HomeMy WebLinkAboutDelta Dental - signed renewal 2023 - 5.15.2023!> DELTA DENTAL
Experience Period Claims Paid 1/1/22 through 12/31/22
Claims Paid 1/1/22 through 12/31/22
Adjustment of Claims to Incurred Basis
Incurred Claims
Trend in Claims
Projected Claims Based on Current Experience
Claims and Enrollment Fluctuation Adjustment
Projected Annual Claims Based on Current Enrollment
Fixed Fees
Operating Costs
Broker Fee
Subtotal Fixed Fees
Projected Annual Expense
City of Waterloo
Group # 32559
Rating Period 7/1/23 through 6/30/24
Financial Exhibit
Per Contract
$5.21
$0.00
$502,063
$15,528
$517,591
$27,432
$545,023
($28,002)
$517,021
$36,574
$0
$5.21 $36,574
I acknowledge acceptance of this renewal at the rates shown above.
Percent of Premium Contributed by Employer: Single % Family
Total Ent Total Employees Eligible:
I aYw. d Urn Pcua.Ier-goo —(a. 0
oyees Enrolled.
ignature of Group Administrator
Please sign and return to fax # 888-337-5157
$553,595
E-Mad Address
DELTA DENTAL OF IOWA
Delta Dental PPOsM
Current Enrollment
Single Family
122 463
Projected Claim Factors 711/23 through 6/30/24
Single Family
$27.04 $85.93
Fixed Fees
Cost Per Contract
Current Renewal
$5,06 $5.21
Suggested Rates 7/1/23 through 6/30/24
Single FamitY
$28.95 $92.01
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Date