Monthly package
Summit Financial 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
Needs review
Due
Jun 5, 2026
Loss ratio
96.8%
Attachment used
77.4%
Open items
4
Aggregate contract
ClientSummit Financial Group
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$2,152,800
EE factor$166
ES factor$311
EC factor$311
FAM factor$495
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 |
|---|---|---|---|---|---|
| SUM-501 | $165,000 | $40,000 | - | - | $40,000 |
| SUM-614 | $76,250 | - | - | - | - |
| SUM-733 | $67,500 | - | - | - | - |
| Total | $308,750 | $40,000 | $0 | $0 | $40,000 |
Aggregate reinsurance position
Contracted claims$2,516,800
Estimated advance funding$0
Total contracted claims$2,516,800
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$2,473,120
Aggregate claims PEPM$2,019
Aggregate claims as % of expected121.9%
Aggregate claims as % of attachment77.4%
*Minimum attachment point$2,152,800