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Rockdale County hears Alliant plan review; specialty drug copay and plan tweaks aimed at limiting 2026 cost growth

Rockdale County Board of Commissioners · November 10, 2025
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Summary

Alliant Insurance Services presented projected health-plan claims rising from about $10.5M (2025) to $11.5M (2026) and recommended plan-design changes — including a new $150 specialty‑drug copay and a switch to out‑of‑network options for all plans — that staff say reduce the county's projected renewal impact to approximately $281,057.

Alliant Insurance Services presented the county's 2026 employee benefits renewal to the Rockdale County Board of Commissioners on Nov. 10, outlining projected claims trends, reinsurance exposures and recommended plan-design changes intended to limit cost growth.

Tammy Starkey of Alliant told the board that Anthem plan utilization and high-cost claims drove a projected increase in claims from roughly $10.5 million in 2025 to $11.5 million in 2026. She said actuaries projected about a 9.8% trend before negotiated changes. To reduce the county's exposure, Alliant negotiated a lower reinsurer "laser" on a very high…

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