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EXHIBIT A
<br />August, 29, 2022
<br />C=, OF PARIS
<br />PO BOX 9037
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<br />TFILFLIF171TUVIber. As a Memuer ol ine fool, you join,1714i more man YOU lexas, cities ana political s
<br />maxinuzkng your purchasing power to make benefits affordable, and pro%idmg the support you need to make
<br />benefits, easy for you and your employees,.
<br />It's time tij nraew ytur emjUyee I*nefit civexLe with TXT_ Hviltkwct we we kere itU�4- yug 1&12
<br />p1mi that fits your budget.
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<br />You may notice that we have made some changes to our renewal form. The changes are designed to give
<br />you a view, of all your current benefit options and to accurately capture your selections. If you Deed
<br />assistance completing your renewal, that -s where, your Account Executive., Sin on E Caldwell comes in.
<br />Shannon E Caldwell wifl be reaching out to you shortly to answer any of yourqu n regarding estio s the
<br />renewal titneline and to help you, accurately designate your elections. If you do not have or are interested
<br />in changing your ancillary coverage such as dental or vision, please contact Shaimon E Caldwell at 512-
<br />719-6714-
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<br />as soon ,:.,l1 bno later than 10,10 1�2022.
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<br />more clearly see its inVact on Texas- Although we are currentIN seeing cases dip, we are, still receiving
<br />hospital bills from the Delta surge and Ornicron surg
<br />,e. Health insurance rates are rising, across the notion
<br />because of COVID. it is impm-tant to, notei that while ciries and mrinicipalities were eligible to receivejederal
<br />COPW reheffwids, TML Health has not received mol� state arfederal dollars to help offset the moi -e than
<br />S151 Million that tile P001ha's spent on COTID and COTID noandates since the beginning o
<br />, frhepandwnic.
<br />The Pool's medical claims went tip 25% over the past year, largely driven by long-tenn hospital stays for
<br />severe COVID cases.
<br />As you may recall, the Board of Trustees voted to absorb all COVID costs from the Pool's reserves up until
<br />the vaccines because widely available last year. So far, the Pool has paid over S 15 Million, in CONTID claims
<br />from the Pool's reserves. However, this year TN4L Health members will begin to see COVID claims in your
<br />loss ratio, and therefore in your rates, for the first time since the pandentic began.
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<br />The Pool is continuing, to cover all COVID testing at 100% as required by federal law. The la,w also requires
<br />us to cover related tests such as strep or flu at 100%, when administered at the same. time as a COVID test.
<br />These factors, along with the federal mandate to cover at-home COVID tests at 100%, are causing a rise in
<br />testing costs, pushing the overall impact of COVID on rates even higher.
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