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IIIA presents annual report to Hayden council, cites $2.3 million in program savings and growth to 6,500 members
Summary
Amy Manning, executive director of IIIA, presented the trust’s annual report to the Hayden City Council, highlighting nearly $2.3 million in savings from new programs, membership growth to about 6,500 covered members, a 16% increase in stop-loss premiums, and expansion of mental-health services.
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Amy Manning, executive director of the IIIA (the trust identified in the presentation as “IIIA”), presented the trust’s annual report to the Hayden City Council on April 22. Manning said IIIA is a self-funded health trust created in 2011 by a group of cities; it covers about 6,500 members including dependents across 14 agencies in Idaho.
Key figures Manning reported: total program savings of nearly $2.3 million from new programs (including telehealth, maternity management, medication infusion programs, digital at-home physical therapy and Rx co-pay assistance); prescription rebates approaching $2 million for the year; a 16% increase in stop-loss premiums (catastrophic insurance the trust is required to buy under Idaho Department of Insurance rules); and 31 members who met the trust’s high-claimant threshold (claims above $100,000) during the plan year. Manning said one very large claim paid nearly $4.2 million and the trust received almost $4.0 million back from stop-loss coverage on that claim.
Manning highlighted utilization and program metrics: telehealth handled 4,185 calls in the year and—she said—avoided about $305,000 in additional urgent-care claims; EAP and mental-health services logged 2,794 EAP visits; the trust provided a first-responder helpline and seven critical incident debriefs; and 30 members received inpatient behavioral-health care last year (11 employees, 3 spouses and 16 children under 26). Manning said the trust’s mental-health program has grown quickly and last year became the largest benefit administered.
Manning said the trustees aim to manage inflation-driven medical trend (Idaho medical/drug inflation was given in the presentation at roughly 6–7.5% annually) and strive over five-year cycles to keep renewal increases below statewide medical inflation. She also described member-facing services: on-site wellness screenings (which identified elevated lipids and skin cancers in prior events), a CPAP/BiPAP program, and regional mental-health wellness teams to improve response times.
Councilors asked several follow-ups; Manning said trust staff will be available locally for questions and will hold the trustees’ quarterly meeting in Hayden the next day. Manning noted website changes and a new enrollment/billing system and encouraged councilors and residents to contact IIIA with benefit questions. No council action was requested or taken on the report.

