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Board rails toward self-funded health plan; consultants say savings and clinic could cut costs long term
Summary
City consultants told the board that switching from fully insured to a self-funded health plan could lower net costs over time and give the city control of pharmaceutical rebates; the board discussed an on-site clinic and agreed to move ahead with procurement steps and to include a self-insurance fund in the 2026 budget process.
Consultants advising the City of Little Rock told the board that moving the city’s employee health plan from a fully insured model to a self-funded model could reduce long-term net costs and give city leadership greater visibility into claims and pharmaceutical rebates. "When you move over to the self funded model, we can really unbundle that and go to different carriers for different things," one JTS presenter said. Presenters said the city could receive drug rebates directly under a self-funded arrangement—money that fully insured carriers currently retain—and that a self-funded structure makes it possible…
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