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Board approves 2026 health plan rates after review of CalPERS option; unions press for direct CalPERS briefing
Summary
The El Dorado County Board of Supervisors approved staff-recommended 2026 health plan rate actions and authorized administrative renewals after hearing a staff analysis of switching to CalPERS and extensive public comment from unions and retirees urging further study and direct CalPERS engagement.
The El Dorado County Board of Supervisors on Aug. 19 approved a package of actions to set 2026 employee health plan rates and to authorize administrative renewals while receiving a staff study of CalPERS health as an alternative.
Human resources Director Joey Carusco told the board the county’s analysis found that, using current enrollment and 2026 rate comparisons, “the county could potentially save $1,600,000 in total premiums for our active employees” if it moved its active workforce to CalPERS health plans. He added that the change would also expand county obligations to retirees and would reduce the county’s flexibility over plan design because CalPERS controls offerings under the Public Employees’ Medical and Hospital Care Act (PEMHCA).
The presentation and follow-up questions focused on tradeoffs. Staff estimated implementing a transition could take 18 to 24 months and described two retiree-entry options…
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