Monthly Plan Performance Report Sample Client – Medical Report Rank Active (Yes/No) Relationship Age Range Primary Health Condition Category Paid Medical ($) Paid Rx ($) Paid Total ($) Over Specific ($) 1 Yes Employee 50-55 Cardiac Issues 180,500 2,100 182,600 82,600 2 Yes Spouse 45-50 Cancer 155,300 5,600 160,900 60,900 3 Yes Employee 40-45 Diabetes 132,000 8,200 140,200 40,200 4 Yes Child 10-15 Genetic Disorder 98,750 3,500 102,250 2,250 5 Yes Employee 55-60 Neurological Disorder 85,200 2,900 88,100 0 6 Yes Spouse 50-55 Cancer 75,800 6,500 82,300 0 7 Yes Employee 45-50 Autoimmune Disease 65,400 1,800 67,200 0 8 Yes Child 5-10 Severe Asthma 53,200 4,200 57,400 0 9 Yes Employee 35-40 Kidney Disease 47,900 2,400 50,300 0 10 Yes Spouse 55-60 Heart Surgery 40,500 3,200 43,700 0 Total Gross Paid Claims for High Cost Claimants $933,550 $40,400 $973,950 $185,950