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Eau Claire board approves insurance renewal, raises stop-loss and sets July 1 for employee premium increases
Summary
The Eau Claire Area Board of Education voted unanimously to approve its annual health insurance renewal, raising the stop-loss threshold to $250,000 per event, implementing a mail-order specialty-drug requirement, and setting employee premium increases to begin July 1; the administration cited high claims and exception processes through the third-party administrator.
The Eau Claire Area Board of Education voted unanimously to approve the district's annual health insurance renewal, raising the stop-loss threshold to $250,000 per event, adopting a requirement that specialty drugs be accessed through the district's designated pharmacy service (RxValet/Advanced Pharmacy), and setting employee premium increases to take effect July 1.
Dr. Elworthy, who presented the administration's recommendation, said the district has seen unusually high claims this year. "Tonight we're talking about ongoing expenses," he told the board, and described roughly 30 claims that have hit the stop-loss layer so far; he said the stop-loss insurer paid about $2,653,000 for covered procedures…
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