Central Government & GERS Group Health Projected Budget — October 1, 2025

Collection: Hearing Records
Sub-shelf: Comm of The Whole
Kind: Hearing Record
Entity: Legislature of the Virgin Islands
Date: 2025
Type: Presentation
Pages: 2
Text: Native Text

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Government of The Virgin Islands of the United States Central Government & GERS Group Health Projected Budget Fiscal Year: October 1, 2025 - September 30, 2026 SCENARIO 2 Plan Coverage Type Enrollment 2024-2025 Estimated FY Total Premium 2024-2025 Estimated FY Employer Share 2024-2025 Estimated FY Employee Share 2025-2026 Projected FY Total Premium 2025-2026 Projected FY Employer Share 2025-2026 Projected FY Employee Share Employee 3,208 40,040,770 $ 29,630,170 $ 10,410,600 $ 47,047,905 $ 34,815,450 $ 12,232,455 $ Family 3,729 81,378,453 $ 60,220,055 $ 21,158,398 $ 95,619,682 $ 70,758,565 $ 24,861,117 $ Employee 3,037 743,430 $ 498,098 $ 245,332 $ 766,025 $ 513,333 $ 252,692 $ Family 3,687 2,303,620 $ 1,543,426 $ 760,195 $ 2,373,534 $ 1,590,534 $ 783,001 $ Basic 7,855 95,200 $ 95,200 $ - $ 95,200 $ 95,200 $ - $ Voluntary 5,810 2,179,650 $ - $ 2,179,650 $ 2,179,650 $ - $ 2,179,650 $ Spouse 1,154 113,945 $ - $ 113,945 $ 113,945 $ - $ 113,945 $ Child(ren) 2,558 20,566 $ - $ 20,566 $ 20,566 $ - $ 20,566 $ Employee 4,571 217,214 $ - $ 217,214 $ 217,214 $ - $ 217,214 $ Family 3,654 457,773 $ - $ 457,773 $ 457,773 $ - $ 457,773 $ 127,550,622 $ 91,986,949 $ 35,563,673 $ 148,891,494 $ 107,773,081 $ 41,118,413 $ 21,340,872 $ 15,786,132 $ 5,554,740 $ 16.7% 17.2% 15.6% Retiree 833 13,478,606 $ 9,974,169 $ 3,504,438 $ 15,837,363 $ 11,719,648 $ 4,117,714 $ Retiree Dependents 398 6,439,958 $ 4,765,569 $ 1,674,389 $ 7,566,951 $ 5,599,544 $ 1,967,407 $ Family 464 13,418,880 $ 9,929,971 $ 3,488,909 $ 15,767,184 $ 11,667,716 $ 4,099,468 $ Over 65 Medical Medicare Advantage 6,499 25,754,757 $ 16,998,140 $ 8,756,617 $ 25,754,757 $ 16,998,140 $ 8,756,617 $ Retiree 5,783 1,415,678 $ 948,505 $ 467,174 $ 1,458,704 $ 977,515 $ 481,189 $ Family 2,195 1,371,469 $ 918,884 $ 452,585 $ 1,413,092 $ 946,930 $ 466,162 $ Basic 8,279 332,807 $ 332,807 $ - $ 332,807 $ 332,807 $ - $ Voluntary 6,514 8,460,829 $ - $ 8,460,829 $ 8,460,829 $ - $ 8,460,829 $ Spouse 1,418 605,155 $ - $ 605,155 $ 605,155 $ - $ 605,155 $ Child(ren) 487 3,913 $ - $ 3,913 $ 3,913 $ - $ 3,913 $ Retiree 872 41,437 $ - $ 41,437 $ 41,437 $ - $ 41,437 $ Family 247 30,944 $ - $ 30,944 $ 30,944 $ - $ 30,944 $ 71,354,435 $ 43,868,044 $ 27,486,391 $ 77,273,137 $ 48,242,300 $ 29,030,837 $ 5,918,702 $ 4,374,255 $ 1,544,446 $ 8.3% 10.0% 5.6% 198,905,056 $ 135,854,993 $ 63,050,064 $ 226,164,631 $ 156,015,380 $ 70,149,251 $ 27,259,574 $ 20,160,387 $ 7,099,187 $ 13.7% 14.8% 11.3% Notes: A. Projected Budget assumes Maximum Premium Rates Negotiated in GESC RFP No. 2023-01. B. Over 65 Medical is 9-months of the fiscal year (effective January 1, 2026). 1. Estimated FY Total Premium may vary based upon actual enrollment for the remainder of current Fiscal Year & proposed Fiscal Year. 2. Costs account for Senate funded subsidies of member contributions for FY2019-2020; FY2020-2021; FY2021-2022; FY2022-2023; & FY2023-2024 TOTAL - Active Employees & Retirees $ Amount Increase/(Decrease) % Amount Increase/(Decrease) Dental Life Vision TOTAL - Retirees $ Amount Increase/(Decrease) % Amount Increase/(Decrease) Vision TOTAL - Active Employees $ Amount Increase/(Decrease) % Amount Increase/(Decrease) Retirees Under 65 Medical ASSUMES GOVERNMENT & EMPLOYEES SHARE INCREASE NO CHANGES Active Employees Medical Dental Life Government of The Virgin Islands of the United States Central Government & GERS Group Health Projected Budget Fiscal Year: October 1, 2025 - September 30, 2026 SCENARIO 4 - BOARD RECOMMENDATION Plan Coverage Type Enrollment 2024-2025 Estimated FY Total Premium 2024-2025 Estimated FY Employer Share 2024-2025 Estimated FY Employee Share 2025-2026 Projected FY Total Premium 2025-2026 Projected FY Employer Share 2025-2026 Projected FY Employee Share Employee 3,208 40,040,770 $ 29,630,170 $ 10,410,600 $ 43,644,370 $ 32,296,816 $ 11,347,554 $ Family 3,729 81,378,453 $ 60,220,055 $ 21,158,398 $ 88,702,129 $ 65,639,475 $ 23,062,653 $ Employee 3,037 743,430 $ 498,098 $ 245,332 $ 766,025 $ 513,333 $ 252,692 $ Family 3,687 2,303,620 $ 1,543,426 $ 760,195 $ 2,373,534 $ 1,590,534 $ 783,001 $ Basic 7,855 95,200 $ 95,200 $ - $ 95,200 $ 95,200 $ - $ Voluntary 5,810 2,179,650 $ - $ 2,179,650 $ 2,179,650 $ - $ 2,179,650 $ Spouse 1,154 113,945 $ - $ 113,945 $ 113,945 $ - $ 113,945 $ Child(ren) 2,558 20,566 $ - $ 20,566 $ 20,566 $ - $ 20,566 $ Employee 4,571 217,214 $ - $ 217,214 $ 217,214 $ - $ 217,214 $ Family 3,654 457,773 $ - $ 457,773 $ 457,773 $ - $ 457,773 $ 127,550,622 $ 91,986,949 $ 35,563,673 $ 138,570,406 $ 100,135,357 $ 38,435,049 $ 11,019,784 $ 8,148,409 $ 2,871,376 $ 8.6% 8.9% 8.1% Retiree 833 13,478,606 $ 9,974,169 $ 3,504,438 $ 14,691,721 $ 10,871,884 $ 3,819,837 $ Retiree Dependents 398 6,439,958 $ 4,765,569 $ 1,674,389 $ 7,019,574 $ 5,194,490 $ 1,825,084 $ Family 464 13,418,880 $ 9,929,971 $ 3,488,909 $ 14,626,579 $ 10,823,669 $ 3,802,911 $ Over 65 Medical Medicare Advantage 6,499 25,754,757 $ 16,998,140 $ 8,756,617 $ 25,754,757 $ 16,998,140 $ 8,756,617 $ Retiree 5,783 1,415,678 $ 948,505 $ 467,174 $ 1,458,704 $ 977,515 $ 481,189 $ Family 2,195 1,371,469 $ 918,884 $ 452,585 $ 1,413,092 $ 946,930 $ 466,162 $ Basic 8,279 332,807 $ 332,807 $ - $ 332,807 $ 332,807 $ - $ Voluntary 6,514 8,460,829 $ - $ 8,460,829 $ 8,460,829 $ - $ 8,460,829 $ Spouse 1,418 605,155 $ - $ 605,155 $ 605,155 $ - $ 605,155 $ Child(ren) 487 3,913 $ - $ 3,913 $ 3,913 $ - $ 3,913 $ Retiree 872 41,437 $ - $ 41,437 $ 41,437 $ - $ 41,437 $ Family 247 30,944 $ - $ 30,944 $ 30,944 $ - $ 30,944 $ 71,354,435 $ 43,868,044 $ 27,486,391 $ 74,439,513 $ 46,145,433 $ 28,294,080 $ 3,085,078 $ 2,277,389 $ 807,689 $ 4.3% 5.2% 2.9% 198,905,056 $ 135,854,993 $ 63,050,064 $ 213,009,919 $ 146,280,791 $ 66,729,128 $ 14,104,862 $ 10,425,798 $ 3,679,065 $ 7.1% 7.7% 5.8% Notes: A. Projected Budget assumes Maximum Premium Rates Negotiated in GESC RFP No. 2023-01. B. Over 65 Medical is 9-months of the fiscal year (effective January 1, 2026). 1. Estimated FY Total Premium may vary based upon actual enrollment for the remainder of current Fiscal Year & proposed Fiscal Year. 2. Costs account for Senate funded subsidies of member contributions for FY2019-2020; FY2020-2021; FY2021-2022; FY2022-2023; & FY2023-2024 TOTAL - Active Employees & Retirees $ Amount Increase/(Decrease) % Amount Increase/(Decrease) Dental Life Vision TOTAL - Retirees $ Amount Increase/(Decrease) % Amount Increase/(Decrease) Vision TOTAL - Active Employees $ Amount Increase/(Decrease) % Amount Increase/(Decrease) Retirees Under 65 Medical ASSUMES GOVERNMENT & EMPLOYEES SHARE INCREASE MEDICAL PLAN CHANGES WITH HRA Active Employees Medical Dental Life