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Kane County reviews January Blue Cross invoice and monthly HR metrics; MERP enrollment edges up
Summary
Committee members reviewed the January Blue Cross Blue Shield invoice (about $1.7 million, higher side of tolerance), administrative fee explanations, delayed tracker data due to plan-merger reconfiguration, and a small increase in MERP enrollment to 80.
Kane County Human Services Committee members on March 12 reviewed monthly financial reports for the county’s health plans and other human-resources metrics.
Christine, who will present monthly health insurance reports for the county, noted the Blue Cross Blue Shield invoice for January is on file and “in tolerance,” though committee members observed it was on the higher side. A participant stated the invoice was about $1.7 million for the month; staff said that level is above the tolerance point they would prefer (comments cited a tolerance nearer $1.4 million).
Committee members asked whether administrative fees or adjustments in the invoice represented items beyond the carrier’s fee. Human Resources staff and the broker representative explained the administrative line covers per‑employee administrative costs, claim-management activity and occasional retroactive adjustments when employee counts change or stop‑loss items post later.
Assured Partners, the county’s broker, had to reconfigure the annual tracker after merging union and nonunion plans; committee members were told some tracker data were not available for the month because of that reconfiguration. The committee asked for prior-year adjustment totals and a clearer breakout of capitation, administrative and claims columns as the year progresses.
In enrollment metrics, the committee noted MERP enrollment is up to about 80 participants, compared with roughly 70 the prior year.
Committee members asked staff to monitor adjustments and trends through Q1 and Q2 and to provide contract documents and last year’s adjustment history if any anomalous adjustments appear on a year‑to‑date basis. The committee placed the reports on file.
