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City faces unprecedented 17 percent health plan increase

September 16, 2024 | Manitowoc, Manitowoc County, Wisconsin


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City faces unprecedented 17 percent health plan increase
In a recent government meeting, officials discussed significant changes to the city's health insurance plan, revealing a projected overall increase of 17% for the upcoming year. This increase is primarily attributed to a higher-than-expected renewal rate for stop-loss insurance, which protects the city against high medical claims. Initially, the city anticipated a 10% increase, but the actual stop-loss renewal came in at an alarming 89%, necessitating the adjustment.

The city's health insurance consultant, who has over 20 years of experience, noted that this is the highest increase he has encountered in his career. Despite efforts to negotiate with health partners, the increase was largely attributed to broader trends affecting their block of business, not just the city's specific claims.

The meeting also highlighted the city's medical claims running over budget by approximately 8.8%, resulting in a deficit of $200,000. In contrast, the dental plan is performing favorably, running 18% under budget. The city plans to implement new programs aimed at reducing costs, including a virtual musculoskeletal program and a paid health savings initiative, which are expected to save around $424,000.

Officials emphasized the importance of maintaining the current high-deductible health savings account (HSA) plan without changes, while also proposing a 10% increase in employee contributions to align with the new funding levels. The dental plan will see no premium contribution increase, as it remains under budget, with enhancements to coverage being introduced.

Overall, the city is navigating a challenging landscape in health insurance costs, with officials expressing hope for further negotiations to potentially lower the projected increases. The discussions underscore the ongoing financial pressures faced by municipalities in managing employee health benefits amidst rising healthcare costs.

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Scribe from Workplace AI
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