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Benefits report: medical claims fall while dental plan shows year-to-date loss
Summary
Staff reported the district's medical plan produced a monthly gain and that medical claims are about 22.6% lower year-over-year; the dental plan posted a small monthly gain but remains down $15,395 year-to-date.
A benefits presenter told the Finance Operations Committee that the district's medical plan produced a monthly gain and that medical claims are substantially lower than a year earlier.
The presenter reported roughly 1,118 participants in the medical plan, including about 433 on the retiree Medicare Advantage option. Monthly medical-plan revenue and costs produced a net gain for the month; staff highlighted that medical claims are now about 22.6% lower than at the same time last year, which staff described as a favorable trend for plan sustainability.
On dental coverage, presenters said there were about 1,028 participants. Monthly dental revenue of approximately $75,420 and costs of about $68,189 produced a monthly gain of $7,231, but year-to-date the dental plan showed a loss of $15,395 and dental costs were reported down about 3.3% compared with the prior year.
Committee members asked whether these figures included one-time items; staff did not identify any in the discussion. Where the transcript contained unclear numeric digits, this article reports amounts as staff described them but notes that some transcript values were garbled and should be validated against official documents.
