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Sumner County board moves continuous glucose monitors to pharmacy benefit, approves 4% health‑rate increase for FY2027
Summary
The board voted to shift continuous glucose monitor coverage to the pharmacy benefit to capture better PBM rebates and approved a 4% increase to FY2027 health insurance rates (employees continue to pay 20% of health premiums); the board also set a May meeting reschedule to May 12 to handle a time‑sensitive life‑insurance approval.
The Sumner County Self Insurance Board voted to move coverage of continuous glucose monitors (CGMs) from the medical benefit to the pharmacy benefit after consultants said Blue Cross is shifting CGM coverage to the PBM and that doing so would capture better rebates.
"To me, from my perspective, I would follow Blue Cross's lead. I would move it to pharmacy and say that that's okay because it's a better financial decision," a consultant told the board, urging the change on financial—not clinical—grounds. The board voted by voice to adopt the change.
Later, staff presented the FY2027 insurance rate proposal. The board approved a recommended 4% increase to the health insurance component for the coming plan year, a change staff characterized as near the long‑term average. Staff explained the per‑person annual cost figure and said employees would continue to pay 20% of health insurance premiums (dental employee share remains 35%). A motion "to approve as presented" was seconded and the board approved the rates by voice vote.
Board members also agreed to move the next meeting from May 19 to May 12 at 10:00 a.m. so the board can review and approve life‑insurance policy details before associated RFP timelines and avoid a coverage lapse.
The CGM change and rate approval were procedural voice votes; the minutes record approval but not a roll‑call tally. Staff will circulate plan‑document updates and any member notices required if plan language changes.
