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October claims spike driven by dependent cases, committee told
Summary
Douglas County School District Health Advisory Committee members were told October 2024 was the largest claims month so far, driven largely by dependent claims of $427,977; total paid claims were $1,139,221 and net plan costs were $1,125,692 for October.
The Health Advisory Committee for the Douglas County School District heard that October 2024 was the largest paid-claims month so far this plan year, with total paid claims of $1,139,221 and net plan costs of $1,125,692.
"October was a pretty big claims month, especially for dependents," Lloyd Barnes of LP Insurance reported, adding that dependent claims for October totaled $427,977. Barnes said employee enrollment was up about 0.12% for 2024 while dependent enrollment was down about 3% compared with 2023. He also reported that the average monthly composite net plan cost per employee was $1,494 in October and that IBNR (incurred but not reported) was estimated at $1,008,326.
Committee members discussed the implications of large dependent claims on plan reserves and stop‑loss tracking; Barnes noted there was one new large claim in October and a total of nine claims exceeding 50% of the stop‑loss deductible. No formal action was taken; members directed staff to continue monitoring large claims and report back as needed.
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