Get Full Government Meeting Transcripts, Videos, & Alerts Forever!
Miami County staff recommends evaluating switch to self‑funded health plan; commissioners ask for funding options and actuarial analysis
Summary
Sarah Denney, Miami County’s interim human resources director, and outside benefits advisors briefed the commission on an option to move the county’s employee health plan from a fully insured Blue Cross contract to a self‑funded (ASO) structure with stop‑loss reinsurance.
Sarah Denney, interim human resources director, and benefits consultant Robert presented options for moving Miami County’s employee health plan from a fully insured Blue Cross renewal to a self‑funded (ASO) structure with stop‑loss reinsurance.
Denney introduced the topic and Robert described the differences between fully insured premiums and the self‑funding cash‑flow model. Robert said the county’s experience shows claims through the last several years are favorable relative to market trends but pharmacy inflation and specialty drugs remain a risk. He told the commission the actuarial projection used 7% medical and 12% pharmacy inflation assumptions and a conservative estimate produced roughly a 2% net increase in budgeted cost under the ASO option compared with Blue Cross’s fully insured renewal.
Robert explained stop‑loss options the…
Already have an account? Log in
Subscribe to keep reading
Unlock the rest of this article — and every article on Citizen Portal.
- Unlimited articles
- AI-powered breakdowns of topics, speakers, decisions, and budgets
- Instant alerts when your location has a new meeting
- Follow topics and more locations
- 1,000 AI Insights / month, plus AI Chat
