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Board moves post‑65 retiree plan to Humana after reviewing renewal options
Summary
Coweta County approved switching the Medicare Advantage plan for post‑65 retirees to Humana effective Jan. 1; staff said Humana offered comparable benefits with an individual out‑of‑pocket maximum increase from $1,000 to $1,500 and an estimated county cost of $594,000 for 2026.
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Coweta County commissioners voted on Nov. 4 to change the county's Medicare Advantage plan for post‑65 retirees to a Humana option effective Jan. 1. The county's insurance broker presented four renewal scenarios for about 128 members: maintaining the current Anthem plan would have increased county cost to approximately $670,000; alternate Anthem options were quoted at roughly $567,000 and $550,000 with significant benefit design changes; moving to Humana was quoted at about $594,000.
Staff noted the Humana option offers equal or better benefits for retirees with the principal change being an increase in the out‑of‑pocket maximum from $1,000 to $1,500. Commissioners discussed plan design and long‑term affordability; one commissioner abstained from the vote due to personal participation in the retirement plan and the motion carried.
Budget context: Staff said the county's current cost for the retiree plan is about $507,000 and the FY26 budgeted amount is $525,000. The board approved moving to Humana and asked staff to explore pharmacy segregation and plan design options in future renewals.
Next steps: Staff will implement Humana coverage effective Jan. 1 and provide administration details to affected retirees.
