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City approves switch of employee health-plan administrators to Consociate and Bentegra
Summary
Rolla City Council authorized the city administrator to finalize agreements to move the city’s self-insured employee health plan from UMR to Consociate for TPA services and to Bentegra for pension benefit administration, with a nonprofit prescription manager proposed for drug benefits.
The council voted to authorize the city administrator to finalize contracts that would move the city’s self-insured employee health plan administration from UMR to Consociate, and to engage Bentegra for pension/benefits administration.
City staff said the city received seven proposals for TPAs and prescription benefit managers and, after interviews and consultant review, recommended Consociate for third-party administration and Bentegra for prescription/pension benefits. Staff said Consociate’s network would feature a preferred tier that would include Phelps Health and other regional hospital systems, offering lower in-network deductibles and reduced coinsurance for employees who use that network.
Staff described Entegra (referred to as a nonprofit prescription benefit manager in the packet) as a nontraditional PBM that charges a flat fee and emphasizes acquisition-cost pricing rather than rebate-driven pricing. Staff said employees and an administrative advisory council reviewed the option and that stakeholders were supportive of the migration; staff proposed an October 1 target start date for the transition.
Council members asked about prior billing concerns with Consociate and about how savings were calculated. Staff said prior concerns were raised early in the process but were addressed during interviews and follow-up conversations with Phelps Health. Staff also said comparisons used the city’s actual 2024 claims data to model projected savings. Council authorized the administrator to finalize the agreements by voice vote.
