Existing Condition Insurance Plan Washington State (PCIP-WA) November 2014 Financial Review

Pre-Existing Condition Insurance Plan Washington State (PCIP-WA) November 2014 Financial Review 1. Financial Statements November 2014 U Sheet Due to the timing of the HHS reimbursement receipts, there is no available cash on hand at the end of November 2014. Cash position is discussed further in the Budgeted Cash Flow section below. As of November 2014, the receivable for unbilled HHS reimbursements is $20 K. This amount represents an offset of liabilities, including IBNR, which will be invoiced and funded by HHS before the end of the program. The total IBNR of $5 K decreased $4 K or 48.9% as compared to the prior month. This increase is seen entirely in the medical portion as the IBNR for pharmacy is now at zero. U Statement In July 2013, the pool transitioned all membership to the federal PCIP program and began an eighteen month run-out. As a result, 2014 will not have any member months nor earned premium income and the 2014 expenses will be much lower than the prior year when the program still had active membership. As of the end of November 2014, the total incurred claim loss is $83 K which includes actual payments for run-out claims as well as the change in IBNR. The November 2014 YTD administrative expenses are $324 K and the HHS Reimbursements are $392 K. 2. Budgeted Cash Flow November 2014 The Budgeted Cash Flow document contains the budget (upper portion) as revised in February 2014 and the actual (lower portion) cash flow results year-to-date. The Program Summary (discussed below) is a dynamic report and therefore changes as better financial information is obtained. At the end of November 2014, there is no available cash on hand. Total net cash receipts for November 2014 are $39 K or 6.7% favorable to budget. Total November 2014 expenses are $54 K or 9.2% unfavorable to budget. Total claims expense is $137 K or 79.8% unfavorable to budget, and administrative variances discussed further below are $83 K or 19.9% favorable to budget. 01/05/2015 1

3. Administrative Expense Budget November 2014 For November 2014, administrative expenses are $83 K or 19.9% favorable to budget (cash basis). 4. PCIP-WA Program Summary November 2014 The program summary is a blended cash flow forecast tool that tracks the federally allotted funds throughout the life of the program. Actual claims, premiums and administrative expense data is input as incurred, while data for future months is based on the original budget. The summary shows the projected remaining balance at the end of each year as well as at the end of the program. The summary also compares the original budget figures to the blended forecast figures and calculates the blended administrative cost percentage (yearly and in total). PCIP-WA submitted a revised forecast in February 2014 and those re-forecasted figures were updated in the January 2014 packet. Actual results are illustrated through December 2014. As of July 2013, membership was transitioned to the federally ran PCIP pool and therefore PCIP-WA no longer has any active membership. In July 2013, PCIP-WA began to process run-out for claims incurred prior to July 1, 2013. As of December 31, 2014, which is the end of the program, administrative costs as a percent of total costs ended at 4.2%. PCIP-WA ended the program with $9.0 M remaining of the HHS allotted funding. HHS will take back the excess funds through the Payment Management System. 01/05/2015 2

PCIP-WA Unaudited Sheet as of November 30 Total Enrollment : 0 Assets: 2014 2013 Cash $ - $ - Premiums Receivable - - HHS Receivable - - Unbilled Payments from HHS 20,072 462,422 Prepaid Expense 12,650 12,650 Total Assets $ 32,722 $ 475,072 Liabilities and Unassigned Surplus: Reserve for Unpaid Losses - Medical $ 4,600 $ 327,000 Reserve for Unpaid Losses - Pharmacy - - Accrued Loss Adjustment 1,000 9,000 Premiums Received in Advance - - Checks Written in Excess of Cash (1) 12,169 105,768 Due to WSHIP - - Abandoned Claim Reserve - 4,440 Accrued Expenses 14,953 28,863 Total Liabilities $ 32,722 $ 475,072 Unassigned Surplus - - Total Liabilities and Unassigned Surplus $ 32,722 $ 475,072 (1) Checks Written in Excess of Cash are claim checks written prior to the receipt of HHS reimbursements. These checks are not distributed until the proper funding is received. 01/05/2015 3

2014 2013 Total - 6,330 Premium Earned $ - $ 4,699,324 Pharmacy Rebate 14,036 80,811 Incurred Claim Loss - Medical 92,798 13,203,650 Incurred Claim Loss - Pharmacy (10,191) 7,144,363 Total Incurred Claim Loss 82,606 20,348,013 Operating Expenses: PCIP-WA Unaudited Statement of Operations January 1 to November 30 Administrative Expense $ 153,470 $ 462,348 Variable Administrative Expense 20,131 147,534 Salary and Benefit Expense 83,007 214,561 Contracted Outreach Fees - 24,670 Miscellaneous Expense 24,298 46,692 Professional Fee Expense 42,901 83,121 Start-Up Expenses - - Total Operating Expenses $ 323,808 $ 978,926 Underwriting Gain (Loss) $ (392,379) $ (16,546,803) HHS Reimbursement 392,379 16,546,803 Investment - - Other - - Changes in Unassigned Surplus $ - $ - 01/05/2015 4

PCIP WA Budgeted Cashflow 2014 Budget - Updated Feb 2014 JANUARY FEBRUARY MARCH APRIL MAY JUNE JULY AUGUST SEPTEMBER OCTOBER NOVEMBER DECEMBER NOV YTD TOTAL Enrollment Count - - - - - - - - - - - - - - Cash BEGINNING OF MONTH - - - - - - - - - - - - Receipts Premium Receipts - - - - - - - - - - - - - - HHS Reimbursement 98,542 86,050 70,060 59,569 50,529 41,588 32,798 32,798 32,798 52,798 32,798 32,798 590,328 623,126 Pharmacy Rebate - - - - - - - - - - - - - - Claim Refunds Receipts - - - - - - - - - - - - - - Investment - - - - - - - - - - - - - - Abandoned Claims - - - - - - - - - - - - - - Other - - - - - - - - - - - - - - Total Receipts 98,542 86,050 70,060 59,569 50,529 41,588 32,798 32,798 32,798 52,798 32,798 32,798 590,328 623,126 Refunds Premium Refunds - - - - - - - - - - - - - - Total Refunds - - - - - - - - - - - - - - Expenses Medical Claim Expense 49,144 40,952 32,762 24,571 16,381 8,190 - - - - - - 172,000 172,000 Pharmacy Claim Expense - - - - - - - - - - - - - - Administrative Expense 29,500 25,200 17,400 15,100 14,250 13,500 12,900 12,900 12,900 32,900 12,900 12,900 199,450 212,350 Variable Administrative Expense - - - - - - - - - - - - - - Salary and Benefits Expense 12,500 12,500 12,500 12,500 12,500 12,500 12,500 12,500 12,500 12,500 12,500 12,500 137,500 150,000 Contracted Outreach Fees - - - - - - - - - - - - - - Prescription Administrative Expense - - - - - - - - - - - - - - Miscellaneous Expense 2,231 2,231 2,231 2,231 2,231 2,231 2,231 2,231 2,231 2,231 2,231 2,231 24,541 26,772 Professional Fees 5,167 5,167 5,167 5,167 5,167 5,167 5,167 5,167 5,167 5,167 5,167 5,167 56,837 62,004 Total Expense 98,542 86,050 70,060 59,569 50,529 41,588 32,798 32,798 32,798 52,798 32,798 32,798 590,328 623,126 Cash Month End $ - $ - $ - - $ - $ - $ - $ - $ - $ - $ - $ - Actual JANUARY FEBRUARY MARCH APRIL MAY JUNE JULY AUGUST SEPTEMBER OCTOBER NOVEMBER DECEMBER TOTAL YTD Enrollment Count - - - - - - - - - - - - Cash BEGINNING OF MONTH 33,233 17,048 17,517 27,644 14,448 13,669 13,923 18,722 19,207 17,033 17,033 Receipts Premium Receipts - - - - - - - - - - - - HHS Reimbursement 136,882 134,905 70,712 36,782 26,635 19,492 21,543 41,746 15,088 24,026 32,613 560,424 Pharmacy Rebate - - 13,508 - - 254 - - - 274-14,036 Claim Refunds Receipts 6,629 15,442 6,090 2,761 375 9,911 3,814 3,063 5,109 853 1,220 55,269 Investment - - - - - - - - - - - - Abandoned Claims - - - - - - - - - - - - Other - - - - - - - - - - - - Total Receipts 143,511 150,348 90,310 39,543 27,010 29,656 25,356 44,810 20,198 25,153 33,833-629,728 Refunds Premium Refunds - - - - - - - - - - - - Total Refunds - - - - - - - - - - - - - Expenses Medical Claim Expense 131,360 114,593 40,292 28,588 45 986 530 958 1,704 410-319,466 Pharmacy Claim Expense - - - - - (1,751) - (2,175) (6,266) - - (10,191) Administrative Expense 15,450 14,842 14,026 16,794 14,522 13,226 14,170 13,690 13,018 13,274 12,954 155,966 Variable Administrative Expense - - 127 - - - - 20,000 - - - 20,127 Salary and Benefits Expense 4,390 11,706 14,787 4,297 9,667 14,749 3,100 11,088 12,143 7,827 3,401 97,154 Contracted Outreach Fees - - - - - - - - - - - - Prescription Administrative Expense - 3 - - - - - - 1 - - 4 Miscellaneous Expense 7,429 2,035 2,569 1,286 1,414 1,400 1,276 3,208 1,168 1,719 775 24,279 Professional Fees 1,067 6,700 8,381 1,774 2,142 793 1,481 919 604 1,923 11,840 37,624 Total Expense 159,696 149,879 80,182 52,739 27,790 29,403 20,557 47,688 22,372 25,153 28,969-644,428 Cash 17,048 17,517 27,644 14,448 13,669 13,923 18,722 15,843 17,033 17,033 21,897 - Checks written in excess of Cash Inc(Dec) in Abandoned Property Reserve - - - - - - - 3,364 - - (34,065) - Available Cash 17,048 17,517 27,644 14,448 13,669 13,923 18,722 19,207 17,033 17,033 (12,168) - 01/05/2015 5

PCIP WA Budgeted Cashflow 2014 Variance to Original Budget Favorable/(Unfavorable) JANUARY FEBRUARY MARCH APRIL MAY JUNE JULY AUGUST SEPTEMBER OCTOBER NOVEMBER DECEMBER TOTAL YTD Enrollment Count - - - - - - - - - - - - Receipts Premium Receipts - - - - - - - - - - - - HHS Reimbursement 38,340 48,855 652 (22,787) (23,894) (22,096) (11,255) 8,948 (17,710) (28,772) (185) (29,904) Pharmacy Rebate - - 13,508 - - 254 - - - 274-14,036 Claim Refunds Receipts 6,629 15,442 6,090 2,761 375 9,911 3,814 3,063 5,109 853 1,220 55,269 Investment - - - - - - - - - - - - Abandoned Claims - - - - - - - - - - - - Other - - - - - - - - - - - - Total Receipts 44,969 64,298 20,250 (20,026) (23,519) (11,932) (7,442) 12,012 (12,600) (27,645) 1,035 39,400 Refunds Premium Refunds - - - - - - - - - - - - Total Refunds - - - - - - - - - - - - Expenses Medical Claim Expense (82,216) (73,641) (7,530) (4,017) 16,336 7,204 (530) (958) (1,704) (410) - (147,466) Pharmacy Claim Expense - - - - - 1,751-2,175 6,266 - - 10,191 Administrative Expense 14,050 10,358 3,374 (1,694) (272) 274 (1,270) (790) (118) 19,626 (54) 43,484 Variable Administrative Expense - - (127) - - - - (20,000) - - - (20,127) Salary and Benefits Expense 8,110 794 (2,287) 8,203 2,833 (2,249) 9,400 1,412 357 4,673 9,099 40,346 Contracted Outreach Fees - - - - - - - - - - - - Prescription Administrative Expense - (3) - - - - - - (1) - - (4) Miscellaneous Expense (5,198) 196 (338) 945 818 831 955 (977) 1,063 512 1,456 262 Professional Fees 4,100 (1,533) (3,214) 3,393 3,025 4,375 3,686 4,248 4,563 3,244 (6,673) 19,213 Total Expense (61,154) (63,829) (10,122) 6,830 22,739 12,185 12,241 (14,890) 10,426 27,645 3,829 (54,100) Inc(Dec) in Abandoned Property Reserve - - - - - - - - - - - Cash 17,048 17,517 27,644 14,448 13,669 13,923 18,722 19,207 17,033 17,033 (12,168) Checks written in excess of Cash (17,048) (17,517) (27,644) (14,448) (13,669) (13,923) (18,722) (19,207) (17,033) (17,033) 12,168 Available Cash - - - - - - - - - - - 01/05/2015 6

PCIP-WA 2014 Administrative Expense Budget Variance Analysis Budget - Updated Feb 2014 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Total ship (1) - - - - - - - - - - - - - Administrative Expense (2) 29,500 25,200 17,400 15,100 14,250 13,500 12,900 12,900 12,900 32,900 12,900 12,900 212,350 Variable Administrative Expense (3) - - - - - - - - - - - - - Salary and Benefits Expense (4) 12,500 12,500 12,500 12,500 12,500 12,500 12,500 12,500 12,500 12,500 12,500 12,500 150,000 Contracted Outreach Fees (5) - - - - - - - - - - - - - RX Benefit Management Fees (6) - - - - - - - - - - - - - Miscellaneous Expense (7) 2,231 2,231 2,231 2,231 2,231 2,231 2,231 2,231 2,231 2,231 2,231 2,231 26,772 Professional Fees (8) 5,167 5,167 5,167 5,167 5,167 5,167 5,167 5,167 5,167 5,167 5,167 5,167 62,004 Start Up Costs (9) - - - - - - - - - - - - - Total Budget Operating Expenses 49,398 45,098 37,298 34,998 34,148 33,398 32,798 32,798 32,798 52,798 32,798 32,798 451,126 Actual Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec YTD Total ship (1) - - - - - - - - - - - - Administrative Expense (2) 15,450 14,842 14,026 16,794 14,522 13,226 14,170 13,690 13,018 13,274 12,954 155,966 Variable Administrative Expense (3) - - 127 - - - - 20,000 - - - 20,127 Salary and Benefits Expense (4) 4,390 11,706 14,787 4,297 9,667 14,749 3,100 11,088 12,143 7,827 3,401 97,154 Contracted Outreach Fees (5) - - - - - - - - - - - - RX Benefit Management Fees (6) - 3 - - - - - - 1 - - 4 Miscellaneous Expense (7) 7,429 2,035 2,569 1,286 1,414 1,400 1,276 3,208 1,168 1,719 775 24,279 Professional Fees (8) 1,067 6,700 8,381 1,774 2,142 793 1,481 919 604 1,923 11,840 37,624 Start Up Costs (9) - - Total Actual Operating Expenses 28,336 35,286 39,890 24,151 27,744 30,167 20,027 48,904 26,934 24,743 28,969-335,153 Variance Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec YTD Total ship (1) - - - - - - - - - - - - Administrative Expense (2) 14,050 10,358 3,374 (1,694) (272) 274 (1,270) (790) (118) 19,626 (54) 43,484 Variable Administrative Expense (3) - - (127) - - - - (20,000) - - - (20,127) Salary and Benefits Expense (4) 8,110 794 (2,287) 8,203 2,833 (2,249) 9,400 1,412 357 4,673 9,099 40,346 Contracted Outreach Fees (5) - - - - - - - - - - - - RX Benefit Management Fees (6) - (3) - - - - - - (1) - - (4) Miscellaneous Expense (7) (5,198) 196 (338) 945 818 831 955 (977) 1,063 512 1,456 262 Professional Fees (8) 4,100 (1,533) (3,214) 3,393 3,025 4,375 3,686 4,248 4,563 3,244 (6,673) 19,213 Start Up Costs (9) - - - - - - - - - - - - Total Variance Expenses 21,062 9,812 (2,592) 10,847 6,404 3,231 12,771 (16,106) 5,864 28,055 3,829 83,175 Notes: (1) New enrollment has been suspended as PCIP-WA is in runout. (2) Administrative Expense reflects fixed contractual TPA fees as well as contractual and performance bonuses per member for TPA, Utilization Management fees and Network services. (3) Variable Administrative Expense includes Case Management & Care Coaching, special mailings, and misc. system programming. (4) Salary and Benefits Expense reflect the combined amounts of the Executive Director, Deputy Executive Director, Executive Assistant and Program Coordinator. PCIP-WA reimburses WSHIP for 25% of salary and benefit costs and these figures reflect those reimbursements. (5) Contracted Outreach Fees is the outreach expenses billed from the Washington Office of Insurance Commissioner. (6) Prescription Administrative Expense is the administrative fees charged by the PBM. (7) Miscellaneous expense includes Board expenses, conference travel, insurance, agent commissions, phone/internet charges, and office expenses. PCIP-WA reimburses WSHIP for 25% of miscellaneous costs and these figures reflect those reimbursements. (8) Professional fees include legal fees, auditing fees, actuarial fees, and consulting. 01/05/2015 7

Pre existing Condition Insurance Pool PCIP WA Program Expense and Funding Summary (Highlighted cells represent actual data) Projected Budget Variance Claims less Refunds Claims PMPM Net Premiums Calculated Drawdowns 2011 Funding % of 2011 Funding Used Total Program 29,218,573 Carry forward 86,415,472 2011 January 179 181 1.1% 531,845 2,938 138,257 393,588 70,282 463,870 28,754,703 1.6% 85,951,602 February 224 226 0.9% 632,702 2,800 164,753 467,949 66,521 534,470 28,220,233 3.4% 85,417,132 March 301 304 1.0% 1,461,569 4,808 302,714 1,158,855 120,912 1,279,767 26,940,466 7.8% 84,137,365 April 336 341 1.5% 1,341,681 3,935 185,556 1,156,125 79,114 1,235,239 25,705,227 12.0% 82,902,126 May 406 410 1.0% 1,217,756 2,970 197,713 1,020,043 89,865 1,109,908 24,595,319 15.8% 81,792,218 June 442 446 0.9% 1,795,218 4,025 495,411 1,299,807 81,719 1,381,526 23,213,793 20.6% 80,410,692 July 487 496 1.8% 1,216,882 2,453 201,438 1,015,444 36,539 1,051,983 22,161,810 24.2% 79,358,709 August 525 531 1.1% 1,730,552 3,259 202,019 1,528,533 144,275 1,672,808 20,489,002 29.9% 77,685,901 September 576 586 1.7% 1,552,438 2,649 247,316 1,305,122 61,438 1,366,560 19,122,442 34.6% 76,319,341 October 621 625 0.6% 2,287,994 3,661 653,699 1,634,295 108,656 1,742,951 17,379,491 40.5% 74,576,390 November 652 659 1.1% 2,203,600 3,344 217,938 1,985,661 65,031 2,050,692 15,328,798 47.5% 72,525,697 December 690 708 2.6% 2,105,353 2,974 806,471 1,298,882 88,898 1,387,780 13,941,019 52.3% 71,137,917 2011 Totals 5,439 5,513 18,077,590 3,279 3,813,285 14,264,304 1,013,249 15,277,554 2011 Admin % of Total Costs 5.3% Includes $29,101,463 available for 2011 plus $117,110 carryover from 2010. (Note: Even though the August 2011 reforecast reduced the 2011 contract amount, HHS had put $29,101,463 on the PMS based on the June 2011 reforecast. That amount remained on PMS and any excess will carry forward to 2012. "Total Program " column is populated with the most current projections which were submitted to HHS for approval in May 2013. 01/05/2015 9

Pre existing Condition Insurance Pool PCIP WA Program Expense and Funding Summary (Highlighted cells represent actual data) Projected Budget Variance Claims less Refunds Claims PMPM Net Premiums Calculated Drawdowns 2012 Funding % of 2012 Funding Used Total Program 75,137,918 Carry forward 71,137,917 2012 January 675 688 1.9% 1,878,781 2,731 376,866 1,501,914 88,360 1,590,274 73,547,644 2.2% 69,547,643 February 717 725 1.1% 1,985,778 2,739 236,966 1,748,812 79,859 1,828,671 71,718,973 4.6% 67,718,972 March 761 765 0.5% 2,457,915 3,213 951,800 1,506,114 107,412 1,613,527 70,105,446 6.8% 66,105,445 April 766 782 2.1% 3,270,512 4,182 321,274 2,949,238 94,225 3,043,463 67,061,983 11.0% 63,061,982 May 797 805 1.0% 4,250,759 5,280 298,455 3,952,304 76,697 4,029,001 63,032,982 16.5% 59,032,981 June 837 842 0.6% 2,782,652 3,305 1,046,198 1,736,454 78,658 1,815,112 61,217,870 18.9% 57,217,869 July 859 867 0.9% 3,329,890 3,841 368,041 2,961,850 91,791 3,053,640 58,164,230 23.1% 54,164,229 August 876 872 0.5% 3,327,890 3,816 297,264 3,030,626 80,460 3,111,087 55,053,143 27.3% 51,053,142 September 918 926 0.9% 3,509,876 3,790 1,073,773 2,436,103 79,824 2,515,928 52,537,216 30.7% 48,537,215 October 943 947 0.4% 3,547,164 3,746 485,780 3,061,383 106,114 3,167,497 49,369,719 35.0% 45,369,718 November 957 960 0.3% 4,502,069 4,690 376,635 4,125,433 103,258 4,228,691 45,141,028 40.8% 41,141,027 December 1,005 1,013 0.8% 4,814,638 4,753 1,338,133 3,476,505 116,060 3,592,564 41,548,464 45.7% 37,548,462 2012 Totals 10,111 10,192 39,657,925 3,891 7,171,188 32,486,737 1,102,717 33,589,454 2012 Admin % of Total Costs 2.7% "Total Program " column is populated with the most current projections which were submitted to HHS for approval in February 2013. Includes $61,196,899 available for 2012 plus $13,941,019 carryover from 2011. 01/05/2015 10

Pre existing Condition Insurance Pool PCIP WA Program Expense and Funding Summary (Highlighted cells represent actual data) Projected Budget Variance Claims less Refunds Claims PMPM Net Premiums Calculated Drawdowns 2013 Funding % of 2013 Funding Used Total Program 37,548,462 Carry forward 37,548,462 2013 January 976 966 1.0% 4,978,987 5,154 583,374 4,395,612 86,015 4,481,627 33,066,835 11.9% 33,066,835 February 1,035 1,034 0.1% 3,463,230 3,349 309,563 3,153,666 113,540 3,267,206 29,799,629 20.6% 29,799,629 March 1,106 1,106 0.0% 3,899,721 3,526 655,342 3,244,379 116,467 3,360,846 26,438,782 29.6% 26,438,783 April 1,058 1,106 4.5% 4,052,480 3,664 1,455,523 2,596,957 152,471 2,749,428 23,689,354 36.9% 23,689,354 May 1,013 1,074 6.0% 5,511,610 5,132 298,712 5,212,899 93,230 5,306,129 18,383,225 51.0% 18,383,225 June 969 1,044 7.7% 4,320,882 4,139 183,255 4,137,626 108,034 4,245,660 14,137,565 62.3% 14,137,565 July 2,398,790 2,646 2,396,144 123,831 2,519,975 11,617,590 69.1% 11,617,590 August 474,361 (1,726) 476,087 95,392 571,479 11,046,110 70.6% 11,046,111 September 381,522 381,522 56,014 437,536 10,608,574 71.7% 10,608,574 October 607,057 607,057 37,336 644,393 9,964,181 73.5% 9,964,181 November 182,563 (9,747) 192,310 40,478 232,788 9,731,393 74.1% 9,731,393 December 8,640 8,640 51,969 60,609 9,670,784 74.2% 9,670,785 2013 Totals 6,157 6,330 30,279,842 4,143 3,476,942 26,802,900 1,074,778 27,877,678 2013 Admin % of Total Costs 3.4% This amount includes excess funds carried forward from 2012 in the amount of $41,548,464 minus $4,000,000 of funds which were deobligated in June of 2013. "Total Program " column is populated with the most current projections which were submitted to HHS for approval in May 2013. 01/05/2015 11

Pre existing Condition Insurance Pool PCIP WA Program Expense and Funding Summary (Highlighted cells represent actual data) Projected Budget Variance Claims less Refunds Claims PMPM Net Premiums Calculated Drawdowns 2014 Funding % of 2014 Funding Used Total Program 9,670,784 Carry forward 9,670,785 2014 January 124,731 124,731 28,336 153,067 9,517,717 1.6% 9,517,718 February 99,150 99,150 35,286 134,437 9,383,281 3.0% 9,383,281 March 20,694 20,694 39,890 60,584 9,322,696 3.6% 9,322,697 April 25,827 25,827 24,151 49,978 9,272,718 4.1% 9,272,719 May (330) 27,744 27,744 9,244,974 4.4% 9,244,974 June (10,929) 30,167 30,167 9,214,807 4.7% 9,214,807 July (3,283) 20,027 20,027 9,194,780 4.9% 9,194,780 August (4,280) 48,904 48,904 9,145,876 5.4% 9,145,876 September (9,672) 26,934 26,934 9,118,941 5.7% 9,118,941 October (717) 24,743 24,743 9,094,198 6.0% 9,094,199 November (1,220) 28,969 28,969 9,065,229 6.3% 9,065,230 December (1,419) 21,908 21,908 9,043,321 6.5% 9,043,322 2014 Totals 238,551 270,402 357,061 627,463 2014 Admin % of Total Costs 59.9% This amount includes excess funds carried forward from 2013 in the amount of $9,670,784. Inception to Date Actual Claims Net Premiums 2010 Totals 305 1,005,816 251,511 754,305 404,498 2011 Totals 5,513 18,077,590 3,813,285 14,264,304 1,013,249 2012 Totals 10,192 39,657,925 7,171,188 32,486,737 1,102,716 2013 Totals 6,330 30,279,842 3,476,942 26,802,900 1,074,778 2014 Totals 238,551 270,402 357,061 Inception to Date 22,340 89,259,723 14,712,926 74,578,648 3,952,302 ITD Admin % of Total Costs 4.2% Blended Summary (Includes Actual data with Forecasted Amounts) 2010 Totals 2011 Totals 2012 Totals 2013 Totals 2014 Totals Summary Claims less Refunds Net Premiums 1,005,816 251,511 754,305 404,498 18,077,590 3,813,285 14,264,304 1,013,249 39,657,925 7,171,188 32,486,737 1,102,717 30,279,842 3,476,942 26,802,900 1,074,778 238,551 270,402 357,061 89,259,723 14,712,926 74,578,648 3,952,303 Admin % of Total Costs 4.2% 01/05/2015 12