In a recent government meeting, officials discussed the significant rise in health insurance claims, particularly related to cancer treatments, which have contributed to a substantial increase in insurance premiums. Over the past five years, the district has seen its loss ratio improve, dropping from a high of 120% to nearly half that figure. However, the current claims landscape remains challenging, with $8 million attributed to cancer claims and high claimant individuals.
The discussion highlighted that the claims are not limited to employees but also include spouses and children, leading to long-term financial implications for the district. Comparatively, neighboring districts like Westport have faced even steeper increases, with a 40% renewal rate last year, while Ridgefield has managed to maintain lower increases due to better claims history.
Officials noted that the current trend of high claims is cyclical, with districts experiencing alternating periods of high and low claims. The increase in pharmacy claims, which have surged by 30%, indicates a growing reliance on medication among the insured population.
To address these challenges, the district is exploring various coverage options and has joined a consortium of 14 districts to leverage collective purchasing power. This strategy aims to negotiate better rates with insurance providers, including Anthem, which currently services the district. Despite the efforts, officials anticipate a renewal rate of approximately 12% for the upcoming year, reflecting ongoing financial pressures.