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Attachment 2: Employee Statistics

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A PDF document (461 KB) attached to Health Insurance Services for Locally Employed Staff at U.S. Mission Portugal, from the Department of State. Due Oct 28, 2026, 12:00 PM (UTC+1).

File name: 19GE5026Q0035-Attachment-2-Employee-Statistics.pdf

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EMPLOYEE STATISTICS AND CLAIMS REPORTS

Data provided by Allianz claims report processed until June 2026

Distribuition of Personnel by Relation
Nº of ensured personnel
Employee
Spouse
Children
Other

07/01/2025 to 06/30/2026

07/01/2024 to 06/30/2025

07/01/2023 to 06/30/2024

07/01/2022 to 06/30/2023

Claims Historical Per Coverage

Hospitalization
Birth
Outpatient Care
Medication
Prosthetics & Orthotics
Dental/Oral Medicine
Assistance & Subsidies
Consultation & Diagnostic Tests
Authorization
Total
Premium
Racio*

07/01/2025 to 06/30/2026

07/01/2024 to 06/30/2025

07/01/2023 to 06/30/2024

07/01/2022 to 06/30/2023

Cost | % Network | %Cob

Cost | % Network | %Cob

Cost | % Network | %Cob

Cost | % Network | %Cob

193,924.25€ | 97.4% | 27,4%
2,710.91€ | 100% | 0.4%
192,722.78€ | 79,6% | 27.2%
24,220.48€ | 0.5% | 3.4%
24,013.49€ | 61.0% | 3.4%
91,895.91€ | 61.3% | 13.0%
- |
| 0.0%
- |
| 0.0%
179,492.37 €
708,981.19 €
403,355.82 €
175.77%

*Estimated profitability considering management costs.

#

SBU - HEALTH

Claims History Per Coverage and Relationship
07/01/2025 to 06/30/2026

07/01/2024 to 06/30/2025

07/01/2023 to 06/30/2024

07/01/2022 to 06/30/2023

Cost | % Network | %Cob

Cost | % Network | %Cob

Cost | % Network | %Cob

Cost | % Network | %Cob

E
M
P
L
O
Y
E
E

Hospitalization
Birth
Outpatient Care
Medication
Prosthetics & Orthotics
Dental/Oral Medicine
Assistance & Subsidies
Consultation & Diagnostic Tests

-

|
|

-

51,296.53€ | 97.9% | 22.9%60,711.51€ | 99.2% | 30.5%
- |
| 0.0%
99,334.44€ | 84.5% | 44.3%
9,327.44€ | 1.4% |4.2%
10,487.41€ | 66.0% | 4.7%
53,746.74€ | 51.1% |24.0%
| 0.0%
24.73
| 0.0%
- |
| 0.0%
- |
| 0.0%

S
P
O
U
S
E

Hospitalization
Birth
Outpatient Care
Medication
Prosthetics & Orthotics
Dental/Oral Medicine
Assistance & Subsidies
Consultation & Diagnostic Tests

-

|
|

-

| 0.0%
| 0.0%

-

|
|

-

| 0.0%
| 0.0%

-

|

-

| 0.0%

-

|

-

| 0.0%

-

|

-

| 0.0%

-

|

-

| 0.0%

-

|
|

-

| 0.0%
| 0.0%

-

|
|

-

| 0.0%
| 0.0%

-

|

-

| 0.0%

C
H
I
L
D
R
E
N

Hospitalization
Birth
Outpatient Care
Medication
Prosthetics & Orthotics
Dental/Oral Medicine
Assistance & Subsidies
Consultation & Diagnostic Tests

#

SBU - HEALTH

Top 10 Average Cost per Sub-Coverage: Current year
Count

€ Cost

Designation

Average Cost

Hospitalization and Surgery
Normal Birth and second pregnancy

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