Nacogdoches County Hospital District tells PRB it faces large unfunded liabilities and Medicaid recoupments exceeding $2.8 million

Officials from the Nacogdoches County Hospital District (NCHD) told the Pension Review Board they are conducting multiple reviews and working with legal counsel and actuaries to address significant unfunded liabilities for the hospital district’s retirement plan.

Rhonda McCabe, chief executive officer, told the PRB the district has held six board and retirement-committee meetings since the board’s December 4 session and on Feb. 21 submitted materials responding to PRB questions and earlier staff inquiries. McCabe said the district’s materials explained the retirement committee’s new members and the committee’s processes for reviewing plan options.

McCabe said the district’s legal review concluded that plan documents designate the plan administrator as a fiduciary, and that ERISA duties do not apply to this plan. She also told the PRB that the plan’s written terms allow benefits to be paid only from…