Subject:
Title
Approval, Re: Retiree Medicare Program Design Changes for 2027
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Fiscal Impact:
No fiscal impact to the County’s health insurance program. The average premium increase for retirees enrolled in a Medicare product is 7.72%. (Excluding the 3 members currently residing in Texas and enrolled in the Humana MA-PD option. For those 3 members, the monthly premium will increase from $10 to $13.)
Dept/Office:
Human Resources
Requested Action:
Recommendation
It is requested that the Board approve plan design changes to the retiree Medicare Supplement and Medicare Advantage plans for calendar year 2027 as recommended by the Employee Benefits Insurance Advisory Committee (EBIAC).
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Summary Explanation and Background:
The renewal rates for the County’s UHC Medicare Advantage plans included options to accept some minimal plan design changes to the pharmacy benefit in order to reduce the premium increases.
This information was provided to the County’s Employee Benefits Insurance Advisory Committee (EBIAC) by the Office of Human Resources for their consideration along with the County’s benefits consultant’s analysis of the options.
In summary, the recommended proposed changes include:
1) UHC Medicare Advantage Plans (includes Pharmacy)

2) Humana MA-PD

3) Cigna Medicare Supplement



After discussion of the various options, the EBIAC voted to recommend proposed changes as described above.
The EBIAC committee further discussed the importance of providing information on resources available to retirees to help them evaluate their options.
Clerk to the Board Instructions:
Please provide a copy of the Clerk’s Memo to Human Resources.