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Ohio County fiscal court approves 2025–26 employee health insurance renewal through Keiko
Summary
Ohio County Fiscal Court voted to renew its 2025–26 employee health insurance with Keiko after hearing rate increases for the basic and enhanced plans and discussion of employee participation and waiver options.
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The Ohio County Fiscal Court voted to renew the county’s 2025–26 employee health insurance plan through Keiko, approving continuation of the county’s current enrollment and participation structure.
Court members said the administration considers the renewal largely a formality because the county is one of the majority of jurisdictions that use Keiko for coverage. A staff presenter reported a 5.9% increase on the basic plan and an 11.9% increase on the enhanced plan and recommended keeping employee participation requirements and the existing waiver option unchanged for a year.
Why it matters: health insurance costs are a recurring part of the county budget and affect payroll and benefits planning. The court’s decision preserves current coverage for employees while absorbing the announced rate increases into next year’s operating forecasts.
Details: A court speaker described plan enrollment counts and participation, saying, “On the basic plan, we had a 5.9% increase. And on the enhanced plan, it it went up 11.9%.” The same presenter said the county would “leave the employee participation the same for another year” and noted existing waiver participation that offsets costs. The motion to renew the plan was made and seconded at the meeting and carried by voice vote.
The court did not change plan design or employee contribution levels at the meeting; members said they prefer to maintain the existing participation structure and the administration will continue routine annual reviews of the plan.

