[{"_1":2,"_99":-5,"_100":-5},"loaderData",{"_3":4,"_26":27},"root",{"_5":6,"_17":10,"_18":19,"_20":21,"_22":10,"_23":-5,"_24":-5,"_25":10},"user",{"_7":8,"_9":10,"_11":10,"_12":-5,"_13":-5,"_14":15,"_16":-5},"roles",[],"isAuthenticated",false,"isPremium","planName","subscriptionStatus","featureFlags",{},"insightsBudget","isDevelopmentHost","userPreferences",{},"recaptchaSiteKey","6LcvOJcUAAAAAHsB-gPGfGktcRlKpH7OTIU_dMTD","isImpersonating","impersonation","affiliateStatus","isFreedomPortal","routes/v2/article/layout",{"_28":29,"_30":31},"notFound",true,"relatedArticles",[32,75,87],{"_33":34,"_35":36,"_37":38,"_39":40,"_41":42,"_43":44,"_45":46,"_47":48,"_49":50,"_51":52,"_53":54,"_55":56,"_57":58,"_59":60,"_61":62,"_63":64,"_65":66,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},"mediaId",6088962,"mediaKeyId","2878602-778f3e1b511c591a4ba858ad9946009d","parentId",2878602,"title","Kewaunee County hears consultant say Centivo shift cut health plan costs but produced service “noise”","audioSeconds",3287,"startMs",259000,"endMs",3546000,"viewUrl","/Search/View?dp=1&key=2878602-778f3e1b511c591a4ba858ad9946009d&start=259&end=3546","thumbnailUrl","https://assets.pipeline.soar.com/2878602-778f3e1b511c591a4ba858ad9946009d/thumbnail_259000.jpg","articleUrl","/articles/6088962/Kewaunee-County/Wisconsin/Kewaunee-County-hears-consultant-say-Centivo-shift-cut-health-plan-costs-but-produced-service-noise","mediaUrl","https://secure.pipeline.soar.com/6088962-5955fb4306539e72d67580b71cd18fb8/orig.mp4?Expires=1771151538&Signature=DcUGrUQig9Oan0-y9hzIuvTvq9Dd01w5I3U4~hZz2omhDmb822-dxAFEs6Dk08yzzolaFgLMXOpZhhxqIkwRr7icnRWoHy6VEJBgn~9ClMwr1vk1CfMPJCPRojHw~Tz8KU8GOYi2TUuo8MiF-u81kgvtwOs1xchV6eGvSZ4XJNLWGTlqT45n4hCb7hJNaRC2eK1pV8qNvsbDZ7Xbjsg~XlPySlVWbiaWw4kZEh30XsCDoq8iTVAtrF7WKyBP-GU1J8LdrnwBd5-CIsaZOI0dk2mD2uPkiQbAUgcHgY4fYnJQ5LdC3GwmBn9BOTWN~vFcT65v5OPhKuk9oP2FCZdeCw__&Key-Pair-Id=KUT5TJCACFTXG","author","Kewaunee County, WI","date","2025-04-04T12:56:27Z","article","Kewaunee County finance staff and benefits consultants presented an analysis of the county health plan on April (discussion recorded during the Finance Committee meeting), saying the county’s 2023 switch from Humana to Centivo has reduced modeled costs but produced some ongoing member service problems.

Dan (Horton benefits consultant) and Sam Magovan (Horton lead contact) told the Finance Committee the county’s transition to Centivo and a move toward buying stop‑loss and pharmacy benefits separately produced lower per‑employee per‑year costs and an estimated $1.2 million difference in 2023–24 compared with a Humana trend projection. Horton estimated 2025 costs with Centivo at about $2.878 million versus a $3.6 million projection under Humana, a roughly $722,000 differential for the year.

The presentation condensed several points the committee flagged as important: Centivo’s model uses a value‑based, primary‑care‑focused network that Horton said steers members toward lower‑cost, higher‑quality providers; the county’s self‑funding and ability to shop stop‑loss and pharmacy benefit managers were cited as drivers of improved rates; and the recent medical‑trend environment — commonly referenced in industry materials as 6–10% annually — makes the county’s outturn unusually favorable.

Horton also acknowledged operational issues. Dan said Centivo has caused “some billing issues and some claim issues and some customer service issues” that Horton and county staff have worked on weekly for about two years. Committee members described the problems as a minority of members but “lingering” and likely related to Centivo’s smaller market presence compared with incumbents such as UnitedHealthcare or Anthem.

Committee members asked about alternatives and tradeoffs. Horton listed options including returning to a fully insured product, joining a pooled product such as the Wisconsin Counties Association, or contracting with larger administrators (UMR, UnitedHealthcare, Anthem, WPS). Horton’s view was that larger, more familiar vendors might reduce member “noise” but would likely cost more. Horton recommended staying with Centivo for 2026 but said the decision should remain under regular review.

The discussion turned to benefit design levers the county could consider. Horton explained spousal carve‑outs (disallowing or surcharging working spouses who have access to other employer coverage) and nicotine surcharges as risk‑management tools. He said nicotine surcharges are more common and have clearer actuarial correlations (Horton cited industry averages that nicotine users cost materially more), while spousal carve‑outs are more nuanced for a small, self‑funded population because some spouses contribute little or no claims and therefore dilute plan risk.

Committee members asked staff to gather more detailed data. The committee directed Horton and county staff to attempt a deeper analysis of how many covered families include working spouses with access to other employer coverage, and to gather benchmarking and statewide/neighborhood data on the financial impact of spousal surcharges and nicotine surcharges. Horton and county staff agreed to return with written information within a few weeks and to include the topic in late‑summer budget planning ahead of the 2026 renewal cycle.

Retiree coverage and affordability were also discussed. Horton and county staff said only a small number of retirees remain on the county plan (fewer than 10, per the discussion), and retirees who stay pay the full premium rather than receiving a county subsidy; COBRA and Medicare eligibility were noted as common transition points.

The committee did not vote on plan design changes. Members and staff agreed the presentation was for information and that any changes would be discussed during the fall renewal and budget cycle. Horton said it would continue to monitor Centivo performance, present peer benchmarking, and assist the county in any renewal or procurement work.

Ending: Committee members scheduled follow‑up information for late summer to support the 2026 budget cycle and asked Horton and county staff to provide the requested spousal and nicotine surcharge analysis before any formal policy or benefit design changes were proposed.","mediaType","Video","parentTitle","Kewaunee County's Finance Meeting April 4 2025","oneSentenceSummary","Kewaunee County finance staff and benefits consultants presented an analysis of the county health plan on April (discussion recorded during the Finance Committee meeting), saying the county’s 2023 switch from Humana to Centivo has reduced modeled costs but produced some ongoing member service problems.","taxTitle","Kewaunee County, Wisconsin","taxId",72878,"location","headline","","shortSummary",{"_33":76,"_35":36,"_37":38,"_39":77,"_41":78,"_43":79,"_45":80,"_47":81,"_49":82,"_51":83,"_53":84,"_55":56,"_57":58,"_59":85,"_61":62,"_63":64,"_65":86,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},6088952,"At a glance: Key motions approved by Kewaunee County Finance Committee",453,2603000,3056000,"/Search/View?dp=1&key=2878602-778f3e1b511c591a4ba858ad9946009d&start=2603&end=3056","https://assets.pipeline.soar.com/2878602-778f3e1b511c591a4ba858ad9946009d/thumbnail_2603000.jpg","/articles/6088952/Kewaunee-County/Wisconsin/At-a-glance-Key-motions-approved-by-Kewaunee-County-Finance-Committee","https://secure.pipeline.soar.com/6088952-c894ba18ae29aa1c2b7e779da98e1c9c/orig.mp4?Expires=1771151538&Signature=Bdn-Kgl6ZSn9g03Re7m10rajoNewGUG44CFMQvl773x9-ZdUMBnXvSHEG7mX46eh6BiMBpiMSoDurUnJ3yOo3XcWOtesxz1RlZlsYhUMRYridWI~hqId9d8fU2~qleT8o3V7g~136nVZUaR-TjVtlDyOo1JrZeQv3YrvcfUnVO2WpwOlG9Q8PqtmDvKdjS6iDfzA76Dc~qQ~SUI3jGx81VEw9~lsUuUEbD7kK1D-RBkLl~yF-Wj~NIOBzl4LKjRtkyfZ1ZxKKRie3Yx3UV4ujtZKmgT3TkFmCsm2TrbMsiR0HaM1xmeZcw3KnS8jSnBapX7qvHpsrdu4ZSHW5CPBSg__&Key-Pair-Id=KUT5TJCACFTXG","The Kewaunee County Finance Committee carried several routine and substantive motions during its meeting. All recorded motions were approved by voice vote unless noted otherwise.

Votes at a glance

- Adopt agenda and approve minutes from March 18 — Moved by Doak, second by Steve. Outcome: approved by voice vote.

- Approve Homeland Security grant for Emergency Management (family assistance center; affects Human Services and Public Health) — Moved by Doak, second by Jeff. Outcome: approved by voice vote.

- Approve purchase of Volvo loader for Highway Department (~$301,000) with funds from the Highway Enterprise Fund — Moved by Jeff, second by Steve. Outcome: approved by voice vote.

- Approve Library Services Plan (5‑year refresh) — Moved by Doak, second by Steve. Outcome: approved by voice vote.

- Approve 2024 carryovers (budgeted projects not completed in 2024) — Moved by Paul, second by Doak. Outcome: approved by voice vote; full board action required where applicable.

- Approve transfers of unaudited 2024 surplus: $255,056 to debt service (10% policy), replenish auto‑damage reserve, and allocate remainder to future capital projects — Moved by Doak, second by Jeff. Outcome: approved by voice vote; amounts unaudited and subject to final audit.

- Approve supplemental payroll and vendor payments as presented — Moved by Will Bridal, second by Paul (supplemental payroll motion). Outcome: approved by voice vote.

Each motion was presented during the meeting and carried without recorded roll‑call tallies; committee members used standard voice‑vote procedure (\"Aye; Opposed hearing none, motion carried\"). Several agenda items (carryovers and surplus transfers) will require subsequent county board approval or follow‑up documentation; the committee approved forwarding those items as presented.","The Finance Committee approved the meeting agenda and minutes, a Homeland Security grant for emergency management, purchase of a highway loader, the library services plan, 2024 carryovers, 2024 surplus transfers, and supplemental payroll and vendor payments as presented.",{"_33":88,"_35":36,"_37":38,"_39":89,"_41":90,"_43":91,"_45":92,"_47":93,"_49":94,"_51":95,"_53":96,"_55":56,"_57":58,"_59":97,"_61":62,"_63":64,"_65":98,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},6088958,"Finance Committee approves 2024 carryovers, recommends transfers to debt service and capital reserves",766,4130000,4896000,"/Search/View?dp=1&key=2878602-778f3e1b511c591a4ba858ad9946009d&start=4130&end=4896","https://assets.pipeline.soar.com/2878602-778f3e1b511c591a4ba858ad9946009d/thumbnail_4130000.jpg","/articles/6088958/Kewaunee-County/Wisconsin/Finance-Committee-approves-2024-carryovers-recommends-transfers-to-debt-service-and-capital-reserves","https://secure.pipeline.soar.com/6088958-70f0b9e46c52b6cc926e71cb5317c981/orig.mp4?Expires=1771151538&Signature=V144xijCPIxSWxSHOKEvetEtSGFR8rR0xuSDuK486djispGJmnLWyxud0-6Cgi7B~4-W6d8NZ3gWzrJVpvS~Zm4p9bjRklxxTL5-Bwa0P2NO9bB9L-QxTbwRkksaur-EKcfEORg6JpAJ4n~YnDcc6NQVwLVGGxHgUgzvQI3CYuc2oDI3p0h2Nw9cjgWpWtpcZ0wZjm-TGqDCCQbQJNyF~8O9fqDEpdSf4uFP3q20vSiKfIEAhXRIHKDN8WAkzza32BlY~87fe5i1CS~GsXY5Q69xYQA0ynDoqzdhStV9jQ56QyqnUxGuPMu0ULPhnDvsMvVjIARgNbeh0-N6Yjj6jQ__&Key-Pair-Id=KUT5TJCACFTXG","Kewaunee County’s Finance Committee on (meeting date) approved carryovers for projects budgeted but not completed in 2024 and recommended transfers that would put portions of the unaudited 2024 surplus toward debt service, an auto‑damage fund and future capital projects.

Paul (county finance staff) presented the unaudited 2024 results and a list of budget items budgeted in 2024 but incompleted; committee members approved moving those amounts forward so departments can finish projects within the 2025 budget year. Paul described the carryovers as routine and itemized the examples (IT licenses, jail doors, other scheduled projects) and noted one vendor invoice under $5,000 that arrived after the schedules were prepared.

On the larger surplus discussion Paul identified the main contributors to the approximately $2.2 million unaudited surplus: higher interest earnings, staffing vacancies (notably in the sheriff’s department), delayed capital projects and higher‑than‑budgeted sales tax and tax‑increment financing receipts. Paul recommended transferring $255,056 (10% of excess general‑fund surplus per policy) to the debt‑service fund, replenishing the auto‑damage fund (to cover vehicle collision repairs) and allocating the remainder to the county’s future capital projects reserve. The committee discussed that many surplus contributors were one‑time or nonrecurring and should not be treated as recurring revenue.

Committee members discussed the timing of the 2026 renewal and budget process and confirmed the late‑summer timeline for budget worksheets; staff said they will incorporate carryovers and the transfers into the 2025 budget documents and seek full board approval where required. Paul reminded the committee that final amounts remain subject to the year’s audit, typically completed in August.

Ending: The committee approved the carryover list and authorized the recommended transfers to reserve accounts with the understanding that these are unaudited figures and that some items reflect one‑time timing differences rather than ongoing savings.","The Kewaunee County Finance Committee reviewed unaudited 2024 results, approved budget carryovers for incomplete projects and recommended moving portions of the 2024 surplus to debt service, an auto‑damage reserve and future capital projects.","actionData","errors"]

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Kewaunee County hears consultant say Centivo shift cut health plan costs but produced service “noise”

At a glance: Key motions approved by Kewaunee County Finance Committee

Finance Committee approves 2024 carryovers, recommends transfers to debt service and capital reserves