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County staff recommend 4-tier health premiums; committees endorse plan design and ask HPS for clarifications
Summary
Walworth County staff recommended moving to a four-tier premium structure and updating plan parameters; committees endorsed the recommendation to guide 2026 budgeting and asked Health Payment Systems for clearer information on payment plans and member outreach.
Walworth County staff recommended shifting the county's self-funded health plan to a four-tier premium structure and adjusting plan parameters for 2026; the county committees endorsed the recommendation as input for the administrator's budget while requesting additional clarification from Health Payment Systems (HPS) on member payment plans and communication.
Josh Pollock and consultant Jesse (Hausman) presented analysis showing an overall projected premium increase of 9.85 percent driven by rising claims and several high-cost claimants; staff recommended a phased move to a four-tier premium structure (employee only, employee + child(ren), employee + spouse, family) to better align premiums with…
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