Self-Insurance Board 10/27/26

The Sumner County Self-Insurance Board meeting on October 27, 2026, covered self-insurance finances, employee health benefits, occupational injury procedures, and EMS tuberculosis testing. The finance director reported that the health plan had approximately $15.44 million in revenue and $13.5 million in expenses for the prior plan year; the casualty fund had about $2.5 million in revenue and $6.5 million in expenses, attributed in part to an unusually large claim. For the first quarter, the reported fund balances were approximately $21.1 million for health, $1.5 million for dental, and $2.9 million for casualty. A consultant provided a quote of $4,466 per employee per month for $500,000 stop-loss coverage—about $35,326 for September—and described historical large claims. The board discussed the information but made no stop-loss purchasing decision. A possible employee shared-savings benefit was identified as a potential general-fund expense and suggested for further analysis through the budget process; no allocation was approved.

The board discussed a former employee’s request for retiree health insurance eligibility, with members favoring further review of the financial and precedent implications and deferring the matter to the next meeting. A consultant will recirculate a proposed rewrite of the on-the-job injury plan, last updated in 1999, for board review; no approval was taken. Members also discussed having the on-site clinic conduct pre-employment TB tests for EMS hires, including cost and testing frequency, but no decision was recorded. The board approved its agenda and elected Commissioner Ivy as chair. No contract award, RFP, or other procurement approval was identified.