2025 TRS ActiveCare Claims Experience

FY 2025 TRS ActiveCare report shows a 114.5% loss ratio (page 41).

Income – $2,092,030,178. Claims and expenses = $2,397,177,220. “Average premium rate increase of 9.7% assumed for 2027.”

Is TRS ActiveCare still relevant? It was started back in the day before the Affordable Care Act. But now everyone who applies for health insurance in the open market qualifies – no one is turned down and pre-existing conditions are covered. In Texas the individual health insurance market is a pool of 3.4 million Texans.

ICHRA is a competitive alternative for Texas school districts. Yet we don’t see much movement in that direction. Why not?