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Self Insurance committee approves 50% employee cost-share, directs contract review with 1to1 for medication weight-loss clinic
Summary
The Sumner County Self Insurance Board Committee voted to offer a medication-based weight-loss program to eligible employees with a 50% county/50% employee cost share for employees with five or more years of service, and asked staff to start contract and logistics work with 1to1.
At a meeting of the Sumner County Self Insurance Board Committee, members voted to offer a medication-based weight-loss program to eligible county employees with a 50% county/50% employee cost share limited to employees with five or more years of service; the motion passed with all members voting aye.
The committee’s consultant, identified in the meeting as Consultant, summarized participation and cost estimates and said 73 employees would qualify based on 2024 wellness screening data, dropping to about 47 employees if the county keeps a five-year service eligibility rule. “It’s about $1,100 a month for that GLP‑1 medication,” the Consultant said, “and it’s about $25 a month for the oral medication.” The consultant told the committee that if the county opened the program to all eligible employees with a 25% copay the estimated annual cost to the county would be roughly $455,000 after rebates; narrowing eligibility to employees with five or more years of service would lower that estimate to about $293,000 a year. Under a 50% cost-share scenario the consultant presented, she said the annual cost estimates…
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