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Madison County reviews options to limit employee health-insurance renewal hike

2900443 · April 8, 2025
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

County staff and an outside consultant presented two renewal approaches after negotiating a proposed 16% increase down to roughly 6%, and described how employee enrollment choices could shift the county’s final cost.

Madison County commissioners and staff reviewed health insurance renewal options after carriers initially proposed a 16% increase, with consultants saying they negotiated that down to about 6% across plans.

The county’s benefits consultant told the commission that the carrier’s original 16% renewal would have brought the county’s plans closer to a 74% loss ratio and said the negotiated 6% would lower the county’s exposure. The consultant said the firm prepared two options for the board to consider: a plan-rated approach that applies different changes depending on enrollment in each plan, and a flat 6% increase across all three plan tiers. “We negotiated that down to about 6% across the board,” the consultant said.

Those two options matter because one of the county’s plans — the “local plus” plan — was described by the consultant as currently…

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