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Committee approves move to self‑insured employee health plan after insurer proposes 39.9% renewal increase
Summary
The committee unanimously approved a recommendation to transition the city’s employee health plan to a self‑insured platform beginning in 2026 after staff cited a 39.9% fully insured renewal from UnitedHealthcare; staff said UMR (TPA), Servu (PBM) and a specialty drug program are the planned vendors and that stop‑loss pricing remains pending.
City human resources staff (agenda-identified as Melissa Beck) told the committee that UnitedHealthcare presented a fully insured renewal increase of 39.9% for the city’s health plan, prompting staff and consultant Aperture to recommend a transition to a self‑insured model beginning Jan. 1, 2026.
Melissa Beck explained the move would shift administration to a third‑party administrator (UMR) and introduce a pharmacy benefit manager (Servu) and a specialty drugs program ("Sharps") to control…
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