Standard Medical Service Fees. The Standard Medical Service Fees described below, excluding optional and non-standard fees, are adjusted as set forth in the applicable performance standard(s). The Standard Medical Fees listed below are based upon an estimated minimum of 1,523 enrolled Employees The Standard Medical Service Fees are the sum of the following: January 1, 2019 through December 31, 2020 • $51.031 per Employee per month covered under the Choice Plus portion of the Plan, including COBRA PEPM charges. (Combined total of the following service fees: $50.48 pepm medical administration and $.55 pepm COBRA administration) • $53.651 per Employee per month covered under the Nexus portion of the Plan, including COBRA PEPM charges. (Combined total of the following service fees: $53.10 pepm medical administration and $.55 pepm COBRA administration) January 1, 2021 through December 31, 2021 • $52.561 per Employee per month covered under the Choice Plus portion of the Plan, including COBRA PEPM charges. (Combined total of the following service fees: $52.01 pepm medical administration and $.55 pepm COBRA administration) • $55.261 per Employee per month covered under the Nexus portion of the Plan, including COBRA PEPM charges. (Combined total of the following service fees: $54.71 pepm medical administration and $.55 pepm COBRA January 1, 2022 through December 31, 2022 • $54.141 per Employee per month covered under the Choice Plus portion of the Plan, including COBRA PEPM charges. (Combined total of the following service fees: $53.59 pepm medical administration and $.55 pepm COBRA administration) • $56.921 per Employee per month covered under the Nexus portion of the Plan, including COBRA PEPM charges. (Combined total of the following service fees: $56.37 pepm medical administration and $.55 pepm COBRA Average Contract Size: 2.23
Standard Medical Service Fees. The Standard Medical Service Fees described below, excluding optional and non-standard fees, are adjusted as set forth in the applicable performance standard(s). The Standard Medical Fees are based upon an estimated minimum of 1,564 enrolled Employees. The Standard Medical Service Fees are the sum of the following: $51.79 per Employee per month covered under the Choice Plus and Choice HSA portion of the Plans.
Standard Medical Service Fees. The Standard Medical Service Fees described below, excluding optional and non-standard fees, are adjusted as set forth in the applicable performance standard(s). Effective January 1, 2021 through December 31, 2021 The Standard Medical Fees are based upon an estimated minimum of 1,602 enrolled Employees. The Standard Medical Service Fees are the sum of the following: • $51.55 per Employee per month covered under the Choice Plus and Choice Plus HSA portions of the Plan. • $54.25 per Employee per month covered under the Nexus portion of the Plan. Average Contract Size: 2.20 Effective January 1, 2022 through December 31, 2022 The Standard Medical Service Fees are the sum of the following: • $53.10 per Employee per month covered under the Choice Plus and Choice Plus HSA portions of the Plan. • $55.88 per Employee per month covered under the Nexus portion of the Plan. Effective January 1, 2023 through December 31, 2023 The Standard Medical Service Fees are the sum of the following: • $53.10 per Employee per month covered under the Choice Plus and Choice Plus HSA portions of the Plan. • $55.88 per Employee per month covered under the Nexus portion of the Plan.
Standard Medical Service Fees. The Standard Medical Service Fees described below, excluding optional and non-standard fees, are adjusted as set forth in the applicable performance standard(s). The Standard Medical Fees are based upon an estimated 5,013 enrolled Subscribers. The Standard Medical Service Fees are the sum of the following: January 1, 2020 through December 31, 2020 (per Subscriber per Month) January 1, 2021 through December 31, 2021 (per Subscriber per Month) Medical Service Fee Guaranteed in Proposal $34.43 $35.47 Removal of AlliedHealth (Credit) ($0.19) ($0.19) Rally Stride Administration $0.23 $0.23 Rally Stride Gift Card Administration $0.10 $0.10 Focused Claim Review $0.18 $0.18 Revised Medical Service Fee $34.75 $35.79 Average Contract Size: 1.77 Pharmacy AWP Contract Rate Customer’s contract rate for prescription drugs is as provided in Exhibit C. United uses Medi-Span’s national drug data file as the source for Average Wholesale Price information. United reserves the right to revise the pricing and adopt a new source or benchmark if there are material industry changes in pricing methodologies. United will not use two or more pricing sources simultaneously for a given claim.
