Page 66 - Cover Letter and Evaluation for Paul Howell

Parent: BCBS Of Tn Grp Plan: G Years in Market: 54
AM Best Rating: n/a S&P Rating: A+ Effective Date: 06/01/2019
Rate Type: Attained age Rating Class: n/a

Age Increases Increase History Market Data
Year:
Age Monthly Increase Date Amount 2018
Amount
06/01/2016 2.0% National State
65 $ -91.0%
112.18 06/01/2017 0.0% Lives 49,776 49,776
/mo
06/01/2018 0.0% Premium $131,773,127 $131,773,127
66 $ 0.0%
112.18 06/01/2019 -33.8% Loss 70.25% 70.25%
/mo Average -8.0% Ratio
67 $ 0.0% Market 0.41% 18.88%
112.18 %
/mo
68 $ 0.0%
112.18
/mo
Average -22.8%

Medicare Supplement: Plan G Details

Part A

Services Medicare Pays This Plan Pays You Pay

Hospitalization
First 60 Days All But $1408 $1408 (Part A Deductible) $0
61st Through 90th Day All But $352 a Day $352 a Day $0
91st Day and After (60 Reserve Days) All But $704 a Day $704 a Day $0
After Reserve (Additional 365 Days) $0 100% of Eligible Expenses $0
Beyond the Additional 365 Days $0 $0 All Costs
Skilled Nursing Facility Care

First 20 Days All Approved Amounts $0 $0
21st Through 100th Day All But $176.00 a Day Up to $176.00 a Day $0
101st Day and After $0 $0 All Costs
Blood
First Three Pints $0 100% $0
Additional Amounts 100% $0 $0
Hospice Care
You must meet Medicare's All but very limited Medicare copayment / $0
requirements, including a doctor's copayment / coinsurance coinsurance
certification of terminal illness for outpatient drugs and
inpatient respite care

Part B

Services Medicare Pays This Plan Pays You Pay

Medical Expenses
1st $198 of Approved Amounts $0 $0 $198 (Part B
Deductible)
Remainder of Approved Amounts Generally 80% Generally 20% $0
Part B Excess Charge $0 100% $0