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County keeps planned 2% premium increase, adopts single out-of-pocket structure and approves employee FSA
Summary
Pennington County approved the budgeted premium path for 2026, moved its health-plan structure to a single out-of-pocket (OBS) model to simplify administration and authorized a flexible spending account program; open enrollment was scheduled to start the week of Oct. 12.
Pennington County's board on Oct. 7 approved human resources' recommendation to keep the previously budgeted premium change for 2026, consolidate health plan tracking to a single out-of-pocket (OBS) structure and authorize the implementation of a flexible spending account (FSA) program for employees.
HR Senior Manager Sandy Sortland presented three premium and plan-design options. Option 1 matched the amount already budgeted for 2026 and kept the employee/employer splits unchanged; Option 2 preserved employee premium splits but would create an unbudgeted county cost of roughly $64,000 if every eligible employee enrolled; Option 3 would change the employer–employee split toward industry norms…
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