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Calculation of Employers Expected Claims Costs <br /> Year 1 Year 2' Year 3 Total <br /> Sum of average monthly Participants for each month in the 26,487 26,487 26,487 79,461 <br /> period <br /> Annual Expected PPPM Cost for each year $584.71 $626.69 $671.69 <br /> $15,487,213 $16,599,240 $17,791,153 <br /> Employers Expected Claims Costs for all three <br /> $49,877,606 <br /> years: <br /> Calculation of Employer's Actual Non-Claims Costs <br /> Year 1 Year 2 Year 3 Total <br /> Sum of average monthly Participants for each month in the 26,487 26,487 26,487 79,461 <br /> period <br /> Admin PPPM Fee $19.00 $19.00 $19.00 $19.00 <br /> Total Admin PPPM Fee paid: $503,253 $503,253 $503,253 $ 1,509,759 <br /> Reimbursable Charges each period $ 1,143,895 $ 1,178,212 $ 1,213,558 $ 3,535,665 <br /> Total Employers Actual Non-Claims Costs: $1,647,148 $1,681,465 $1,716,811 $ 5,045,424 <br /> Conditional Fee Refund Amount: <br /> Employers Actual Claims Cost: $43,462,500 <br /> Minus <br /> Employers Expected Claims Cost: $49,877,606 <br /> Plus <br /> Employers Actual Non-Claims Costs $ 5,045,424 <br /> • <br /> Result: ($1,369,682) <br /> Amount of refund=1 01 <br /> Schedule 2, Exhibit C-2 <br />