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Weslaco officials say single $1.67M claim drove spike in city health costs; commission moves to executive session
Summary
At a Weslaco City Commission workshop April 1, consultant Javier Real told officials a single $1.67 million high‑cost claim and rising GLP‑1 drug use pushed the city’s loss ratio to about 163%, prompting the commission to enter executive session for more details.
Mayor Gonzales opened a workshop on April 1 to review the city’s employee health insurance after staff and consultants presented plan‑year results through February 2026.
Javier Real of Valley Risk Consulting told the commission paid claims rose from about $1.4 million in the Oct. 2024–Feb. 2025 period to roughly $2.37 million in Oct. 2025–Feb. 2026 — a 68.7% increase. Real said one high‑cost claim accounted for roughly $1,671,000 of the year‑to‑date total and described that claimant as the primary driver of the spike. “That's a lot of money,” Mayor Gonzales said after the figure was presented.
Real also reported February adjustments from Blue Cross Blue Shield that produced a negative $114,718 medical line item and a net balance of about negative $67,000 for that month; he said he has asked BCBS for…
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