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District health-plan manager reports rare January credit, adjusted loss ratio of -7%
Summary
Mr. Perez told the St. Mary Parish School Board that January's group health report showed a 90.9% medical loss ratio and an unusual nearly $1.22 million credit, producing a year-to-date adjusted loss ratio of negative 7%; he said Blue Cross would not release claim details and he speculated a 2024 subrogation/Medicaid recovery.
At the March 5 St. Mary Parish School Board meeting, Mr. Perez, who presents the district's group health plan financial reports, said January's results showed a medical loss ratio of 90.9% and an unusual credit recognized in January that reduced the adjusted year-to-date loss ratio to -7%.
"You received a nearly $1.2 2 million credit in January," Mr. Perez said, adding that Blue Cross would not release details about the claim. He told board members he suspected the adjustment resulted from a large 2024 claim and likely involved subrogation with Medicaid, but he did not provide specifics and explicitly declined to speculate beyond that.
Mr. Perez opened the floor for questions and said this level of credit and adjusted loss ratio is not something the district should expect each month. No formal board action was taken; this item was presented as an informational financial update.
