Monthly package
Unity Healthcare Network
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
76.9%
Attachment used
61.5%
Open items
2
Aggregate contract
ClientUnity Healthcare Network
Report periodJanuary 2026 - May 2026
Policy effective01/01/2026
Policy expiration12/31/2026
MGUAmwins Group Benefits
CarrierTokio Marine HCC
Contract12/12
CoveragesMedical & Rx
Min. annual attachment point$12,213,000
EE factor$905
ES factor$1,696
EC factor$1,696
FAM factor$2,704
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 laserNone
Agg spec deductibleN/A
Agg max reimbursementUnlimited
50% specific reinsurance summary
| Member ID | Claims amount | Filed / to be filed | Spec advance | Ineligible | Reimbursement |
|---|---|---|---|---|---|
| UNI-501 | $264,000 | $64,000 | - | - | $64,000 |
| UNI-614 | $122,000 | - | - | - | - |
| UNI-733 | $108,000 | - | - | - | - |
| Total | $494,000 | $64,000 | $0 | $0 | $64,000 |
Aggregate reinsurance position
Contracted claims$11,342,750
Estimated advance funding$0
Total contracted claims$11,342,750
Less reimbursed dollars$0
Less filed / to be filed$64,000
Less spec advance dollars$0
Less laser difference$0
Less aggregating specific$0
Less monthly accommodations$0
Less ineligible dollars$0
Aggregate claims$11,342,750
Aggregate claims PEPM$1,680
Aggregate claims as % of expected98.6%
Aggregate claims as % of attachment61.5%
*Minimum attachment point$12,213,000