AmeraStop-Loss
Monthly package

Midwest Manufacturing Co.

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
Delivered
Due
Jun 5, 2026
Loss ratio
88.9%
Attachment used
71.1%
Open items
1
Aggregate contract
ClientMidwest Manufacturing Co.
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$8,694,000
EE factor$644
ES factor$1,208
EC factor$1,208
FAM factor$1,925
Specific contract
Policy effective01/01/2026
Policy expiration12/31/2026
Paid run-outthrough 03/31/2027
Contract12/12
CoveragesMedical & Rx
Specific deductible$175,000
50% spec threshold$87,500
Specific laserNone
Agg spec deductibleN/A
Agg max reimbursementUnlimited

50% specific reinsurance summary

Member IDClaims amountFiled / to be filedSpec advanceIneligibleReimbursement
MID-501$231,000$56,000--$56,000
MID-614$106,750----
MID-733$94,500----
Total$432,250$56,000$0$0$56,000

Aggregate reinsurance position

Contracted claims$9,334,500
Estimated advance funding$0
Total contracted claims$9,334,500
Less reimbursed dollars$0
Less filed / to be filed$56,000
Less spec advance dollars$0
Less laser difference$0
Less aggregating specific$0
Less monthly accommodations$0
Less ineligible dollars$0
Aggregate claims$9,311,360
Aggregate claims PEPM$2,092
Aggregate claims as % of expected113.7%
Aggregate claims as % of attachment71.1%
*Minimum attachment point$8,694,000