17

Year to Date Aggregate

Effective

Policy effective date.

Policy No.

Policy number.

Policyholder

Policy holder name.

Experience Through

Year to date report data is up to this date.

Census

Policy enrollment.

Single

Employee only.

+Dep/S

Employee plus dependent or spouse.

+Child

Employee plus child.

Family

Employee plus family.

Total

Total enrollment.

Paid Claims

Claims paid for the policy.

Monthly

Average monthly paid claims.

YTD

Claims paid year to date.

Attachment Point

Attachment point for the policy.

Monthly

Monthly attachment point.

YTD

Attachment point year to date.

YTD Min.

Minimum attachment point year to date.

Producer

Agent representing the insured party.

Administrator

Entity administering the policy.