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Teachers Health Trust reports fiscal recovery, expands $0-copay options and behavioral-health access
Summary
Teachers Health Trust presented a clean FY2025 audit and described a financial turnaround (quick ratio ~1.3), reduced administrative costs (4.7%), and benefit enhancements effective Jan. 1, 2026, including expanded health-investment providers with $0 copays and improved diabetes and behavioral-health programs.
Teachers Health Trust (THT) leaders told the Clark County School District board on March 12 that the plan emerged from recent financial distress and is now solvent with a clean independent audit for the fiscal year ending June 30, 2025.
"The June 30th, 2025 fiscal year audit was conducted by Holzsworth Rouso Company. They issued an unqualified audit opinion," THT Chief Financial Officer Andrew Helms said. He told trustees the trust27s quick ratio is about 1.3 and the plan is debt-free and able to meet benefit obligations.
THT reported an administrative-cost ratio of 4.7% for FY2025, a decline officials said freed roughly $25 million to reinvest in member benefits. Effective Jan. 1, 2026, THT said it rolled out redesigned premium tiers that reduce certain family premiums for some households and launched an enhanced Advantage plan that increases access to "health investment" providers with $0 copays and expedited appointments.
The trust highlighted program results: network expansion, 29,000 unique appointments that saved members about $556,000, and steps to reduce financial barriers for high-cost conditions such as diabetes and oncology. For example, THT said members using six local endocrinology sites in the health-investment network receive waived co-pays for diabetes care and that most insulin-related out-of-pocket costs are limited to about $20 per month.
Trustees pressed THT leaders on network gaps in remote areas and the long-term sustainability of the trust. THT officials said they monitor KPIs (quick ratio, medical-loss ratio, administrative ratio), run monthly financial reports to the district, and conduct provider accountability reviews. They acknowledged risks such as rising drug costs and membership declines and said the board has formal succession and contingency planning in place.
On behavioral health, THT said telemedicine provider MDLive has produced year-over-year utilization gains and that the trust now counts approximately 2,743 behavioral-health providers within the network. Trustees discussed outreach options including QR-code quick links for members and ongoing provider contracting in underserved neighborhoods.
Trustee praise followed the presentation; several trustees described improved member service and increased provider access compared with earlier years. THT said it will continue to report monthly financials and KPIs to the district, refine network access in outlying areas, and pursue additional member-facing improvements.
What to watch: THT leaders emphasized continued monitoring of drug-cost trends, network adequacy in remote parts of the county, and the trust27s ability to sustain the quick-ratio guardrails while investing savings into member benefits.
