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Germantown district recommends Sirius America stop‑loss renewal as health claims spike
Summary
District staff recommended renewing stop‑loss insurance with Sirius America (Peru) at a proposed specific premium of $1,130,726 for the 2025–26 plan year after recent large prescription and medical claims raised plan exposure. Staff said other carriers quoted higher premiums plus large "lasers" on high‑cost claimants, making them less attractive.
District consultants and staff briefed the Germantown Board of Education on Aug. 12 about a stop‑loss renewal for the district’s self‑insured health plan, recommending renewal with Sirius America Insurance (through Peru) at an all‑in specific premium of $1,130,726 for the 2025–26 plan year.
Why it matters: The district is self‑insured and faces large, unpredictable individual claims (staff described nine members with claims above the district specific deductible). Stop‑loss insurance caps the district’s exposure for an individual claimant at a set amount ($125,000 in staff presentations) and protects the plan from otherwise catastrophic single‑case costs.
What staff reported: Lucent Health, the…
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