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County hears health-plan losses, PBM review continues; HSA changes deferred
Summary
Houchens Insurance presented Nov. 2025–June 2026 financials: net total claims ~$2.89M, maximum claims ~$3.21M, loss ratio about 90% (target 80%); county staff will continue Pharmacy Benefit Manager (PBM) proposals review and maintain current plan design for 2027.
Max Bawel of Houchens Insurance Group presented a financial summary for the county employee health plan covering November 2025 through June 2026: fixed costs $672,151; net total plan claims $2,892,306; maximum claims $3,210,048; and an estimated loss ratio of about 90% (the target is 80%). Bawel also said the Dubois County Clinic six-month spend was $54,321.90 and estimated clinic savings at $113,428.39.
Bawel and staff are evaluating Pharmacy Benefit Manager (PBM) proposals; three vendors — TrueScripts, Med One and Smith Rx — remain under consideration. Discussion of offering Health Savings Accounts (HSA) appeared in an employee survey, but the board reached consensus to continue the current plan design for 2027. The PBM selection and any plan-design changes will be brought back to the board in future meetings.
