IT Services that Empower Your Business

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800 GB of de-identified, HIPAA-compliant employer-sponsored health plan data

• Group-level expected vs. actual claims performance
   
• Plan design metadata (deductibles, coinsurance, corridors)
   
• Employer size, industry, and region segmentation
   
• Historical stop-loss trigger trends
   
• Deviation tracking from underwriting benchmarks
   
• Ideal for reinsurers, MGUs, and performance optimization tools
   

• Aggregated ICD, CPT, and NDC-based usage trends
   
• Therapeutic class mapping across geographies
   
• Monthly, quarterly, and annual trend files
   
• Specialty Rx carve-out data (where applicable)
   
• Geo-coded employer groups for market targeting
   

• Persistency indicators and switch patterns
   
• Delayed care, deferred procedure, and gap-in-care metrics
   
• High-cost claimant tracking (de-identified and trended)
   
• Plan migration behavior: traditional to level-funded transitions
   
• Catastrophic risk scoring models per group
   

• Broker and general agent performance attribution (de-identified)
   
• Surplus return behaviors and trend by geography
   
• Employer churn vs. persistency by broker tier
   
• Helps identify top brokers serving cost-conscious employers
   

• Reinsurer pricing model refinement
   
• MGU underwriting guideline tuning
   
• TPA performance benchmarking
   
• Broker segmentation and marketing ROI
   
• PBM and formulary optimization
   
• Emerging risk trend discovery and targeting
   

Delivery: SFTP.
Format: CSV, Schema provided.
Update Frequency: Quarterly refresh (historical backfill available).
Data Source: Independent health plan claims files, census underwriting inputs, and policy metadata from vetted U.S. TPAs and MGUs operating in the level-funded/self-funded employer market.