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Vernon Hills weighs joining IPBC to curb rising employee health costs

Village Board of Vernon Hills · July 22, 2025
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Summary

Village staff presented a proposal to join the Illinois Public Benefits Cooperative (IPBC), an intergovernmental insurance pool, showing a preliminary quote that would raise premiums about 4% in year one while promising lower long-term volatility and potential savings from pooled purchasing.

Vernon Hills officials discussed an option July 22 to shift the village’s employee health insurance into a multi-municipality pool run by the Illinois Public Benefits Cooperative, or IPBC, as staff seeks to reduce large year-to-year premium swings that strain the general fund.

David Cook, executive director of the IPBC, told the committee the cooperative is a membership-owned intergovernmental agency that pools claims across municipalities and special districts to improve price stability and purchasing power. “The total package is a 4% increase over your current premiums,” Cook said of the IPBC quote, adding that the cooperative’s five-year trend is lower than many market plans.

Village staff framed the presentation as an information item and not a request for an immediate decision. An unidentified staff member said the quote was “apples to apples” with current plan features and stressed that the board would be asked for a formal decision only after further due diligence and modeling. The staff timeline anticipates an IPBC vote on Vernon Hills’ membership in September and, if the board chooses to proceed, a December 1 plan start after onboarding.

Cook outlined the pool’s size, governance and financial safeguards: the IPBC reported reserves of roughly $220 million, uses Milliman underwriting and said it self-finances stop-loss coverage at a $2 million level. He cited recent contract renegotiations on pharmacy benefit management that produced a 32% reduction in PBM costs for the pool and said that change would yield significant savings; he also described a projected savings figure presented to members of about $80 million over three years tied to those procurement improvements.

Staff and trustees pressed for clarity on benefits networks and plan design. The village’s current health-savings-account (HSA) network, staff said, has a smaller provider footprint that excludes some nearby hospitals and Wisconsin providers used by employees; the IPBC quote used a broader network that would include Condell Hospital, staff noted. Trustee questions focused on the IPBC’s tiering of members by size, how catastrophic claims are allocated, and the short-term risk of pooled membership.

Village manager-level staff emphasized that staff will return with final pricing, alternative models and a recommendation after more analysis. If the board supports pursuing the IPBC option, staff said, the village would complete onboarding steps and present a final recommendation at the board’s September meeting.