Primary Department: Management and Budget
Primary Department Head/Elected Official: Daniel Ramos
Secondary Department: Human Resources and Talent
Secondary Department Head/Elected Official: Sakita Douglas
Regular or Supplemental RCA: Regular RCA
Type of Request: Financial Authorization
Project ID (if applicable): N/A
Vendor/Entity Legal Name (if applicable): N/A
MWBE Contracted Goal (if applicable): N/A
MWBE Current Participation (if applicable): N/A
Justification for 0% MWBE Participation Goal: N/A - Goal not applicable to request
Grant Indirect Costs Rate (if applicable): N/A
Justification for 0% Grant Indirect Costs Rate (if applicable): N/A - Not a grant item
Request Summary (Agenda Caption):
title
Request for approval to adopt health and related benefit premium rates for employees and retirees for the 2026 plan year including a salary-based premium structure for employees.
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Background and Discussion:
The proposed benefit premium rates for the plan year beginning January 1, 2026 are attached for approval. It is recommended that the premiums charged to retirees remain the same for plan year 2026 and that employee premiums change to a 3-tier structure based on annual salary as follows:
1. Less than $65,000
2. Between $65,000 and $99,999.99
3. $100,000 and greater
If approved, Human Resources and Talent (HRT) will coordinate with Universal Services (US) on implementation of the salary-based premium structure. With open enrollment scheduled for October 2025, the new premium structure may be implemented after January 1st depending on the effort required by US for Peoplesoft program modifications.
Expected Impact:
Healthcare costs in the U.S. continue to significantly outpace general inflation and several factors point towards a substantial increase in the county's medical costs in 2026. The recommended premiums would generate an additional $15M in annual revenue to the Health Insurance Fund based on current enrollment. Revenue projections wi...
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