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AGENDA ITEM REVIEW FORM |
3.A.
Special Employee Benefit Trust Board Meeting - CANCELLED
- Meeting Date:
- 05/06/2026
- Department Head:
- Adela Cortez
- Submitted By:
- Maria Barajas Gutierrez, Human Resources Coordinator, Human Resources Department
ITEM:
Discussion and review on any and all matters regarding the Employees' Health Benefits Plan. (Dave Madden, Employee Benefits Consultant for CBIZ Benefits & Insurance Services, Inc)
SUMMARY:
This presentation provides an overview of the Employees’ Health Benefits Plan performance during Fiscal Year 2025-26, along with the proposed renewal and funding projection for Fiscal Year 2026-27.
During the current fiscal year, the plan experienced several high-cost claims that significantly impacted the renewal cost of Stop Loss Insurance. To date, three claims have exceeded the policy deductible of $100,000, with one potential claim expected to trigger a Stop Loss Laser set at $1 million.
During the current fiscal year, the plan experienced several high-cost claims that significantly impacted the renewal cost of Stop Loss Insurance. To date, three claims have exceeded the policy deductible of $100,000, with one potential claim expected to trigger a Stop Loss Laser set at $1 million.
For FY 2026–27, projected total claims are approximately $3,304,149, with fixed costs of $1,384,723, resulting in a total funding requirement of $4,688,872. To meet the projected funding needs, a 9.29% increase in funding rates is recommended.
Additionally, it is recommended to expand medical and dental benefits on the Mexico Plan. The proposed coverage will include:•Dental
•Increase Annual Maximum benefit from $1,125 to $1,500
•Consider adding adult orthodontic coverage.
•Medical
•Expand Nutrition services beyond the minimum requirements mandated by the ACA.
•Include a referral requirement and visit limits.
•Maximum of 15 visits per calendar year.
RECOMMENDATION / SUGGESTED MOTION:
ITEM FOR DISCUSSION ONLY. NO ACTION REQUIRED.