1. TOTAL HEALTH INSIGHT Powered by Consultative AnalyticsSM
December 2, 2016
Copyright 2016 Cigna – Confidential & Privileged – Not for Distribution

3. Population/Percentile Cost Profile
                                                                                                                                          
What portion of the population drives your healthplan costs of $141.4 Million?
Top 1% of claimants:
   284 individuals
   34% of total cost
   $47.4 Million
Total medical cost vs. % of Population
Top 5% of claimants:
100%
85%
  1,422 individuals
  59% of total cost
80%
72%
  $83.2 Million
% of Total plan spend
59%
                                                                                                                                                                          
60%
Top 10% of claimants:
34%
  2,844 individuals
40%
  72% of total cost
  $101.8 Million
20% 0%
Top 20% of claimants:
Top 1%
Top 5%
Top 10%
Top 20%
   5,689 individuals
   85% of total cost
% of Population
   $120.0 Million
Current Period reflects claims incurred between Sep and Aug. 2016, paid through Oct Base Period reflects claims incurred between Sep and Aug. 2015, paid through Oct. 2015

4. Cancer Cost Per Patient
Cancer Summary
Cancer prevalence by age band
Prevalence and cost by condition
Condition
# of Members
Prevalence
Cancer Cost Per Patient
Total Plan Spend
Breast
174
0.7%
$30,165
$5,248,653
20.0%
Male Rep.
115
0.5%
$16,083
$1,849,569
15.0%
Female Rep. 61
0.2%
$17,377
$1,060,018
Neoplastic Disease 59
0.2%
$50,517
$2,980,532
10.0%
Dermatology 41
0.2%
$2,258
$92,576
Gastrointestinal 33
0.1%
$34,643
$1,143,225
5.0%
Thyroid 18
0.1%
$13,641
$245,530
Central Nervous 15
0.1%
$10,853
$162,799
0.0%
Rectum 14
0.1%
$49,597
$694,354
<01
1-17
18-29
30-39
40-49
50-59
60-64
65+
Other 51
0.2%
$40,529
$2,067,003
    Male
0.0%
0.1%
0.1%
0.3%
1.6%
3.8%
7.9%
16.7%
Total
550
2.2%
$28,262
$15,544,259
    Female
0.0%
0.1%
0.6%
0.8%
2.3%
4.8%
7.6%
14.8%
Cancer screening rates
  · 550 individuals with eligibility in the current period had a cancer episode, or 2.2% prevalence    · Average cost per patient for these episodes was $28,262 for a total of $15,544,259    · The primary cancer type was Breast with 0.7% prevalence and $5,248,653 in total plan spend
80%
60%
40%
20% 0%
Breast Cancer
Cervical Cancer
Colon Cancer
    Current
58%
60%
34%
    Norm
60%
58%
47%
Current Period reflects claims incurred between Sep and Aug. 2016, paid through Oct. 2016