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County adopts dual‑option health plan, raises stop‑loss threshold and adds biosimilars
Summary
Jefferson County voted to offer a dual‑option employee medical plan (Mountain View CCO plus a PPO), raise the specific stop‑loss from $60,000 to $70,000, adjust co‑pays (example $40 primary/$60 specialty) and opt into biosimilars coverage as part of efforts to reduce claim volatility.
Benefits consultant Carlos presented options to address rising claims in the county’s self‑funded plan and recommended a dual‑option approach that offers employees a Mountain View CCO network option alongside a PPO. He presented modeling showing that raising the specific stop‑loss (ISL) from $60,000…
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