Monthly package
Coastal Retail Group
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
Overdue
Due
Jun 5, 2026
Loss ratio
102.3%
Attachment used
81.8%
Open items
5
Aggregate contract
ClientCoastal Retail Group
Report periodJanuary 2026 - May 2026
Policy effective01/01/2026
Policy expiration12/31/2026
MGUBerkley Accident & Health
CarrierBerkley Accident & Health
Contract12/12
CoveragesMedical & Rx
Min. annual attachment point$11,592,000
EE factor$859
ES factor$1,610
EC factor$1,610
FAM factor$2,567
Specific contract
Policy effective01/01/2026
Policy expiration12/31/2026
Paid run-outthrough 03/31/2027
Contract12/12
CoveragesMedical & Rx
Specific deductible$200,000
50% spec threshold$100,000
Specific laserMember 33 / $300,000
Agg spec deductibleN/A
Agg max reimbursementUnlimited
50% specific reinsurance summary
| Member ID | Claims amount | Filed / to be filed | Spec advance | Ineligible | Reimbursement |
|---|---|---|---|---|---|
| COA-501 | $264,000 | $64,000 | $24,000 | - | $64,000 |
| COA-614 | $122,000 | - | - | - | - |
| COA-733 | $108,000 | - | - | - | - |
| Total | $494,000 | $64,000 | $24,000 | $0 | $64,000 |
Aggregate reinsurance position
Contracted claims$14,322,000
Estimated advance funding$24,000
Total contracted claims$14,346,000
Less reimbursed dollars$0
Less filed / to be filed$64,000
Less spec advance dollars$24,000
Less laser difference$16,000
Less aggregating specific$0
Less monthly accommodations$0
Less ineligible dollars$0
Aggregate claims$14,264,020
Aggregate claims PEPM$2,377
Aggregate claims as % of expected130.6%
Aggregate claims as % of attachment81.8%
*Minimum attachment point$11,592,000