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Council hears staff recommendation to pursue Cigna renewal after surprise lower-cost proposal

Johns Creek City Council · September 9, 2024
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Summary

Staff presented a competitive Cigna renewal that reduced the worst-case increase and produced an estimated $943,000 reduction relative to earlier projections; council requested follow-up on how savings would be allocated between the city and employees and asked for a future work session on long-term strategy.

Director Aubrey told council the city had received a competitive renewal proposal from Cigna that materially reduced projected cost pressure compared with earlier estimates.

"We originally anticipated a cost increase based on our claims ratio to be a very different discussion," Director Liz Aubrey said, adding that Cignas proposal increased costs "only by 33% from last year, resulting in a possible aggregate savings of approximately 943,000 compared to the draft of the ... August work session budget, which assumed a 58.2 percent increase." She said provider continuity would be high and prescription disruption minimal under the proposed plan.

Council members thanked staff for the work but pressed for clarity on distribution of savings. Several members asked whether the $943,000 reduction would be shared with employees, used for COLA, seeded into HSAs or placed into a reserve fund. Staff explained the original budget assumed the city would carry most of the increase and that, under the working budget, "all of the savings is on the city's side, not changing percentages for employees." The director said open enrollment would begin in November and final vendor numbers typically arrive in August ahead of the plan year.

Although council showed broad support for moving forward with the recommended provider switch and asked staff to sign needed documents for budgeting purposes, staff said the item would return for a formal vote at the next council meeting and that details of any change to employee cost-sharing or wellness incentives would be finalized with the budget and open-enrollment materials.