During a recent government meeting, officials discussed the county's insurance utilization, which has reached a concerning 134% this year. This high utilization has complicated the bidding process for insurance, prompting ongoing negotiations to secure better terms. Trevor Crowley from Crowley Insurance and Financial provided insights into the county's employee benefits package, emphasizing the challenges faced due to high claims and the need for competitive rates.
Crowley explained that the county's loss ratio, which indicates the amount paid out in claims versus premiums collected, is significantly high at 130%. This situation has made the county less attractive to insurance providers, leading to limited options during the bidding process. Despite these challenges, the county managed to negotiate a rate cap with UnitedHealthcare, which will help mitigate potential cost increases in the upcoming year.
The meeting highlighted the shift in employee plan choices, with many opting for plans with lower deductibles and out-of-pocket maximums, resulting in increased utilization of healthcare services. Crowley noted that while this change has benefited employees, it has also contributed to the rising claims costs.
Looking ahead, the county is exploring additional options, including a potential plan that would allow employees to choose a narrower network at a lower cost. However, the details of this option are still being finalized. Crowley reassured officials that all current plans comply with the Affordable Care Act, ensuring that employees are not penalized if they seek coverage elsewhere.
As the county navigates these complex insurance negotiations, officials remain focused on balancing employee needs with financial sustainability, recognizing that this year's challenges are part of a broader trend affecting many municipalities.