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Horton Group reports favorable loss ratio; Barron County board adopts health‑plan vendor and plan adjustments after closed session
Summary
Horton Group presented an 86.3% year‑to‑date loss ratio for Barron County’s self‑funded health plan; following a closed session the board approved staff recommendations on stop‑loss and benefit‑design changes that staff said would save roughly $48,900.
Tim Deaton of the Horton Group briefed the board on the county’s self‑funded health insurance program, reporting favorable year‑to‑date results and outlining options for stop‑loss renewal and plan adjustments.
Deaton said the year‑to‑date loss ratio was 86.3% and that, when accounting for outstanding reimbursements, the adjusted loss ratio was near 83%; he also reported roughly $2.094 million in stop‑loss reimbursements year‑to‑date and noted ongoing stop‑loss marketing and specific stop‑loss considerations that would be discussed in closed session.
After convening in closed session under Wis. Stat. §19.85 to deliberate negotiations and personnel/financial matters, the board approved staff recommendations to adopt Anthem as the medical administrator at a $100,000 specific stop‑loss attachment point and to proceed with the recommended prescription/medical plan changes the presenters said would yield approximately $48,900 in annual savings. Staff also said the emergency‑room cost share would change to $3.50 after the deductible (from a prior $200 after deductible structure as presented in the packet). The motion to adopt those changes (mover: Randy; seconder: Pete) passed on voice vote following closed session.
Next steps: staff will implement the plan changes as directed and provide final contractual documents and any necessary member notices.
