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Boulder County approves Benefits Advisory Board recommendations: carrier change, plan-design fixes and GLP-1 coverage removal recommended
Summary
Boulder County commissioners accepted Benefits Advisory Board recommendations for 2026 benefits including a proposed medical administration change to Aetna, HDHP design fixes to preserve HSA eligibility, and a recommendation to discontinue county coverage of GLP-1 weight-loss medications.
Boulder County commissioners on Aug. 28 accepted Benefits Advisory Board (BAB) recommendations for the county's employee benefits lineup in 2026, including a carrier change for medical administration, adjustments to the high-deductible health plan (HDHP) to maintain IRS compliance, and a recommendation to discontinue coverage of GLP-1 medications when used for weight loss.
County financial staff reported the health and dental insurance fund remained in a healthy position but that claims and pharmacy costs had increased in 2024 and again in 2025. "Through June, the plan is running at 104% of budget," said Paige Bilby, credentialed health actuary with MJ Companies. Her team highlighted pharmacy spending as a primary cost driver, noting rapid growth in use and plan payments for the GLP-1 class of weight-loss drugs (brand names cited in staff…
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