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Monthly Operations Report ACHIA Operations Report July 2017

ACHIA Operations Reportachia.com/Docs/ACHIA July 2017 Operations Report.pdf · Measurement of Standards. Standard 1 - If the date received compared to the date approved for all clean

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Monthly Operations Report

ACHIA Operations Report

July 2017

Alaska Comprehensive Health Insurance AssociationLevels of Service

August 2016 - July 2017

Levels of Service

Aug-16 Sep-16 Oct-16 Nov-16 Dec-16 Jan-17 Feb-17 Mar-17 Apr-17 May-17 Jun-17 Jul-17Enrollment Standards1. 14-day Clean Application Process 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100%2. 14-day ID Card Issuance 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100%3. Accuracy 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100%Billing Standards4. 14-day Paid-to Status Update 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100%5. Accuracy 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100%Claims Standards6. 30-day Clean Claim Process 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100%7. Clerical Accuracy 97% 100% 99.90% 100% 99.66% 100% 100% 100% 99.87% 100% 100% 100% 100%8. Financial Accuracy 98% 100% 99.76% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100%Customer Service Standards9. 45 Sec. Speed of Answer* 45 sec avg 46 28 21 20 49 74 35 16 13 88 42 4410. 5% Abandonment Rate* < 5% 0.0% 0.0% 3.5% 3.5% 5.9% 3.8% 1.7% 2.7% 0.0% 3.1% 1.6% 1.9%* Reporting began January 1, 2007

Measurement of StandardsStandard 1 - If the date received compared to the date approved for all clean applications approved during the reporting month is less than 14-days.Standard 2 - If the date received compared to the date mailed for all applications approved during the reporting month is less than 14-days from receipt of eligible application to issuance of identification card.Standard 3 - 99% or greater accuracy rate for enrollment coding of premium, plan and age rate categories for all approved applications during the reporting month.Standard 4 - 100% scoring of (10) member audit of 14-calendar days or less from premium receipt to update of eligibility file paid-to-statusStandard 5 - 99% scoring of (10) member audit of accuracy for posting of correct payment, implementation of rate changes and premium account reconciliations during the reporting month.Standard 6 - 100% of clean claims processed within 30-calendar days during the reporting month.Standard 7 - 97% or greater accuracy of a (20) claim audit for proper clerical coding of claims during the reporting month. Standard 8 - 98% or greater accuracy of a (20) claim audit for proper clerical coding of claims during the reporting month. Standard 9 - 45 second or less average speed of answer for all telephone inquiries received during the reporting month.Standard10 - 5% or less call abandonment rate.

1

Alaska Comprehensive Health Insurance AssociationNumber of Claims Received

August 2016 - July 2017(as compared to Previous Year)

0

100

200

300

400

500

600

700

800

Aug-15

Aug-16

Sep-15

Sep-16

Oct-15

Oct-16

Nov-15

Nov-16

Dec-15

Dec-16

Jan-16

Jan-17

Feb-16

Feb-17

Mar-16

Mar-17

Apr-16

Apr-17

May-16

May-17

Jun-16

Jun-17

Jul-16

Jul-17

2

Alaska Comprehensive Health Insurance AssociationService Code Analysis*

For the Month of July 2017

Submitted PPO or Other Deductible Coinsurance Total Claim Code Description Charge Discount Ineligible Amounts Amounts Paid Lines

ANCILLARY CHARGES 667,962.71$ 48,920.14$ 393,163.99$ 873.16$ 707.61$ 224,297.81$ 160

PART B CO-INSURANCE 3,252,720.70$ 48.50$ 3,212,706.15$ -$ -$ 39,966.05$ 318

CANCER THERAPIES 700.00$ 35.00$ -$ -$ -$ 665.00$ 1

CHIROPRACTIC 2,698.00$ -$ 45.00$ -$ 242.60$ 2,410.40$ 22

DIAGNOSTIC TESTING 23,379.11$ 7,548.30$ 811.98$ 444.75$ 17.01$ 14,557.07$ 84

ER PHYSICIAN 348.00$ -$ -$ 348.00$ -$ -$ 1

EQUIPMENT 189.50$ 56.85$ -$ 132.65$ -$ -$ 2

EMERGENCY ROOM 5,185.00$ 2,502.25$ -$ 417.00$ -$ 2,265.75$ 2

HOME HEALTH CARE 910.00$ 22.50$ -$ -$ -$ 887.50$ 3

HOME HEALTH MISC. 1,787.22$ 280.72$ -$ -$ 223.20$ 1,283.30$ 3

INTENSIVE CARE UNIT 321,702.05$ 26,433.64$ 270,000.05$ -$ 263.20$ 25,005.16$ 2

INJECTIONS 4,782.90$ 47.25$ -$ -$ 28.80$ 4,706.85$ 4

MISC CHARGES 36,888.75$ 183.63$ 6,410.25$ 365.75$ 125.55$ 29,803.57$ 28

M/N OUTPATIENT 649.81$ -$ 81.45$ -$ 284.18$ 284.18$ 3

OFFICE VISIT 7,816.98$ 245.32$ 805.14$ 1,625.17$ 169.08$ 4,972.27$ 27

PHYSICAL THERAPY 2,974.00$ 390.95$ 10.00$ 626.05$ -$ 1,947.00$ 14

PRESCRIPTION DRUGS 53,800.76$ -$ -$ 2,218.95$ 4,227.40$ 47,354.41$ 166

SURGERY 11,057.00$ 1,226.51$ 842.82$ 2,262.00$ 5.70$ 6,719.97$ 11

UB DIAG TESTING 4,643.95$ 871.72$ -$ 708.33$ 207.76$ 2,856.14$ 17

TOTALS 4,400,196.44$ 88,813.28$ 3,884,876.83$ 10,021.81$ 6,502.09$ 409,982.43$ 868

* Represents claims adjudicated in the month. May not tie to the financials depending on the timing of voids and adjustments.

3

Alaska Comprehensive Health Insurance AssociationService Code Analysis Year to Date

January - July 2017

Submitted PPO or Other Deductible Coinsurance Total Claim Code Description Charge Discount Ineligible Amounts Amounts Paid Lines

ANCILLARY CHARGES 4,017,568.53$ 303,403.33$ 1,913,140.34$ 11,883.58$ 14,119.73$ 1,664,302.97$ 1,149AMBULANCE 4,239.00$ -$ 1,599.79$ 1,162.47$ 29.31$ 1,447.43$ 8ANESTHESIA 11,057.00$ 1,766.75$ 1,569.50$ -$ 186.30$ 7,534.45$ 7PART B CO-INSURANCE 23,270,105.45$ 2,001.56$ 21,212,495.05$ -$ -$ 336,735.53$ 2,471CANCER THERAPIES 4,000.00$ 200.00$ -$ 570.00$ 114.00$ 3,116.00$ 7CHIROPRACTIC 16,859.00$ 1,012.80$ 113.20$ 1,789.40$ 1,188.94$ 12,754.66$ 140DIAGNOSTIC TESTING 258,457.34$ 27,767.91$ 99,241.83$ 15,811.00$ 2,996.07$ 112,640.53$ 717ER PHYSICIAN 14,871.32$ 1,275.33$ 3,304.96$ 1,255.94$ 375.98$ 8,659.11$ 21EQUIPMENT 3,422.50$ 1,092.61$ -$ 1,151.95$ 60.93$ 1,117.01$ 19EMERGENCY ROOM 52,983.77$ 9,312.42$ -$ 1,133.76$ 1,961.80$ 40,575.79$ 49HOME HEALTH CARE 6,440.00$ 667.00$ -$ 427.50$ 163.70$ 5,181.80$ 19HOME HEALTH MISC. 27,253.94$ 6,340.14$ -$ 1,790.30$ 1,599.19$ 17,524.31$ 36HOSPICE 3,066.40$ 398.56$ -$ -$ 533.60$ 2,134.24$ 16HOSPITAL INPT VISIT 9,672.04$ 152.91$ 2,724.13$ 1,079.86$ 552.75$ 5,162.39$ 21INTENSIVE CARE UNIT 329,950.05$ 27,630.42$ 270,000.05$ -$ 1,499.15$ 30,820.43$ 3INJECTIONS 55,855.66$ 6,838.31$ 6,615.86$ 1,016.66$ 1,537.00$ 39,847.83$ 46IMMUNIZATIONS 1,743.00$ 228.61$ -$ -$ -$ 1,514.39$ 15MISC CHARGES 536,576.68$ 1,091.15$ 482,552.76$ 4,656.54$ 1,312.46$ 46,963.77$ 170MAMMOGRAM 1,912.73$ 126.41$ -$ 500.76$ 21.41$ 1,264.15$ 10M/N OUTPATIENT 4,311.81$ 59.80$ 308.12$ 1,101.00$ 1,421.44$ 1,421.45$ 18MULTIPLE SURGERY 5,123.40$ 665.32$ 614.95$ 800.00$ -$ 3,043.13$ 4OFFICE VISIT 49,185.11$ 1,999.98$ 7,458.70$ 10,034.04$ 1,759.17$ 27,933.22$ 186PRIVATE ROOM 17,136.00$ 171.36$ -$ -$ 1,039.50$ 15,925.14$ 1PHYSICAL THERAPY 36,987.03$ 7,591.73$ 10.00$ 1,402.97$ 1,233.81$ 26,726.06$ 121PRESCRIPTION DRUGS 370,431.98$ -$ -$ 63,147.29$ 30,573.72$ 276,339.07$ 1,099SURGERY 95,313.80$ 13,669.82$ 37,036.65$ 4,911.27$ 2,059.38$ 37,636.68$ 85SPEECH THERAPY 3,692.00$ 1,015.30$ -$ -$ -$ 2,676.70$ 8UB ANESTHESIA 3,313.86$ 520.91$ -$ -$ 401.55$ 2,391.40$ 2URGENT CARE 145.86$ -$ 96.86$ -$ 9.80$ 39.20$ 2UB DIAG TESTING 87,889.75$ 11,090.60$ -$ 9,271.61$ 4,170.35$ 63,357.19$ 255UB SPEECH THERAPY 8,310.00$ 166.20$ -$ 538.02$ 1,521.08$ 6,084.70$ 24UB PHYSICAL THERAPY 8,418.51$ 191.02$ -$ -$ 1,605.57$ 6,621.92$ 44UB SURGERY 33,062.74$ 3,291.28$ -$ 5,942.21$ 2,563.14$ 21,266.11$ 9UB CANCER THERAPIES 7,263.96$ 726.41$ -$ 2,092.10$ 30.14$ 4,415.31$ 7UB RESP THERAPY 823.38$ 120.14$ -$ -$ 109.33$ 593.91$ 2WELLNESS EXAM 3,527.50$ 616.93$ -$ -$ -$ 2,910.57$ 8WELLNESS TESTING 5,027.45$ 1,352.02$ -$ 1,988.10$ -$ 1,687.33$ 29

TOTALS 29,365,998.55$ 434,555.04$ 24,038,882.75$ 145,458.33$ 76,750.30$ 2,840,365.88$ 6,828

4

Alaska Comprehensive Health Insurance AssociationTop Provider Report For the Month of

July 2017

RANK DESCRIPTION# OF

CLAIMS SUBMITTED

CHARGES PAID BY PLAN 1 RENAL CARE GROUP ALASKA INC 28 $ 903,776.51 216,362.72$ 2 PROVIDENCE HEALTH & SERVICE WASHINGTON 18 $ 453,238.93 46,699.93$ 3 ANDRZEJ R MACIEWSKI MD 7 $ 28,652.00 28,652.00$ 4 DENALI DIALYSIS 12 $ 1,111,615.16 7,957.22$ 5 GENEVA WOODS PHARMACY INC 7 $ 7,927.39 5,426.89$ 6 ALASKA EAR NOSE & THROAT 1 $ 5,122.00 5,122.00$ 7 SURGERY CENTER OF WASILLA 1 $ 4,760.00 4,760.00$ 8 ST ELIAS SPECIALTY HOSPITAL 1 $ 101,167.68 3,619.00$ 9 FRESENIUS MEDICAL CARE SW ANCHORAGE 4 $ 310,805.24 3,107.10$

10 ALASKA SPINE INSTITUTE 5 $ 7,374.00 3,095.69$ 11 FRESENIUS MEDICAL CARE 5 $ 388,473.88 2,901.54$ 12 LIBERTY DIALYSIS ALASKA 3 $ 336,710.25 2,187.96$ 13 KETCHIKAN GENERAL HOSPITAL CLINICS 9 $ 14,308.40 2,170.19$ 14 PAIN AND HEADACHE CENTER 6 $ 2,963.00 1,909.13$ 15 A JOINT EFFORT PHYSICAL THERAPY 6 $ 1,800.00 1,442.00$ 16 SPINE AND JOINT REHABILITATION 10 $ 1,440.00 1,440.00$ 17 BOND PHARMACY INC 1 $ 1,975.00 1,362.75$ 18 MAT-SU SURGICAL ASSOCIATES APC 1 $ 1,500.00 1,350.00$ 19 SWEDISH HEALTH SERVICES 2 $ 298,230.56 1,338.49$ 20 VIRGINIA MASON CLINIC 4 $ 26,543.35 1,316.00$ 21 DAVID D BUCKLAND 2 $ 1,325.00 1,192.50$ 22 DIALYSIS ASSOCIATES OF ALASKA 18 $ 29,952.00 1,187.27$ 23 FAIRBANKS MEMORIAL HOSPITAL 11 $ 17,409.83 1,169.84$ 24 IVY HOME INFUSIONS LLC 1 $ 1,150.00 1,092.50$ 25 REIFENSTEIN DIALYSIS CENTER 1 $ 69,259.57 954.33$ 26 SWEDISH HEALTH SERVICES 11 $ 11,164.25 861.98$ 27 ADL INC 3 $ - 845.26$ 28 ALASKA TELEMEDICINE CONSULTANT 2 $ 845.00 845.00$ 29 WASILLA RENAL CARE GROUP LLC 1 $ 83,229.08 814.84$ 30 MAYO CLINIC HOSPITAL-ROCHESTER 1 $ 29,260.33 712.53$

Top 30 Total 182 4,251,978.41$ 351,896.66$

5

RANK DESCRIPTION# OF

CLAIMSSUBMITTED CHARGES PAID BY PLAN

1 RENAL CARE GROUP ALASKA INC 178 5,768,775.83$ 1,632,003.12$ 2 PROVIDENCE HEALTH & SERVICE WASHINGTON 143 2,200,266.26$ 163,688.35$ 3 LIBERTY DIALYSIS ALASKA 83 9,462,093.37$ 60,138.19$ 4 ASANTE ROGUE REGIONAL MEDICAL CENTER 16 112,756.28$ 54,846.97$ 5 GENEVA WOODS PHARMACY INC 137 120,303.27$ 48,630.19$ 6 MAT-SU VALLEY MEDICAL CENTER LLC 27 187,549.00$ 48,330.66$ 7 SITKA COMMUNITY HOSPITAL 27 114,225.95$ 37,829.20$ 8 ANDRZEJ R MACIEWSKI MD 22 40,372.00$ 37,755.46$ 9 DENALI DIALYSIS 57 4,917,354.96$ 37,361.82$ 10 SOUTH PENINSULA HOSPITAL INC 58 84,028.75$ 32,999.00$ 11 FAIRBANKS MEMORIAL HOSPITAL 54 258,625.86$ 25,839.04$ 12 GALEN HOSPITAL ALASKA INC 19 427,041.90$ 25,076.46$ 13 ST ELIAS SPECIALTY HOSPITAL 4 935,319.90$ 20,650.00$ 14 BOND PHARMACY INC 38 48,790.00$ 18,524.89$ 15 FRANKLIN E ELLENSON MD 39 436,880.00$ 14,541.44$ 16 KETCHIKAN GENERAL HOSPITAL CLINICS 57 111,418.10$ 14,021.18$ 17 PAIN AND HEADACHE CENTER 40 21,356.00$ 12,688.46$ 18 FRESENIUS MEDICAL CARE 20 1,502,860.69$ 11,301.53$ 19 DIALYSIS ASSOCIATES OF ALASKA 152 249,386.00$ 10,279.65$ 20 HEALTHSOUTH DIAGNOSTIC CENTER 8 14,117.50$ 9,950.06$ 21 NORTHWEST HOSPITAL 3 23,917.02$ 9,812.10$ 22 ALASKA SPINE INSTITUTE 24 26,953.84$ 9,701.75$ 23 BANNERHEALTH 10 26,530.13$ 8,714.18$ 24 ADL INC 15 16,162.00$ 8,321.75$ 25 UNIVERSITY OF WASHINGTON 9 19,424.40$ 7,343.97$ 26 ALASKA HEART INSTITUTE LLC 46 112,927.61$ 7,181.08$ 27 FRESENIUS MEDICAL CARE SW ANCHORAGE 10 715,638.11$ 6,382.19$ 28 SPINE AND JOINT REHABILITATION 36 6,991.71$ 6,270.51$ 29 PROVIDENCE ANCHORAGE ANESTHESIA 15 27,353.00$ 5,669.70$ 30 KIDNEY AND HYPERTENSION CLINIC 196 145,760.00$ 5,469.81$

Top 30 Total 1543 28,135,179.44$ 2,391,322.71$

Alaska Comprehensive Health Insurance AssociationTop Providers Year to Date

January - July 2017

6

Alaska Comprehensive Health Insurance AssociationAverage Cost Per Non Medicare Plan Claim Paid

August 2016 - July 2017

$0

$500

$1,000

$1,500

$2,000

$2,500

$3,000

$3,500

$4,000

$4,500

$5,000

$5,500

$6,000

$6,500

$7,000

$7,500

$8,000

Aug-16 Sep-16 Oct-16 Nov-16 Dec-16 Jan-17 Feb-17 Mar-17 Apr-17 May-17 Jun-17 Jul-17

$1,000 Deductible $1,500 Deductible $2,500 Deductible $5,000 Deductible $10,000 Deductible $15,000 Deductible $1,000 Std Deductible

7

Alaska Comprehensive Health Insurance AssociationAverage Cost Per Medicare Plan Claim Paid

August 2016 - July 2017

$0

$50

$100

$150

$200

$250

$300

$350

$400

$450

$500

$550

$600

Aug-16 Sep-16 Oct-16 Nov-16 Dec-16 Jan-17 Feb-17 Mar-17 Apr-17 May-17 Jun-17 Jul-17

Carveout Med Supp A Med Supp I Med Supp F

8

Alaska Comprehensive Health Insurance AssociationPPO Savings Analysis

August 2016 - July 2017

PPO Network Charge PPO Discount % of Discount

First Choice Health Network 4,678,491$ 774,493$ 16.6%

9

Month / Year Case Provider Total Billed Total PaidTotal OOP

Date of Service

Date Received Date Paid Primary Diagnosis

August 2016 None

September 2016 2 St. Mary's Medical Ctr $288,488.81 $228,686.55 $0.00 3/8/16 - 4/4/16 8/8/16 9/13/16 R53.81 - Other malaise

2 St. Mary's Medical Ctr $188,349.83 $149,210.24 $0.00 4/19/16 - 5/11/16 8/8/16 9/13/16 Z47.89 - Encounter for other orthopedic

aftercare

October 2016 2St. Mary's Medical Ctr

$324,036.27 $259,229.03 $0.00 4/4-4/19/16 6/15/16 M50.12 - Cervical disc disorder w radiculopathy, mid-cervical region

November 2016 None

December 2016 None

January 2017 None

February 2017 None

March 2017 None

April 2017

May 2017 None

June 2017 None

July 2017 None

12 Month Average Amount Billed: $66,739.58

12 Month Average Amount Paid: $53,093.82

Alaska Comprehensive Health Insurance Association (ACHIA)High Dollar Paid Claims Report

August 2016 - July 2017

Includes claims with paid amounts ≥ $100,000

10

Alaska Comprehensive Health Insurance AssociationPlan Age Distribution Summary

July 2017

Traditional PlanAge Carveout Med Supp A Med Supp I Med Supp F Age $1,000 Age $1,000 $1,500 $2,500 $5,000 $10,000 $15,0000-17 0 0 0 0 0-17 0 0-17 0 0 0 0 0 0

18-29 0 0 0 1 18-29 1 18-29 0 0 1 0 0 030-34 0 0 0 0 30-34 1 30-34 0 0 0 0 0 035-39 0 0 0 1 35-39 0 35-39 2 0 1 1 0 040-44 1 0 0 2 40-44 0 40-44 0 0 0 0 1 045-49 3 0 0 0 45-49 0 45-49 0 0 5 1 0 050-54 1 1 0 5 50-54 0 50-54 0 0 0 3 1 055-59 3 2 0 11 55-59 2 55-59 0 0 1 3 2 260-64 5 2 0 22 60-64 1 60-64 1 0 2 4 1 465-69 0 0 0 8 65-69 0 65-69 0 0 0 0 0 070-74 0 2 0 8 70-74 0 70-74 0 0 0 0 0 075-79 0 1 0 5 75-79 0 75-79 0 0 0 0 0 080-84 0 0 0 0 80-84 0 80-84 0 0 0 0 0 085+ 0 0 1 1 85+ 0 85+ 0 0 0 0 0 0

Total 13 8 1 64 Total 5 Total 3 0 10 12 5 6127

.

;

TOTAL ENROLLMENT:

Medicare Plans PPO Plans

0

10

20

30

40

50

60

13 8

1

64

5 3 0

10 12 5 6

Carveout Med Supp A Med Supp I Med Supp F Traditional $1,000 Plan $1,500 Plan $2,500 Plan $5,000 Plan $10,000 Plan $15,000 Plan

11

Alaska Comprehensive Health Insurance AssociationTotal Enrollment ActivityAugust 2016 - July 2017

130 133 132 130129

124 126 125128 130 130

127

0

50

100

150

200

Aug-16 Sep-16 Oct-16 Nov-16 Dec-16 Jan-17 Feb-17 Mar-17 Apr-17 May-17 Jun-17 Jul-17

12

Alaska Comprehensive Health Insurance AssociationEnrollment Activity by Plan - Non Medicare Plans

August 2016 - July 2017

0

5

10

15

20

25

30

Aug-16 Sep-16 Oct-16 Nov-16 Dec-16 Jan-17 Feb-17 Mar-17 Apr-17 May-17 Jun-17 Jul-17

$1000 Deductible $1,500 Deductible $2,500 Deductible $5,000 Deductible

$10,000 Deductible $15,000 Deductible $1,000 Std Deductible

13

Alaska Comprehensive Health Insurance AssociationEnrollment Activity by Plan - Medicare Plans

August 2016 - July 2017

0

10

20

30

40

50

60

70

Aug-16 Sep-16 Oct-16 Nov-16 Dec-16 Jan-17 Feb-17 Mar-17 Apr-17 May-17 Jun-17 Jul-17

Carveout Med Supp A Med Supp I Med Supp F

14

Alaska Comprehensive Health Insurance AssociationEnrollment Activity

August 2016 - July 2017

Month Start AddsPended Adds* Terms

Retro Terms** End Net Change

Aug-16 126 5 - 1 2 128 2 Sep-16 128 6 - 1 - 133 5 Oct -16 133 2 - 3 4 128 (5) Nov-16 128 2 1 - 1 130 2 Dec-16 130 - - 1 3 126 (4) Jan-17 126 2 - 4 3 121 (5) Feb-17 121 7 1 2 1 126 5 Mar-17 126 2 - 3 1 124 (2) Apr-17 124 4 - - - 128 4 May-17 128 2 - - 5 125 (3) Jun-17 125 5 - 2 - 128 3 Jul-17 128 1 - 2 - 127 (1)

507 71 631 343

Enrollment is reported by month of initial effective coverage. * Pended Adds represent pended applications that were approved in the reporting month but have a prior effective date. These enrollees are reported in the row representing initial effective coverage date. **Retro Terms represent terminations that were processed in the reporting month but have a prior termination date. These terminations are reported in the row representing the actual month of the termination.

Count Percent Jul-17Pended Adds*

129 22% - - 129 22% - - 245 42% - - 74 13% 1 -

577 100% 1 -

Count Percent Jul-17Retro

Terms**7 1% - -

15 2% - - 41 4% 1 - 2 0% - -

133 14% - - 45 5% - - 92 9% - -

298 31% 1 2 337 35% - - 970 100% 2 2

Lifetime Max

Totals since June 2011

Qualifying Event Reasons (data from 6/1/11 - 7/31/17)No other health insurance - HIPAA eligibleRejection of other health coverage due to pre-existing conditionPre-qualified health conditions on the listReinstatedTotal

Termination Reasons (data from 6/1/11 - 7/31/17)Free look periodToo costlyDeceased

Medicare / MedicaidMoved out of stateUnknown - Letter sent to request reason for terminationNon-paymentObtained other coverage Total 15

Alaska Comprehensive Health Insurance AssociationPlan Age Distribution - NEW ENROLLMENT

July 2017

Traditional PlanAge Carveout Med Supp A Med Supp I Med Supp F Age $1,000 Age $1,000 $1,500 $2,500 $5,000 $10,000 $15,0000-17 0-17 0-1718-29 18-29 18-2930-34 30-34 30-3435-39 35-39 35-3940-44 40-44 40-4445-49 45-49 45-4950-54 50-54 50-5455-59 55-59 55-5960-64 60-64 60-6465-69 65-69 65-6970-74 70-74 70-7475-79 75-79 75-7980-84 80-84 80-8485+ 85+ 85+

Total 0 0 0 0 Total 0 Total 0 0 0 0 0 0

0

(Not included in New Enrollment count)

Medicare Plans PPO Plans

TOTAL NEW ENROLLMENT:

REINSTATEMENTS: 1

16