SEC Info  
    Home      Search      My Interests      Help      Sign In      Please Sign In

Triple-S Management Corp. – ‘8-K’ for 9/24/20 – ‘EX-99.1’

On:  Friday, 9/25/20, at 4:37pm ET   ·   For:  9/24/20   ·   Accession #:  1140361-20-21583   ·   File #:  1-33865

Previous ‘8-K’:  ‘8-K’ on / for 9/10/20   ·   Next:  ‘8-K’ on / for 11/6/20   ·   Latest:  ‘8-K’ on / for 2/1/22

Find Words in Filings emoji
 
  in    Show  and   Hints

  As Of               Filer                 Filing    For·On·As Docs:Size             Issuer                      Filing Agent

 9/25/20  Triple-S Management Corp.         8-K:1,9     9/24/20   11:201K                                   Edgarfilings Ltd.

Current Report   —   Form 8-K
Filing Table of Contents

Document/Exhibit                   Description                      Pages   Size 

 1: 8-K         Current Report                                      HTML     27K 
 2: EX-99.1     Miscellaneous Exhibit                               HTML     23K 
 7: R1          Document and Entity Information                     HTML     45K 
 9: XML         IDEA XML File -- Filing Summary                      XML     11K 
 6: XML         XBRL Instance -- brhc10015517_8k_htm                 XML     15K 
 8: EXCEL       IDEA Workbook of Financial Reports                  XLSX      6K 
 4: EX-101.LAB  XBRL Labels -- gts-20200924_lab                      XML     64K 
 5: EX-101.PRE  XBRL Presentations -- gts-20200924_pre               XML     46K 
 3: EX-101.SCH  XBRL Schema -- gts-20200924                          XSD     15K 
10: JSON        XBRL Instance as JSON Data -- MetaLinks               13±    20K 
11: ZIP         XBRL Zipped Folder -- 0001140361-20-021583-xbrl      Zip     13K 


‘EX-99.1’   —   Miscellaneous Exhibit


This Exhibit is an HTML Document rendered as filed.  [ Alternative Formats ]



 C: 
Exhibit 99.1

ATTACHMENT 11

Administracion de Seguros de Salud
GHP (Vital) PMPM Premium Rates
Rate Cell
 
PMPM
 
Medicaid Pulmonary
 
$
239.21
 
Medicaid Diabetes/Low Cardio
 
$
390.94
 
Medicaid High Cardio
 
$
774.30
 
Medicaid Renal
 
$
1,356.27
 
Medicaid Cancer
 
$
2,551.40
 
Medicaid Male 45+
 
$
149.32
 
Medicaid Male 19-44
 
$
98.38
 
Medicaid Male 14-18
 
$
83.54
 
Medicaid Female 45+
 
$
195.64
 
Medicaid Female 19-44
 
$
131.30
 
Medicaid Female 14-18
 
$
88.69
 
Medicaid Age 7-13
 
$
76.22
 
Medicaid Age 1-6
 
$
112.84
 
Medicaid Under 1
 
$
303.69
 
Commonwealth Pulmonary
 
$
188.32
 
Commonwealth Diabetes/Low Cardio
 
$
236.30
 
Commonwealth High Cardio
 
$
439.87
 
Commonwealth Renal
 
$
755.94
 
Commonwealth Cancer
 
$
1,519.82
 
Commonwealth Male 45+
 
$
101.35
 
Commonwealth Male 19-44
 
$
65.03
 
Commonwealth Male 14-18
 
$
77.04
 
Commonwealth Female 45+
 
$
136.76
 
Commonwealth Female 19-44
 
$
103.19
 
Commonwealth Female 14-18
 
$
80.98
 
Commonwealth Age 7-13
 
$
77.54
 
Commonwealth Age1-6
 
$
107.95
 
Commonwealth Under 1
 
$
373.32
 
CHIP Pulmonary
 
$
262.17
 
CHIP Diabetes
 
$
1,067.40
 
CHIP Age 7-13
 
$
87.90
 
CHIP Age14+
 
$
98.01
 
CHIP Age 1-6
 
$
126.98
 
CHIP Under 1
 
$
306.79
 
Dual Eligible Part A and B
 
$
339.08
 
Dual Eligible Part A Only
 
$
341.51
 
Maternity Delivery Kick Payment
 
$
5,370.02
 
FCDA
 
$
449.76
 

Administracion de Seguros de Salud
PSG (MI Salud) PMPM Premium Rate
Rate Cell
 
PMPM Premium Rate
 
Law 72, Article VI Public Employees and Pensioners*
 
$
191.88
 

Enrollees within the Law 72, Article VI Public Employees and Pensioners rate cell are not subject to Attachment 28, and instead shall remain in the Law 72, Article VI Public Employees and Pensioners rate cell during the term of their enrollment.




Dates Referenced Herein   and   Documents Incorporated by Reference

This ‘8-K’ Filing    Date    Other Filings
9/30/2110-Q
5/31/21
Filed on:9/25/20
For Period end:9/24/20
7/1/20
6/1/20
 List all Filings 
Top
Filing Submission 0001140361-20-021583   –   Alternative Formats (Word / Rich Text, HTML, Plain Text, et al.)

Copyright © 2024 Fran Finnegan & Company LLC – All Rights Reserved.
AboutPrivacyRedactionsHelp — Tue., May 7, 7:00:34.1am ET