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Martin County School Board moves to seek bids after insurer proposes double-digit medical renewal
Summary
After hearing a stewardship report on the district's 2023–24 health plan, board members directed staff to issue an RFP for medical coverage and to seek flexibility on timeline so carriers can include later claims data.
Don Calderon, the district’s director of risk management and employee benefits, and Dustin Keen, senior benefits consultant with the Garren Group, told the Martin County School Board on Jan. 7 that the district’s health-plan claims are driving a high renewal offer from Florida Blue.
Calderon introduced the presentation and said the district is starting to receive renewal offers for the 2025–26 benefits year. Keen reviewed claims for the July 1, 2023–June 30, 2024 plan year and told the board the plan was up roughly 19 percent last year, “or roughly $3,000,000,” driven mostly by high-cost claimants — defined in the presentation as members with more than $75,000 in claims in a plan year. The number of high-cost claimants rose about 24 percent, and Keen said 61 percent of those members were expected to continue into the current plan year.
Keen said removing high-cost claimants from the calculation…
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