HomeMy WebLinkAbout4-28-26 Quarterly Financial Status UpdateCity of Meridian Employee
Benefits Plan Trust
April 28, 2026
Quarterly Report and Financial Status
•i go.
EMPLOYEE BENEFITS PLAN TRUST
C�iY OF Mi RlDik,
Quarter 4 Status
As of December 31, 2025
RECONCILIATION OF SURPLUS
1. Total surplus, beginning of year ................................
2. Totai Net gsinl(lass)................................................
3. WrRe-ins for changes to surplus (Additional paid in,
Surplus Notes, etc.)
a. Additional employer surplus. ......... .................
b.
C.
4. Total surplus, end of quarter (lines 1 through 3c) -.,.
Column 'I
Current
Year to Date
Column 2
Prior Year End
$
2.169,084
$
2,741_147
1,083,5m
582, 053
a.
1.514,173
a.
0
b.
D
b_
0
c.
0
C.
Q
$
2,589,727
S
2.159 084
Quarter 4 Status
As of December 31, 2025 — End of 2025 Quarter 4
ADEQUACY OF SURPLUS
1_ Total' surplus, end of quarter (line 4 above)
2. Minimum required surplus" ..................................
3. Excess (deficient) reserves (line 1 minus line 2)
Column 1
Current Year to
Date
Column 2
Prior Year End
$ 2,589,727
$ 2.159,084
2,243,701
2,271,459
$ 346,026
112,375
February 2026 Utilization
Medical and Pharmacy Claims (PEPM, compared to prior year):
• Medical and Pharmacy: Down 15%
• Medical claims: Down 23%
• Pharmacy: Up 5.5% PEPM
Large Claim Activity:
• 2 high -cost claimants exceeding $56,250
*2 months of the current plan year compared to the full prior plan
February 2026 Utilization
Net Loss Ratio:
• The net loss ratio has improved to 89%
Rolling 12-Month Costs:
• Total costs: Up 1.3%
• Total Claims: Up 4.9%
• The primary cost drivers include:
• Outpatient services
• Specialty and injectable pharmacy drugs
City of Meridian
44 E ] L F p H I
PP10R PLAN YEAR E%PEALENCE
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$ 711,402
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$ 5.307 3 -
4 700.071
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CURRENT PLAN MAR EXKAIENCE
City of Meridian Current Plan Year, Jan 2026- Feb 2026
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-1.S%
23,271
S.S%
-1104%
43,0%
NA
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16.d%
-11.R%
16.1%
Fueearir rout rose 64% 25% 89% 4% a% a5't 151%
l}6M
U.6 M i
$1.4 H
51.7 M
J1.9 M
$0.2" ara
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#a.7 M
$0.4 M
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COMEBT Surplus and IBNR Requirements
$6,00U00
$5, 000,000
$4,000,000
$3, 000,000
$2, 000,000
$1, 000,000
$0
Dec-21 Mar-22 Jun-22 Sep-22 Dec-22 Mar-23 Jun-23 Sep-23 Dec-23 Mar--24 .tun-24 Sep-24 Dec-24 Mar-25 Jan-25 Sep-25 Dec-25 Mar-26 Jun-26 Sep-26 Dee 26
Total Required IBNR lArumum Required Surplus —Actual Assets Maximum Desired
Idaho State Code
Chapter 40 Title 41
• (1)(c) If future claims payments plus future costs of operation are greater
than future contributions plus current reserves, there shall be a reserve in
an amount equal to future claims payments plus future costs of
operation, less future contributions, less current reserves
• (7) The trust fund shall maintain the minimum surplus requirements at all
times throughout the year
Required to maintain adequate surplus on a monthly basis.
Terms
"Bench marking" = Are we competitive?
• Conducted annually by Gallagher Benefits Broker
"Actuarial review" = Are our numbers sound?
• Conducted annually by Gallagher Actuaries
"Market check" = Can we do better?
Done as needed, last conducted in 2019
Market Check
A market check gives us the intelligence of an RFP without the
disruption, cost, and risk of resetting a high -functioning plan.
What a Market Check Does Well:
• Tests competitiveness of admin fees, stop -loss rates, and network
discounts
• Validates assumptions (trend, claims performance, vendor
margins)
• Applies pressure on current vendors to sharpen pricing and
service
• Targets specific levers (stop -loss, PBM, TPA fees) instead of
Full RFP
Why a Full RFP Is Not the Right Fit:
• Requires a formal procurement/public bid process, which can
invite proposals from vendors that are not realistic options
• Limits collaboration with carriers and TPAs during the process,
reducing dialogue, questions, and negotiation
• Creates lengthy questionnaires and administrative work on issues
our team already understands
• Because the Trust is separate from the City, a procurement -style
RFP is not the best fit for this review
Recommendation
Market Check: A scalpel — Focused, efficient, and data -driven
We can demonstrate due diligence through actuarial validation and
targeted market testing without exposing the plan to unnecessary
disruption
A market check keeps us honest with the market
Questions?