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Plymouth Joint School District approves insurance renewals with projected 22–24% health premium increase

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Summary

The school board approved administration's recommendation to remain with Sentivo and move to a traditional self-insured health plan with projected increases of about 22'to'24% for health; dental renewal at 9%; vision unchanged.

Plymouth Joint School District trustees on May 20 approved the administration's recommendation to continue with Sentivo and move the district's employee health plan from a level-funded model to a more traditional self-insured model, with a projected health premium increase of roughly 22 to 24 percent depending on employee plan elections.

The change, presented by staff member Amy, was described as a shift that gives the district more autonomy over plan design while still funding claims and aiming for a surplus at year end. Amy said stop-loss underwriters projected a maximum funding renewal of 26 percent, and the district elected to fund below that maximum.

"[T]hey did, and came with a max funding renewal of 26% for us," Amy said, describing the underwriting outcome. "We landed at a spot in between the bare minimum and the max, so it's gonna be, like, a 22 to 24% increase depending on all the individual elections of all the people that are in our plan."

Board members were also told employee premiums were adjusted by plan experience. Amy said two of the district's three plans performed well under the prior level-funded arrangement; one plan had a high loss ratio, prompting the change. The administration also proposed plan design enhancements and network discount upgrades while keeping copays and deductibles unchanged.

For dental, the board heard the district will remain with MetLife and the renewal came in at 9 percent; staff said there were no dental plan design changes and employees will continue to contribute 10 percent toward dental premiums. Vision coverage will remain with MetLife with no rate increase and no design changes.

The board approved the administration's recommendation on a voice vote. The motion to approve was made and seconded during the meeting; the record shows the board responded with audible "yes" votes and the chair closed the item as approved.

The administration noted final employer cost will vary by individual employee elections and that staff will continue to monitor state budget developments and revenue impacts before finalizing related budget line items.