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Board approves 2025 health plan renewal with design changes after broker presentation
Summary
The Jefferson School District board approved changes to employee medical benefits for 2025 after a presentation from benefits broker Al Jaeger of USI outlining plan design options, loss-ratio differences between HRA and HSA plans, and an open-enrollment timeline.
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The Jefferson School District board on Tuesday approved changes to the district’s employee medical plan design for the 2025 plan year after a presentation from benefits broker Al Jaeger of USI.
Al Jaeger told the board the district is offering both an HSA and an HRA option and that the committee recommended a design change to keep employee paycheck premiums near current levels while addressing claims experience. "What's loss ratio? It just means claims to premium," Jaeger said when explaining why the district was seeing different performance across the two plan designs.
Jaeger said the plans showed markedly different loss ratios: the HRA plan running substantially above target while the HSA option produced a lower loss ratio. Board materials and discussion noted an overall medical loss ratio just above 100 percent for the year-to-date period; staff framed the proposed design changes as a way to hold total district cost near a previously budgeted 14 percent increase while shifting some costs and deductible levels.
Board members pressed staff and USI on specifics: whether incentives and wellness programs were being used to lower utilization, how the plan scenarios on slides 9–11 affected employee paychecks, and whether contract terms limited the district’s short-term flexibility. Administration said open enrollment will run Oct. 21–Nov. 1 and that the new plan would begin Jan. 1, 2025. They also noted a carrier contractual penalty (two months' premium) if the district switches carriers before the contract date.
After discussion, the chair read the action to approve the carrier renewal and the board voted by voice; the motion passed.
The board's action authorizes staff to finalize the renewal and proceed with employee open-enrollment communications and one-on-one counseling sessions offered by USI. The administration said it will provide employees with side-by-side comparisons of the HRA and HSA options and details on incentives and expected paycheck impacts ahead of enrollment.

