UNITED HEALTHCARE CLAIMS UTILIZATION FOR CAIN & BULTMAN, INC. EXPERIENCE PERIOD 2015-06-01 through 2016-05-31 CUSTOMER NUMBER 00000759160 MEMBERSHIP OVERVIEW EMPLOYEES = 50 RENEWAL DATE = 12/01/2016 MEMBERS = 96 MEDICAL PRODUCT = HMO-HMO CHOICE, SMALL GR PERCENTAGE OF MEMBERS UTILIZING THE PLAN = 81% MEMBER AGE DISTRIBUTION MEMBER PAID CLAIMS DISTRIBUTION AGES 0-19 = 12 0 - $500 = 52.8% AGES 20-34 = 13 $501 - $1000 = 11.4% AGES 35-49 = 19 $1001 - $2500 = 12.2% AGES 50-64 = 40 $2501 - $5000 = 8.94% AGES 65+ = 12 $5001 & over = 14.6% *NETWORK PAID CLAIMS = 99% ELECTRONIC SUBMISSIONS = 99% *OUT OF NETWORK PAID CLAIMS = 1% PAPER SUBMISSIONS = 1% NATL NATL OFFICE VISITS AVG INPATIENT TREND AVG # OF CLAIMS = 731 # OF CLAIMS = 8 % OF PAID DOLLARS = 27% 25% % OF PAID DOLLARS = 32% 26% VISITS/1,000 = 7,846 5,774 ADMITS/1,000 = 86 57 AVG LENGTH OF STAY = 3.00 4.2 URGENT CARE VISITS OUTPATIENT TREND # OF CLAIMS = 13 # OF CLAIMS = 226 % OF PAID DOLLARS = 0% 0.10% % OF PAID DOLLARS = 21% 28% VISITS/1,000 = 140 1.00 CLAIMS/1,000 = 2,426 659 EMERGENCY ROOM VISITS PHARMACY TREND # OF CLAIMS = 1 # OF CLAIMS = 712 % OF PAID DOLLARS = 0% 4% % OF PAID DOLLARS = 20% 16% VISITS/1,000 = 11 173 SCRIPTS PMPY = 7 10.2 % MAIL ORDERS = .00% CATASTROPHIC CLAIMS >=$50K = 0 GROUPS = 000759160 *Network Pd Claims and Out of Network Pd Claims do not include Pharmacy. Percentages shown as 0% indicates <0.5%