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County staff recommends keeping Medical Mutual, absorbing $1.8M health‑care cost increase from reserves
Summary
At the Sept. 11 Portage County commissioners meeting, benefits staff recommended renewing Medical Mutual as the county's third‑party administrator, keeping employee payroll deductions unchanged, and using reserves to cover a projected $1.8 million 2026 increase; staff said it will return with a resolution next week.
Portage County staff told the Board of Commissioners Sept. 11 that they recommend renewing the county's self‑funded medical plan with Medical Mutual and using reserves to absorb a projected $1.8 million increase in 2026 costs. The staff member presenting the analysis said she will return to the board next week with a formal resolution for signatures.
The recommendation follows a benefits market review and request for proposals managed by Willis Towers Watson, the county's benefits consultant. The presenter said the county’s projected benefits budget for 2025 is about $19.5 million and that, as of August, accruals were at roughly 75 percent. She said the county currently maintains a stop‑loss attachment point of $225,000 per claimant and that the insurer has indicated it will apply a laser (an exclusion) for at least one large claimant.
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