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Clearwater benefits committee: 2021 claims rose, city readies rebid amid 12–15% projection
Summary
The Garen Group told Clearwater’s Benefits Committee that calendar‑year 2021 produced higher medical and pharmacy claims, driven by catastrophic cases and rising drug costs; staff will rebid administration and reinsurance with an early‑August council target as they monitor a projected 12–15% pressure on plan costs.
Sean Fleming of the Garen Group told the Clearwater Benefits Committee on Feb. 9 that the city’s self‑funded health plan finished 2021 with about $19.8 million in net claims and finished roughly $1.6 million better than expected overall.
Fleming explained the plan’s financing: the city sets funding based on projected claims, pays an administration fee (about $935,000 in 2021 to Cigna) and purchases stop‑loss reinsurance that covers individual claims above a $300,000 attachment point. "The city pays the first 300,000 of any individual's…
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