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WCPS officials cite rising specialty drug costs and GLP‑1 prescriptions as drivers of self‑insurance deficit; board told plan design changes and 10% premium are
Summary
District staff told the board the WCPS self‑insurance fund faces a projected $2.5M deficit driven by rising medical claims, notably specialty biologics and a surge in GLP‑1 prescriptions; consultants recommended clinic reliance, plan‑design changes and a proposed 10% premium increase.
Washington County Public Schools’ finance and benefits team briefed the board on its self‑insurance fund, attributing recent deficits largely to a rise in specialty pharmaceutical costs and a recent surge in GLP‑1 weight‑loss medication claims.
Chief Operating Officer Jeff Pru told the board the district uses a self‑insured model and Cigna as its third‑party administrator. Pru said total medical claims climbed from roughly $51 million to nearly $79 million over a six‑year period and that per‑member‑per‑year (PMPY) costs have risen from about $5,009 to a projected $8,005. “The planned fund balance is projected to be at a deficit of about 2 and a half million at the end of this fiscal…
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