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File #: 25-0600    Version: 1
Type: Department Staff Report Status: Agenda Ready
File created: 5/21/2025 In control: Human Resources
On agenda: 6/3/2025 Final action: 6/3/2025
Title: Group Insurance Recommendations for Plan Year 2025/2026
Indexes: Benefits, Human Resources, Insurance
Attachments: 1. Indian River County BOCC Amendment #1, 2. BCBS Contract Comparison, 3. Medical & RX Actuarial Funding Projections FY25-26, 4. Pharmacy Marketing Results, 5. RX Executive Summary of Comparative Value, 6. Pharmacy Disruption Analysis, 7. RX Executive Summary of Comparative Value Removing Weight Loss GLP-1, 8. FSA & COBRA Comparison, 9. Rightway Overview_IRC, 10. Lantern Renewal Amendment, 11. Hospital Indemnity Program Summary, 12. Voluntary Benefits
Related files: 22-0532, 21-0492, 23-0415, 24-0503
TO: The Honorable Board of County Commissioners

THROUGH: John A. Titkanich Jr., County Administrator

FROM: Suzanne Boyll, Human Resources Director

DATE: May 24, 2025

SUBJECT: Group Insurance Recommendations for Plan Year 2025/2026
__________________________________________________________________

BACKGROUND
Indian River County offers a comprehensive group insurance program for our employees and eligible dependents consisting of the below benefits. The Property Appraiser, Tax Collector, Clerk of Courts, and the Supervisor of Elections participate in the group benefits offered to the Board of County Commissioners (BOCC) employees. The Sheriff’s Office also participates in many of the same benefits; however, they offer different dental, vision and voluntary worksite benefits through different carriers.

The group benefit plan is an essential part of the employee benefit package and important to recruitment and retention efforts. The County has engaged the services of a professional benefits consultant, Lockton Companies, to review plan experience and provide recommendations to maintain a benefits package that is:

ü Affordable
ü Competitive
ü Sustainable

Recommendations for the upcoming plan year are summarized below and further detail in the agenda report and attachments.

Medical (TPA) Self Funded
Administrative Services (ASO) provided by BCBS of Florida
BCBS National Alliance Platform. Under current agreement ASO. Fee adjustment 10/1/25 from $46.74 to $48.14 PEPM. BCBS has provided a 4-year renewal proposal to hold this rate for 3 years, provide an additional $50K wellness upon approval by the BOCC, include performance guarantees, continue annual wellness contributions of $50K each October, and a 3% rate adjustment in the 4th year of the agreement would be $49.58 (3%). Recommending renewal proposal with BCBS of Florida.

Pharmacy
RXBenefits Express Scripts (ESI)
Presidential Executive Order issued as well as Florida Prescription Drug ...

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