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Rocky Mount reviews switch to Blue Cross stop‑loss block after Aetna proposes $1.3 million laser
Summary
A city consultant told the council a competitive bid removed an Aetna $1.3 million individual 'laser' and produced a Blue Cross stop‑loss option with a rate cap, no‑new‑laser protection and a custom refund provision; staff said administrative billing can be handled and the net premium effect is roughly neutral.
Rocky Mount city officials heard a presentation on December council that a competitive bid could shield the city from a high‑cost individual claim exposed by Aetna's renewal proposal.
Mark, a Mark 3 representative, told the council Aetna's original renewal included about a $1,300,000 "laser" — "what a laser is, it's a pooling level for an individual," he said — but subsequent bids from Cigna, UHC and Blue Cross removed that laser and produced a comparable premium. He said Blue Cross's stop‑loss arrangement would place the city in a roughly $35–40 million block of business…
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