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McAllen keeps retiree premiums steady as retiree enrollment falls to 13 post‑65 members
Summary
Staff recommended not increasing retiree premiums after enrollment dropped and warned that a $179 monthly increase would likely drive more retirees off the plan; staff noted only about 13 post‑65 retirees remain enrolled.
Staff told the commission retiree enrollment has fallen significantly, and the recommendation is to hold retiree premiums steady to avoid further attrition. "If we increase the retiree premiums by this amount, which for the retirees would be about a $179 a month more in the premium for them, we will see another significant loss of retirees," Jolie Perez said, and staff cautioned that losing healthier retirees could increase per-member costs for the remaining enrollees.
Presenters explained the retiree population is mostly pre‑65 and that post‑65 retirees do not participate in the Frontier direct primary care benefit. Staff said they meet retirees approaching Medicare eligibility to explain plan value and the reasons the city is not recommending a retiree premium increase this cycle.
