Primary Department: Purchasing
Primary Department Head/Elected Official: Kimberly J. Williams, JD
Secondary Department: Flood Control District
Secondary Department Head/Elected Official: Tina Petersen
Regular or Supplemental RCA: Regular RCA
Type of Request: Contract - Amendment
Project ID (if applicable): 230107
Vendor/Entity Legal Name (if applicable): Aetna Life Insurance Company
MWBE Contracted Goal (if applicable): 10%
MWBE Current Participation (if applicable): N/A
Justification for 0% MWBE Participation Goal: N/A - Goal is not 0% and is listed above
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 that the County Judge execute an amendment to an agreement with Aetna Life Insurance Company to add certain documents to the agreement for group medical (including Prescription Drug Program and Stop Loss Coverage, Employee Assistance Program and Flexible Spending Accounts) for Harris County and the Flood Control District for the period of January 1, 2026 - December 31, 2026, with no increase in the total contract amount (230107), MWBE Contracted Goal: 10%.
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Background and Discussion:
On August 14, 2025, Commissioners Court approved the implementation of Aetna's fully insured Medicare Part D plan, SilverScript, to provide savings to the county's health plan for FY 2026. This request is a follow up to amend the agreement with Aetna and incorporate the necessary documents for the Employer Group Waiver Plan (EGWP), the Medicare Part D SilverScript plan, as well as an updated Pharmacy Service and Fee Schedule for the CVS commercial pharmacy plan.
Expected Impact:
Harris County's benefits consultant, Segal, projected $9M in annual savings with the implementation of the EGWP SilverScript plan. Per OMB/Risk Management's Finance team, the long-term impact is significant, projected to be a $479M savings to the County's OPE...
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