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Brokers say partial self-funding could save Jay County on health claims; commissioners table decision

Jay County Commissioners · August 26, 2024
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Summary

USI representatives presented an analysis of PHP claims (2020–2024) suggesting partial self-funding may have yielded historic savings and could save an estimated $180,000 annually; commissioners voted unanimously to table a decision pending further review and broker comparisons.

Representatives from USI, Tom Schweistal and Alex Dickman, presented data to Jay County commissioners on Aug. 26 suggesting the county could reduce health plan costs by moving to a partially self-funded model while keeping the PHP network. Using PHP claims data from 2020–2024, USI estimated the county would have been better off as a self-funded plan in previous years and projected roughly $180,000 in annual savings going forward (about $700,000 over five years) while noting stop‑loss exposure could reach $1.2–1.5 million in a worst‑case year.

Dickman explained the county’s 2023 medical spend of about $1.35 million with $700,000 in claims indicated a 56% loss ratio, a signal that self‑funding could produce savings. He described the proposal as a partially self‑funded arrangement that would keep the county with PHP’s network and carrier while shifting claim risk subject to a stop‑loss cap; USI requested permission to act as the county’s broker to pursue specific numbers with PHP.

Commissioners and Auditor Emily Franks asked for time to consult the county’s current broker and obtain comparative proposals. Commissioner Rex Journay moved to table action on USI’s presentation; Brian McGalliard seconded and the motion passed unanimously.