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County staff recommends renewing medical benefits with Cigna; John Leggett says plan running below budget
Summary
Benefits consultant John Leggett reported the county’s self-funded plan is running better than budgeted and recommended staying with Cigna for medical administration; staff proposed lowering out-of-pocket maximums and discussed optional coverage of GLP weight-loss medications with conditions for medical necessity.
John Leggett of MSI Benefits Group briefed commissioners on May 5 about the county’s employee health, vision and dental programs ahead of the FY26 renewal. Leggett recommended keeping Cigna as the medical administrator and reported that claim experience year-to-date was running well below the budgeted amount.
Leggett said the county’s annualized claims experience through February projected about $6.2 million in total claims against a budgeted gross cost of roughly $7.8 million. He told the board that lower pharmacy costs under the county’s Veracity pharmacy…
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