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Staff propose trimming insurance subsidy and changing HSA contributions

Mitchell County Board (budget work session) · January 16, 2026
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Summary

County staff proposed reducing the general‑fund contribution to a partial self‑funding insurance plan from $85,000 to $25,000 and adjusting employee HSA contributions and payroll deductions; supervisors asked for time to review the spreadsheet models before deciding.

County staff presented a multi‑page insurance funding model and proposed reducing the general‑fund contribution toward a partial self‑funded insurance plan from $85,000 to $25,000 while adjusting employee payroll deductions and HSA contributions.

"The proposal is put out 25,000," Speaker 2 said while walking the board through the model that included 5‑year averages and projected savings. Staff showed alternative modeling for using a 20–30% contribution benchmark to estimate HSA-related out‑of‑pocket cost sharing and argued the adjustment would better align county contributions with statewide averages used by their broker.

Speaker 2 described detailed payroll deduction changes (moving a $5 deduction and adjusting family plan contributions from $7 to $10 in one scenario) and said the change would produce a modeled budgetary improvement of about $41,006.64 in the funded scenario. Board members asked questions about which ledger accounts would be affected and requested a re‑run of reports once the county finalizes the chosen HSA and partial self‑funding parameters.

Supervisors deferred any formal vote and asked staff to return next week with clarified ledger impacts and a final recommendation.