We cost 14% less than other public health plans in Texas - but how do we know that?
In 2023, TRS contracted the Milliman Group to do a statewide study on how TRS-ActiveCare compares to non-participating school employers.
About the Study
Who
Every Texas Education Service Center (ESC) region covered
-
Collected all plan information from 179 health plans across 127 public employers
> Coinsurance, deductible, copays, member contribution, employer contribution = Total Costs
- 57% of employees in non-participating employers were captured
What
All TRS-ActiveCare plans except AC2 compared to all available plans offered by other employers. This was averaged across all tiers.
![](/themes/custom/trs/images/process.jpg)
How
Milliman compared the total cost of care per month, including premiums:
How much employee pays +
How much employer contributes +
How much average employee pays for care after premium = TOTAL COST
To standardize costs in plans that excluded specialty drugs, 10% was added to the total costs.
Study Results
Click on your ESC region to see the average total monthly costs for employees on:
- TRS-ActiveCare after federal funding was applied to 2023-24 premiums
- TRS-ActiveCare if no additional federal funding was applied to 2023-24 premiums
- Non-participating employers
- City and county employers
![](/themes/custom/trs/images/Region1_Circle.png)
![](/themes/custom/trs/images/Regions_Graphs_Edinburg.png)
ESC dollar amounts of total monthly costs for employees
TRS with funding
Non-participating districts
![](/themes/custom/trs/images/Region2_Circle.png)
![](/themes/custom/trs/images/Regions_Graphs_Corpus Christi.png)
ESC dollar amounts of total monthly costs for employees
TRS with funding
Non-participating districts
![](/themes/custom/trs/images/Region3_Circle.png)
![](/themes/custom/trs/images/Regions_Graphs_Victoria.png)
ESC dollar amounts of total monthly costs for employees
TRS with funding
Non-participating districts
![](/themes/custom/trs/images/Region4_Circle.png)
![](/themes/custom/trs/images/Regions_Graphs_Houston.png)
ESC dollar amounts of total monthly costs for employees
TRS with funding
Non-participating districts
![](/themes/custom/trs/images/Region5_Circle.png)
![](/themes/custom/trs/images/Regions_Graphs_Beaumont.png)
ESC dollar amounts of total monthly costs for employees
TRS with funding
Non-participating districts
![](/themes/custom/trs/images/Region6_Circle.png)
![](/themes/custom/trs/images/Regions_Graphs_Huntsville.png)
ESC dollar amounts of total monthly costs for employees
TRS with funding
Non-participating districts
![](/themes/custom/trs/images/Region7_Circle.png)
![](/themes/custom/trs/images/Regions_Graphs_Kilgore.png)
ESC dollar amounts of total monthly costs for employees
TRS with funding
Non-participating districts
![](/themes/custom/trs/images/Region8_Circle.png)
![](/themes/custom/trs/images/Regions_Graphs_Mount Pleasant.png)
ESC dollar amounts of total monthly costs for employees
TRS with funding
Non-participating districts
![](/themes/custom/trs/images/Region9_Circle.png)
![](/themes/custom/trs/images/Regions_Graphs_Wichita Falls.png)
ESC dollar amounts of total monthly costs for employees
TRS with funding
Non-participating districts
![](/themes/custom/trs/images/Region10_Circle.png)
![](/themes/custom/trs/images/Regions_Graphs_Richardson.png)
ESC dollar amounts of total monthly costs for employees
TRS with funding
Non-participating districts
![](/themes/custom/trs/images/Region11_Circle.png)
![](/themes/custom/trs/images/Regions_Graphs_Fort Worth.png)
ESC dollar amounts of total monthly costs for employees
TRS with funding
Non-participating districts
![](/themes/custom/trs/images/Region12_Circle.png)
![](/themes/custom/trs/images/Regions_Graphs_Waco.png)
ESC dollar amounts of total monthly costs for employees
TRS with funding
Non-participating districts
![](/themes/custom/trs/images/Region13_Circle.png)
![](/themes/custom/trs/images/Regions_Graphs_Austin.png)
ESC dollar amounts of total monthly costs for employees
TRS with funding
Non-participating districts
![](/themes/custom/trs/images/Region14_Circle.png)
![](/themes/custom/trs/images/Regions_Graphs_Abilene.png)
ESC dollar amounts of total monthly costs for employees
TRS with funding
Non-participating districts
![](/themes/custom/trs/images/Region15_Circle.png)
![](/themes/custom/trs/images/Regions_Graphs_San Angelo.png)
ESC dollar amounts of total monthly costs for employees
TRS with funding
Non-participating districts
![](/themes/custom/trs/images/Region16_Circle.png)
![](/themes/custom/trs/images/Regions_Graphs_Amarillo.png)
ESC dollar amounts of total monthly costs for employees
TRS with funding
Non-participating districts
![](/themes/custom/trs/images/Region17_Circle.png)
![](/themes/custom/trs/images/Regions_Graphs_Lubbock.png)
ESC dollar amounts of total monthly costs for employees
TRS with funding
Non-participating districts
![](/themes/custom/trs/images/Region18_Circle.png)
![](/themes/custom/trs/images/Regions_Graphs_Midland.png)
ESC dollar amounts of total monthly costs for employees
TRS with funding
Non-participating districts
![](/themes/custom/trs/images/Region19_Circle.png)
![](/themes/custom/trs/images/Regions_Graphs_El - Paso.png)
ESC dollar amounts of total monthly costs for employees
TRS with funding
Non-participating districts
![](/themes/custom/trs/images/Region20_Circle.png)
![](/themes/custom/trs/images/Regions_Graphs_San Antonio.png)
ESC dollar amounts of total monthly costs for employees
TRS with funding
Non-participating districts
TRS-ActiveCare is competitive in all regions!
When it comes to the total costs of our most popular plan, our total costs are ~$200 per month less than employers outside TRS-ActiveCare.
![](/themes/custom/trs/images/competitive-2024.png)
Since total costs vary by region, each region performs differently...
TRS-ActiveCare outperforms peers in every region.
![](/themes/custom/trs/images/region-costs-2024.png)
*The number of nonparticipating employers included in this study is limited in ESC Regions 3 and 9