Rosebud County votes to join NACo Healthcare Trust amid rising self-insurance costs

The chair told the board that Rosebud County had operated a self-insured pool for decades but experienced a heavy loss this past year that made continuing as a stand-alone pool unaffordable. The chair said reinsurance for the county was estimated at $900,000 and recommended joining an outside trust to limit the county’s exposure.

"We cannot we cannot afford we cannot take the risk, being self insured pools," the chair said in explaining the need to change the county’s approach. The board moved to join the NACo Healthcare Trust (referred to in discussion as the Mako or Mango trust) and approved the decision by voice vote.

The motion to join the trust passed by voice vote; the transcript shows multiple 'aye' responses but does not include a roll-call tally with names.