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Consortium hears USI: medical plan at roughly 105% of expected costs for 2025

County of Cayuga Health Insurance Consortium Board of Directors · January 22, 2026
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Summary

USI told the board the medical plan ran at about 105.0% for 2025, with year-to-date net paid claims of $30,211,846; net claims per employee rose about 12.6% and membership increased by roughly 78.

USI consultant Zachary Zuckerman presented the board with a medical-claims update showing the consortium—s medical plan ran at about 105.0% for 2025, with year-to-date net paid claims of $30,211,846. "Medical plan is running at about 105.0% for 2025," the presentation noted, and staff reported net claims per employee have increased about 12.6% year over year.

Zuckerman told the board the plan currently has approximately 12 large claimants (one of whom has termed) and that two of those claimants have hit the stop-loss threshold, including the termed claimant. Board members asked clarifying questions about trends and drivers; the figures were presented as part of the packet attached to the minutes.