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Yuma County told health plan costs could rise about 19.7% for FY26; high-cost claims flagged as main driver

2691716 · February 19, 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

Actuaries presented a preliminary FY25–26 projection showing a near‑20% increase in county self‑funded health plan costs, driven largely by an uptick in high‑cost claimants and pharmacy trend; board discussed contribution scenarios and reserves.

Debbie Donaldson, a senior actuary with Siegel, told the Yuma County Board of Supervisors on Feb. 19 that the county’s self‑funded medical and pharmacy plans face a projected overall cost increase of about 19.7% for fiscal year 2026.

The projection, based on claims and enrollment from Dec. 2022 through Nov. 2024 and using a pharmacy trend of 11.4% and medical trend just under 8%, calculates a per‑employee per‑month cost of roughly $1,328 and includes a recommended $66.67 monthly HSA employer contribution and a $75,000 wellness allowance.

Donaldson said the county’s stop‑loss attachment is $150,000 and that stop‑loss reimbursement mitigates only the very largest claim “tail.” She told the board that “about half” of the projected increase is explained by a higher number of…

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