BLUE RAVEN ACTUARIAL P O B o x 223 R o c k y Mou n t V A 24151 BLUE RAVEN actuarial info@blueravenactuarial.com September 30, 2025 Isaac Schmitz Account Manager LHD BenefitAdvisors 401 Pennsylvania Pkwy, Suite 200 Indianapolis, IN46280 Blue Raven Actuarial has been retained by LHD Benefit Advisors to provide an attestation of Part D creditable coverage for Noblesville Community Schools’s group health plan offerings for the 2026 plan year. The purpose of the attestation is to certify that the prescription drug benefit offerings meets (or does not meet) the minimum threshold for a “creditable” Medicare Part D plan under the Medicare Modernization Act (MMA). The MMA imposes a late enrollment fee on individuals not maintaining creditable coverage. As such, the disclosures provided by Noblesville Community Schools in relation to the results of this attestation provide information that is critical for an individual’s healthcare decision-making. Blue Raven Actuarial is an actuarial consulting firm focused on employer-sponsored healthcare and its surrounding ecosystem of payers, administrators, providers, brokers, consultants, and digital healthsolutions. Report and Results : After a thorough review of the prescription drug plan offerings within the groups’ offerings, as well as the information submitted to Blue Raven Actuarial via its proprietary Benefit Blitz Standalone Tools portal, we found each of the plans listed here met the threshold for Part D creditability: “2026 Surest PPO”, “2026 HSA Core”, and “2026 HSA Basic”. The methodology and analysis underlying the creditability determination was developed and provided by Blue Raven Actuarial. The results were found using the actuarial determination. Data: We did not perform a formal audit of the data provided, though, to the extent possible, it was checked for reasonableness and consistency with the actuary’s expectations, based on years of prior experiences analyzing drug claims and performing similar attestations. For purposes of modeling the drug plan designs’ actuarial value, we used a normative claims distribution curve for each of the major service types. Our normative dataset was based on the data found within the actuarial value calculator published by the Center of Medicare & Medicaid Services (CMS). That data contains the dollars spent and services units (in this case, prescriptions written) utilized for prescription drug coverage for
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