Monthly package
Riverside Education Foundation
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
38.9%
Attachment used
31.1%
Open items
0
Aggregate contract
ClientRiverside Education Foundation
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$2,566,800
EE factor$190
ES factor$357
EC factor$357
FAM factor$568
Specific contract
Policy effective01/01/2026
Policy expiration12/31/2026
Paid run-outthrough 03/31/2027
Contract12/12
CoveragesMedical & Rx
Specific deductible$125,000
50% spec threshold$62,500
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 |
|---|---|---|---|---|---|
| RIV-501 | $165,000 | $40,000 | - | - | $40,000 |
| RIV-614 | $76,250 | - | - | - | - |
| RIV-733 | $67,500 | - | - | - | - |
| Total | $308,750 | $40,000 | $0 | $0 | $40,000 |
Aggregate reinsurance position
Contracted claims$1,205,900
Estimated advance funding$0
Total contracted claims$1,205,900
Less reimbursed dollars$0
Less filed / to be filed$40,000
Less spec advance dollars$0
Less laser difference$0
Less aggregating specific$0
Less monthly accommodations$0
Less ineligible dollars$0
Aggregate claims$1,205,900
Aggregate claims PEPM$832
Aggregate claims as % of expected49.9%
Aggregate claims as % of attachment31.1%
*Minimum attachment point$2,566,800