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Board approves up to $4.9M to cover self-funded health-plan shortfall; district expects $2M aggregate reimbursement
Summary
Trustees approved an allocation of up to $4.9 million to cover claims that exceeded premiums in the district’s partially self-funded health plan; consultants said 49 large claimants and specialty pharmacy costs drove the shortfall and that the district expects about $2 million to be reimbursed under aggregate stop-loss.
Comal ISD trustees approved a motion Thursday to allocate up to $4,900,000 to cover claims that exceeded premiums in the district’s partially self-funded health plan for the 2024–25 plan year.
Eric Smith of Universal Benefits Consortium (UBC) and Mark Woolery, UBC managing director, told trustees their analysis showed an unusually large increase in high-cost claims late in the plan year. The consultants said there were 49 claimants with individual costs above $100,000 (up from 37 the prior comparable period) and that specialty pharmacy…
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