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Salina approves renewal with Blue Cross Blue Shield for stop‑loss coverage at $200,000 attachment
Summary
The commission authorized renewal of administrative services and stop‑loss coverage for the city's self‑funded health plan, selecting a $200,000 individual stop‑loss attachment level after staff analysis and projected budget impacts; motion passed unanimously.
City staff recommended renewing administrative services and individual and aggregate stop‑loss coverage with Blue Cross Blue Shield of Kansas for the city's self‑funded health and prescription plan. Staff presented two renewal options (individual attachment at $175,000 or $200,000) and projected plan impacts. After review and consultation with the city's consultant, commissioners voted to authorize the city manager to execute the agreement at the $200,000 individual stop‑loss level; staff noted negotiated administrative fee relief would offset part of the increase.
Staff emphasized the renewal options were budgeted and that the recommended choice balances fixed premium costs vs. risk retention. Commissioners asked questions about employee impacts and claims frequency; staff said under 15% of members historically reach their out‑of‑pocket maximum in a given year.
The motion carried 5–0.
