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Committee approves staff review to add infertility coverage to city self‑funded health plan
Summary
The committee voted to return a favorable recommendation for staff to pursue adding infertility diagnostics and treatment coverage to the city’s self‑funded health plan after Cigna estimated a 1–2% increase in claims costs.
The committee voted to return a favorable recommendation for adding infertility coverage to the city’s self‑funded health plan, directing administration to work with the plan administrator on benefit design and cost estimates.
Human resources staff said the plan administrator (Cigna) estimated adding infertility treatment—diagnostic testing and assisted reproductive therapies—would increase total plan claims by about 1–2%, translating to an estimated incremental claims cost in the mid‑hundreds of thousands of dollars based on current projected annual claims. Staff said the city, as plan sponsor for a self‑funded plan, controls benefit design and can add or revise benefits.
Commissioners said the change would align the city with private employers offering family‑building benefits and help retain and recruit staff; staff noted stop‑loss exposure would increase modestly and that reserves could cover the incremental cost. The committee forwarded the favorable recommendation for the administration to work with the plan administrator on implementation details and cost modeling.
