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Group Insurance Commission approves FY26 plan design changes, including dental enhancements and new digital MSK tool
Summary
The Group Insurance Commission voted unanimously to approve fiscal year 2026 plan design recommendations, adopting several medical plan tweaks (including the Hinge Health musculoskeletal app and fertility benefit harmonization) and a switch in dental carriers that raises dental annual maximums and adds retiree preventive coverage.
The Group Insurance Commission voted unanimously on Feb. 16 to approve staff-recommended plan design changes that will take effect July 1 as part of the fiscal year 2026 plan year.
The changes approved include several medical plan adjustments and a set of enhancements to the dental plans tied to a carrier change. Vice Chair Bobby Kaplan presided over the meeting and the roll call vote was conducted by Andrew Stern, general counsel.
Commissioners approved incorporation of the Hinge Health musculoskeletal app through the Commission's CVS partnership, broader fertility benefit coverage by removing cycle limits so coverage is determined by medical necessity, and removal of session limits for nutritional counseling as a result of a mental health parity audit. Staff also said…
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