Monthly package
Bayview Medical Associates
May 2026 carrier package. Monthly reporting starts at the group level and includes aggregate/spec summary, monthly experience, 50% specific detail, triggered diagnoses, specialty Rx, census, pended claims, and outstanding specific claims.
Status
Needs review
Due
Jun 5, 2026
Loss ratio
98.2%
Attachment used
78.6%
Open items
4
Aggregate contract
ClientBayview Medical Associates
Report periodJanuary 2026 - May 2026
Policy effective01/01/2026
Policy expiration12/31/2026
MGUHM Insurance Group
CarrierVoya
Contract12/12
CoveragesMedical & Rx
Min. annual attachment point$4,347,000
EE factor$322
ES factor$604
EC factor$604
FAM factor$963
Specific contract
Policy effective01/01/2026
Policy expiration12/31/2026
Paid run-outthrough 03/31/2027
Contract12/12
CoveragesMedical & Rx
Specific deductible$150,000
50% spec threshold$75,000
Specific laserNone
Agg spec deductibleN/A
Agg max reimbursementUnlimited
50% specific reinsurance summary
| Member ID | Claims amount | Filed / to be filed | Spec advance | Ineligible | Reimbursement |
|---|---|---|---|---|---|
| BAY-501 | $198,000 | $48,000 | - | - | $48,000 |
| BAY-614 | $91,500 | - | - | - | - |
| BAY-733 | $81,000 | - | - | - | - |
| Total | $370,500 | $48,000 | $0 | $0 | $48,000 |
Aggregate reinsurance position
Contracted claims$5,155,500
Estimated advance funding$0
Total contracted claims$5,155,500
Less reimbursed dollars$0
Less filed / to be filed$48,000
Less spec advance dollars$0
Less laser difference$0
Less aggregating specific$0
Less monthly accommodations$0
Less ineligible dollars$0
Aggregate claims$5,108,180
Aggregate claims PEPM$2,128
Aggregate claims as % of expected124.7%
Aggregate claims as % of attachment78.6%
*Minimum attachment point$4,347,000