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Group Insurance Commission temporarily pends medical claims as supplemental funding shortfall grows

Group Insurance Commission · September 16, 2024
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Summary

The Group Insurance Commission told carriers to delay medical claim payments after reporting a projected fiscal shortfall — about $240 million — while pharmacy claims continued to be paid; commissioners said staff expect the legislature's supplemental to resolve the gap soon.

The Group Insurance Commission (GIC) announced on May 12 that it placed a temporary hold on medical claim payments as staff work through a projected fiscal‑year shortfall and await supplemental funding from the state legislature.

Executive Director Matt told commissioners the GIC has run "unfavorable to budget" this year, citing rising medical and pharmacy claims. He said the commission has averaged a monthly deficit of about $20,000,000, a year‑to‑date deficit of roughly $188,000,000 and now projects a deficiency on the order of $240,000,000 before the end of the fiscal year. With…

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