Get Full Government Meeting Transcripts, Videos, & Alerts Forever!
Yuma County told health plan costs could rise about 19.7% for FY26; high-cost claims flagged as main driver
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…
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
