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Gallagher and staff recommend keeping Florida Blue as TPA, warn of pharmacy trend and reserve needs
Summary
An RFP review led staff and Gallagher consultants to recommend Florida Blue remain the third‑party administrator for Marion County's self‑funded plan; pharmacy costs and high‑cost claimants pushed projections up and staff recommended funding at least the budgeted amount to avoid an estimated $3–8 million reserve shortfall.
Marion County School District officials and Gallagher benefits consultants briefed the school board on June 19 on the self‑funded health plan's RFP results and 2026 projections, recommending continued use of Florida Blue as the plan’s third‑party administrator and flagging pharmacy inflation and rising high‑cost claims.
Stacy Roth and Gallagher’s benefits team reported that three firms responded to the medical RFP and that the committee scored Florida Blue highest on cost, network access, claims‑repricing and utilization management: “Florida Blue scored 92,” the committee reported. The pharmacy RFP was run as a separate procurement; Florida Blue again scored highest and the committee recommended not advancing to interviews because the top scorers were separated by a substantial…
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