TRS ActiveCare Update

Districts of Innovation offering competing health plans have impacted TRS membership this year. Market intelligence tells us one of the new competing health plans has captured approximately 12,000 employee lives with a total of 17,000 members………….

Notes from power point in the minutes of the TRS ActiveCare board meeting of 9 December 2020:

  • Membership has dropped from approx. 495,000 in 2018 to 470,000 in 2020 (5%). “Districts of Innovation that are offering competing coverage impacted membership.”
  • New Primary Plans represent 43% of total enrollment. TRS ActiveCare Primary employee only rate is $386 (24% of total enrollment) while the TRS ActiveCare Primary+ employee only rate is $514 (19% of total enrollment)
  • High deductible plan represents 46% of total enrollment. Employee only rate is $397
  • Plan expenses expected to increase approx. 25% from 2020 to 2025 (5% per year)

FROM MINUTES:

“Receive an update on the administration and performance by TRS-Care and TRS-ActiveCare:”

“Ms. Katrina Daniel began by providing an update on TRS-Care. She stated in February new vendors that were selected for all plans. She reported they are working with vendors to get ready for the new plan year. ActiveCare began on September 1 and new vendors for TRS-Care begins on January 1. She also reported beginning in October virtual information sessions will be offered.”

“Ms. Daniel reviewed enrollment experienced in ActiveCare. She said of the two new plans created in ActiveCare took 40 percent of the membership with a slight decrease in enrollment in the high-deductible plan.”

“Ms. Daniel noted the new plans were in response to members and administrations issues with the high-deductible hurdle.

Ms. Daniel provided an update on the ActiveCare fund balance. She said the fund was managed on a year-to-year basis. She noted they were projecting carrying forward $158 million balance going into 2021. She stated previously they were projecting a carry forward of $185 million.”

 

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