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County health fund strained after TPA chargebacks; officials consider benefit changes for FY27

Union County Board of Commissioners · March 12, 2026
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

Union County said a prior TPA underreported claims leading to about $5 million in chargebacks; rising specialty‑drug costs (notably GLP‑1 drugs) and increasing utilization forced a drawdown of the health fund and will prompt consideration of plan‑design changes and a fund replenishment plan for FY27.

County staff told commissioners that a prior third‑party administrator underreported paid and pending claims, producing roughly $5 million in chargebacks that reduced the county’s health fund. Staff said the county is self‑insured and bore the cost when denied claims processed during the TPA run‑out converted to paid claims.

Officia…

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