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3 <br /> Enrollment Comparison <br /> Total enrollments have increased 2.7% compared to January 1, 2024, enrollments. Further, <br /> overall enrollment in employee only plans, which are 100% County funded, has increased the <br /> most (18%) since 2022 contributing to increases in the County's funding liability. <br /> EE+Children EE+Spouse EE only EE Family TOTAL %change #change <br /> 1/1/2022 226 68 657 63 1,014 <br /> 1/1/2023 208 69 723 63 1,063 4.8% 49 <br /> 1/1/2024 216 61 755 72 1,104 3.9% 41 <br /> 1/1/2025 215 71 778 70 1,134 2.7% 30 <br /> Rate Renewal Recommendation <br /> An actuarial analysis conducted by the North Carolina Health Insurance Pool recommends an <br /> increase of six percent (6%) to adequately meet projected funding needs necessary to cover <br /> projected total plan costs for FY 2025-26 and to increase reserve levels to the targeted two times <br /> the expected IBNR liability. <br /> Further, the Manager recommends that the employee contribution remains at current rates. This <br /> means that the County will absorb an additional 0.5% of the premium increase, increasing the <br /> total rate increase to 6.5%. This equates to an increase of $937,420 to fund the County share of <br /> health insurance plans for employees and pre-retirees. <br /> FY 2025-26 Health Insurance Rate Renewal <br /> Fiscal Year Rates Monthly Cost Annual Cost Employee Employer <br /> Contribution Contribution <br /> Current Rates with <br /> 2025 Employer Increase $1,320,858 $15,850,290 $1,428,421 $14,421,850 <br /> Only (Renewal) <br /> Current Rates with <br /> 2026 Employer Increase $1,398,976 $16,787,710 $1,428,421 $15,359,270 <br /> Only (Renewal) <br /> Net Increase $78,118 $937,420 $0 $937,420 <br /> NCHIP Participation <br /> The Manager recommends continuing membership with NCHIP. Gross claims have increased <br /> significantly and many of these claims have been subsidized by the North Carolina Health <br /> Insurance Pool risk sharing. The risk sharing within NCHIP has been very beneficial to the <br /> County's ability to mitigate high renewal rates based on the impact of large claim increases and <br /> repeating high claimants. Reinsurance costs would be considerably higher outside of NCHIP due <br /> to the County's recent years' claims experience. <br /> Dental Insurance <br /> The County provides dental coverage for active employees. A four percent (4%) rate increase is <br /> recommended for FY2025-26 which equates to an increase of $28,395 to cover claims and <br /> administrative fees. <br />