Nueces County selects Blue Cross Blue Shield for employee health program administration

In a pivotal meeting held on April 24, 2025, the Nueces County Commissioner’s Court gathered to discuss significant changes to the county's employee health benefits program. The atmosphere was charged with anticipation as officials considered awarding a contract to Blue Cross and Blue Shield of Texas for medical third-party administration (TPA) services, a decision that could reshape the health care landscape for county employees.

John Bass from McGriff, the consulting firm guiding the county through this process, presented a comprehensive overview of the Request for Proposal (RFP) process that had unfolded since last July. The county had solicited bids for its self-funded group health program, aiming to enhance the benefits offered to its employees while maintaining cost-effectiveness. Bass highlighted that the RFP attracted five competitive responses, including proposals from well-known providers such as Cigna and UnitedHealthcare, alongside the incumbent, Boone Chapman.

The discussions revealed a strong preference for self-funding over fully insured plans, a choice that Bass argued would save the county between $1 million and $2 million annually. This decision was rooted in the flexibility and financial advantages of self-insurance, which allows the county to retain underwriting gains and avoid the additional costs associated with risk transfer to insurance carriers.

As the meeting progressed, the court also considered non-medical benefits, including dental, vision, and life insurance, which are crucial for employee satisfaction and retention. The insurance committee emphasized the importance of providing comprehensive coverage options that align with employee needs while ensuring minimal disruption during the transition to new providers.

The court's deliberations underscored a commitment to improving employee benefits while being fiscally responsible. With the recommendation to partner with Blue Cross and Blue Shield set to take effect on October 1, 2025, the county aims to enhance its health care offerings and foster a healthier workforce. As the meeting concluded, the implications of these decisions resonated beyond the courtroom, promising a more robust support system for county employees in the years to come.