Commonwealth of Pennsylvania

Department of General Services

RFP #6100036110

APPENDIX C

APPENDIX C

Statistics

COPA WC Statistics

The following statistical information is provided to allow Offerors an opportunity to understand claims volume and other data that may assist in providing an accurate bid for the services. The statistical information is from fiscal year July 1, 2015 through June 30, 2016, unless otherwise noted.

Number of Claims Reported

Fiscal Years 2013-2016

Fiscal Year / CLAIMS
Medical / Indemnity / TOTAL
2015-2016 / 3,529 / 1,426 / 4,955
2014-2015 / 3,811 / 1,500 / 5,311
2013-2014 / 3,973 / 1,626 / 5,599

Number of Open Claims at the End of the Fiscal Year

Fiscal Years 2013-2016

Fiscal Year End Date / Open Claims
6/30/2016 / 3,821
6/30/2015 / 3,957
6/30/2014 / 4,262
6/30/2013 / 4,863

Number of Long-Term Claims Open

As of September 15, 2016

As of / Open Claims
9/15/16 / 1,395

Number of Claims Reported by County of Residence

Fiscal Year 2015-2016

COUNTY / CLAIMS / COUNTY / CLAIMS
ADAMS / 11 / LAWRENCE / 26
ALLEGHENY / 225 / LEBANON / 31
ARMSTRONG / 10 / LEHIGH / 55
BEAVER / 27 / LUZERNE / 261
BEDFORD / 14 / LYCOMING / 92
BERKS / 219 / MCKEAN / 8
BLAIR / 95 / MERCER / 40
BRADFORD / 15 / MIFFLIN / 9
BUCKS / 52 / MONROE / 31
BUTLER / 24 / MONTGOMERY / 301
CAMBRIA / 104 / MONTOUR / 78
CAMERON / 7 / NORTHAMPTON / 26
CARBON / 39 / NORTHUMBERLAND / 59
CENTRE / 117 / PERRY / 50
CHESTER / 57 / PHILADELPHIA / 205
CLARION / 14 / PIKE / 20
CLEARFIELD / 85 / POTTER / 20
CLINTON / 20 / SCHUYLKILL / 113
COLUMBIA / 4 / SNYDER / 134
CRAWFORD / 34 / SOMERSET / 83
CUMBERLAND / 135 / SULLIVAN / 9
DAUPHIN / 455 / SUSQUEHANNA / 12
DELAWARE / 66 / TIOGA / 27
ELK / 12 / UNION / 11
ERIE / 107 / VENANGO / 143
FAYETTE / 117 / WARREN / 67
FOREST / 58 / WASHINGTON / 42
FRANKLIN / 96 / WAYNE / 63
FULTON / 12 / WESTMORELAND / 163
GREENE / 73 / WYOMING / 8
HUNTINGDON / 103 / YORK / 47
INDIANA / 46 / UNKNOWN / 49
JEFFERSON / 14 / TOTAL / 4,955
JUNIATA / 6
LACKAWANNA / 143
LANCASTER / 56

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Commonwealth of Pennsylvania

Department of General Services

RFP #6100036110

APPENDIX C

List of Agencies and Numbers of Employees

As of February 28, 2016 (Self-Insured Submission Date)

Agency / Employee Count
AGING / 99
AGRICULTURE / 958
ATTORNEY GENERAL / 847
AUDITOR GENERAL / 479
BANKING & SECURITIES / 208
CAPITAL PRESERVATION COMMITTEE / 6
CENTER FOR RURAL PA / 5
CIVIL SERVICE COMMISSION / 172
COMMUNITY & ECONOMIC DEVELOPMENT / 369
CONSERVATION & NATURAL RESOURCES / 2,406
CORRECTIONS / 15,230
DRUG & ALCOHOL PROGRAMS / 71
EDUCATION / 508
ENVIRONMENTAL HEARING BOARD / 13
ENVIRONMENTAL PROTECTION / 2,587
ETHICS COMMISSION / 25
EXECUTIVE OFFICES / 1,726
FISH & BOAT COMMISSION / 506
GAME COMMISSION / 1,231
GENERAL SERVICES / 925
GOVERNOR'S OFFICE / 62
HEALTH / 1,426
HEALTH CARE COST CONTAINMENT / 21
HISTORICAL & MUSEUM COMMISSION / 216
HOUSE OF REPRESENTATIVES / 1,560
HUMAN SERVICES / 17,002
INDEPENDENT REGULATORY REVIEW COMMISSION / 10
INSURANCE / 247
JOINT LEGISLATIVE CONSERVATION COMMITTEE / 4
JOINT STATE GOVERNMENT COMMISSION / 11
LABOR & INDUSTRY / 4,960
LEGISLATIVE BUDGET AND FINANCE COMMITTEE / 10
LEGISLATIVE DATA PROCESSING CENTER / 28
LEGISLATIVE INDEPENDENT FISCAL OFFICE / 7
LEGISLATIVE REFERNECE BUREAU / 70
LT. GOVERNOR'S OFFICE / 12
LIQUOR CONTROL BOARD / 4,932
LOCAL GOVERNMENT COMMISSION / 7
MILITARY & VETERANS' AFFAIRS / 2,545
MILK MARKETING / 23
PA EHEALTH PARTNERSHIP AUTHORITY / 10
PA EMERGENCY MANAGEMENT AGENCY / 383
PA GAMING CONTROL BOARD / 301
PA INFRASTRUCTURE INVESTMENT AUTHORITY / 27
PA MUNICIPAL RETIREMENT BOARD / 30
PA PORT AUTHORITIES / 87
PROBATION & PAROLE / 1,237
PUBLIC SCH EMPS' RETIREMENT SYSTEM / 294
PUBLIC UTILITY COMMISSION / 477
REVENUE / 2,031
SENATE / 779
STATE / 731
STATE EMPLOYEES' RETIREMENT SYSTEM / 175
STATE POLICE / 6,382
STATE PUBLIC SCHOOL BUILDING AUTHORITY / 10
THADDEUS STEVENS COLLEGE / 265
TRANSPORTATION / 12,355
TREASURY / 353
TOTALS / 87,451

Total Claim Costs

Fiscal Year 2015-2016

Type / Total Paid
Indemnity / $58,949,197.39
Medical / $48,456,291.35
Expense / $3,285,059.86
Legal / $4,745,999.40
Voc Rehab / $1,276,048.36
Total* / $116,712,596.36

Amount of Subrogation Recovered

Fiscal Year 2015-2016

Subrogation
$1,073,346

Invoices Paid and Costs for Some Payment Categories

Fiscal Year 2015-2016

Type / Number Paid / Cost
IME / 834 / $1,338,010
SURVEILLANCE / 360 / $411,907
VOC REHAB / 25 / $15,209
FIELD CASE MANAGEMENT / 1,731 / $1,178,509
PRESCRIPTIONS / 23,240 / $11,770,559
HOSPITAL / 5,411 / $8,516,171
PHYSICIAN / 40,560 / $8,466,864

Hospital/Physician InvoiceLines and Costs

Fiscal Year 2015-2016

Type of Bill / Number of Lines / Invoice Amount / Fee Schedule Amount
Hospital / 82,402 / $42,504,890 / $21,898,773
Physician / 227,779 / $26,958,397 / $18,449,449

WCSF and Auto CAT Statistics

The following statistical information is provided to allow Offerors an opportunity to understand data that may assist in providing an accurate bid for the services. The statistical information is fromfiscal year July 1, 2011 through June 30, 2016, unless otherwise noted.

Auto CAT Activity

Time Period / Benefits
Paid / Open Claims
(as of June 30th) / New Claims / Closed
Claims
2011-12 / $5,713,241 / 454 / 0 / 73
2012-13 / $4,975,269 / 441 / 0 / 36
2013-14 / $4,698,225 / 440 / 0 / 5
2014-15 / $5,103,792 / 435 / 0 / 4
2015-16 / $4,738,936 / 428 / 0 / 7

WCSF Activity

Time Period / Benefits
Paid / Open Claims / New
Claims / Closed
Claims
2011-12 / $25,251,206 / 1,134 / 0 / 207
2012-13 / $21,039,422 / 1,229 / 216 / 140
2013-14 / $29,524,253 / 1,156 / 0 / 253
2014-15 / $30,123,327 / 1,166 / 357 / 428
2015-16 / $23,671,915 / 990 / 81 / 326

Medical Bill Lines

Fiscal Year 2015-2016

Lines
Auto CAT / 2,570
WCSF / 15,434

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