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St. Louis County to raise 2026 medical premiums after claims spike; changes to plan cost‑sharing recommended
Summary
County staff recommended and the board moved forward a 10% increase to 2026 medical premiums for the county’s self‑insured plan and proposed plan‑design changes (higher deductibles and increased pharmacy coinsurance) to address claims trends and a reduced fund balance.
Deputy Administrator Gottscheld briefed the board on the county’s self‑insured medical and dental plans and recommended a 10% increase in medical premiums for 2026. Gottscheld said the county moved from several years of 0% increases to a recent sequence of higher claims that reduced the fund balance; the county adopted a midyear increase earlier in the year and now recommends another 10% adjustment.
Staff proposed plan‑design…
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