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Davis County sees high health‑plan loss ratio, officials flag costly prescriptions as driver
Summary
County insurance consultants reported a medical loss ratio near 43% for part of 2024, prompting an 8% premium increase and committee concern about high‑cost specialty drugs (including Trikafta) that are driving claims.
At the same Jan. 13 meeting the county’s insurance report — prepared by benefits consultant GBS and reviewed by the county’s insurance committee — showed an elevated medical loss ratio and prompted concern that specialty pharmacy costs could push further premium increases.
Presenters reported a loss ratio of about 43% for the relevant quarters (meaning plan payouts have been unusually high relative to premiums collected) and said the county’s pooled plan historically ran much lower ratios (for…
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