TO: The Honorable Board of County Commissioners
THROUGH: John A. Titkanich, Jr., County Administrator
FROM: Suzanne M. Boyll, Human Resources Director
DATE: March 10, 2026
SUBJECT: Group Health Insurance Update March 2026
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BACKGROUND
On June 3, 2025, the Board of County Commissioners BOCC approved the County’s group insurance program for the plan year October 1, 2025 through September 30, 2026. During this meeting there was discussion regarding projected plan performance and the potential impact of the increased cost related to GLP-1 for weight loss. It was noted that under the new pharmacy PBM, Rightway, GLP-1 weight loss medications would require prior authorization criteria for BMI and co-morbidity to be met in order to be covered under the plan. Ultimately, there were no changes made to the group health plan, there were no increases in group health plan premiums, and it was determined staff would continue to monitor plan financials and report back to the Board.
At the January 13, 2026, BOCC meeting, information was reviewed with the BOCC reflecting the group health insurance plan performance through the plan year October 1, 2024, through September 30, 2025. The financials reflect the plan ended the year with a $2.5M deficit. Staff notified the BOCC that an update regarding plan performance would be provided in March 2026 with the most recent financial information for the current plan year.
The County has received the updated financial reporting for the first quarter of the current plan (FY26 Q1) October 1, 2025, through December 30, 2025. For FY26 Q1, the loss ratio is 131.7% and represents a deficit of $2M.
For FY26 Q1, total medical claims were $5.6M and there were ...
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