Zoe Pediatrics 2025 Proposal

Zoe Center for Pediatric and Adolescent Health, LLC

Detailed Rates : Level Funding Q3P2 Triple Option Plan: Q3 OAP BASE

Product: Open Access Plus

Subs

Admin Fee Individual Stop Loss

Aggregate Stop Loss

Fixed Costs Claims Funding

Total Costs

Employee

88

$36.60 $78.68 $65.14 $107.23

$97.02 $208.59 $172.69 $284.26

$16.60 $35.69 $29.55 $48.64

$150.22 $322.96 $267.38 $440.13

$374.22 $804.56 $666.10 $1,096.45

$524.44 $1,127.52 $933.48 $1,536.58

Emp + Spouse Emp + Child(ren) Emp + Family Monthly Cost

1

9 0

98

$3,885.74

$10,300.56

$1,762.44

$15,948.74

$39,730.82

$55,679.56

Plan: Q3 OAP BUYUP

Product: Open Access Plus

Subs

Admin Fee Individual Stop Loss

Aggregate Stop Loss

Fixed Costs Claims Funding

Total Costs

Employee

30

$36.87 $79.27 $65.62 $108.03 $1,785.59

$101.57 $218.39 $180.80 $297.61 $4,919.11

$18.90 $40.64 $33.65 $55.38 $915.37

$157.34 $338.30 $280.07 $461.02

$426.13 $916.18 $758.51

$583.47 $1,254.48 $1,038.58 $1,709.58

Emp + Spouse Emp + Child(ren) Emp + Family Monthly Cost Plan: Q3 HSA

2 3 3

$1,248.56

38

$7,620.07

$20,637.47

$28,257.54

Product: HSA Open Access Plus

Subs

Admin Fee Individual Stop Loss

Aggregate Stop Loss

Fixed Costs Claims Funding

Total Costs

Employee

0 0 0 0

$40.87 $87.86 $72.74 $119.74

$97.90 $210.48 $174.25 $286.83

$11.58

$150.35 $323.23 $267.59 $440.49

$260.95 $561.05 $464.50 $764.60

$411.30 $884.28 $732.09 $1,205.09

Emp + Spouse Emp + Child(ren) Emp + Family Monthly Cost

$24.89 $20.60 $33.92

0

$0.63

$1.51

$0.18

$2.32

$4.03

$6.36

Cost Summary

Admin Fee Individual Stop Loss

Aggregate Stop Loss

Fixed Costs Claims Funding

Total Costs

Monthly Total Annual Total

$5,671.96

$15,221.18

$2,677.99 $32,135.87

$23,571.13

$60,372.32

$83,943.46

$68,063.54

$182,654.20

$282,853.61

$724,467.89 $1,007,321.52

Funding Details Individual Stop Loss Limit (Medical & Rx)

$40,000

Corridor Factor (Total)

110%

Surplus Share

1/2 retained by Cigna Healthcare, 1/2 returned to the Employer

Benefit Advisor Fees / Commissions

$40.00 PEPM

The quoted rates are subject to final Underwriting approval.

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