Committee approves forwarding new "individual plus spouse" premium tier to Board

Apr 2, 2026

After reviewing three premium-equivalence scenarios, the committee agreed to establish an individual-plus-spouse tier and forwarded a resolution to set the 2026 premium-equivalence for Board consideration; staff emphasized premiums are re-evaluated annually and unions will be notified.

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Staff presented three scenarios for a new premium-equivalence tier — labeled "individual plus spouse" — comparing the county's current individual, individual-plus-child, and family tiers and showing projected premium-equivalence amounts and revenue impacts. Examples included a scenario that kept individual-plus-child rates stable while creating an individual-plus-spouse rate, an approach that applied a 5% shift, and an alternative that redistributed existing premiums; staff stressed the committee's role is to establish where the new tier sits for 2026 and noted that premium equivalents will be re-evaluated annually based on prior-year claims.

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