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HomeMy WebLinkAbout2026/07/07 Workshop Session 1:30 PM BRAZOS COUNTY BRYAN, TEXAS NOTICE OF MEETING AND AGENDA WORKSHOP SESSION BRAZOS COUNTY COMMISSIONERS COURT THIS MEETING WILL BE CONDUCTED BY VIDEO CONFERENCE WITH AT LEAST A QUORUM OF COMMISSIONERS COURT MEMBERS PARTICIPATING IN PERSON AT THE COUNTY ADMINISTRATION BUILDING IN ACCORDANCE WITH THE PROVISIONS SET FORTH IN SECTION 551.127 OF THE TEXAS GOVERNMENT CODE. BRAZOS COUNTY COMMISSIONERS COURT WILL MEET IN A WORKSHOP SESSION AS FOLLOWS: MEETING DATE: July 7, 2026 MEETING TIME: 1:30 PM MEETING PLACE: Brazos County Administration Building, 200 South Texas Ave., Suite 106, Bryan, TX, 77803 1. Call to Order 2. Discussion Items A. Discussion regarding Insurance Premiums and County Contribution B. Discussion of the FY 2026-2027 County Budget 3. Adjourn 2027 Insurance Workshop Where We Stand Today A STRONG FOUNDATION ALREADY IN PLACE Comprehensive PPO Plan Broad provider access, low deductibles, predictable copays Strong Rx Coverage Prescription benefits that hold up well against the market Competitive Plan Richer than many comparable employers in several areas CHALLENGES FACING EVERY EMPLOYER Rising Medical Inflation Higher costs across nearly every category of care Increased Utilization More healthcare services used than in prior years Specialty Drug Costs Rx costs climbing, led by specialty medications More High-Cost Claims A growing number of large claims driving spend How We've Managed Healthcare Costs Employee premiums have remained unchanged for several years. The County continues to pay the majority of premium costs. Benefits have remained comprehensive and competitive. The plan continues to perform well despite rising healthcare costs. OPTION 1 OF 4 Employees Absorb 100% of the Increase The County's contribution stays at current levels; employees absorb the full projected premium increase. TALKING POINTS No additional cost to the County beyond its current contribution Employees absorb the full increase from the projected renewal Brazos County still pays the majority of premium in every tier Least financial impact to the County; largest impact to employees ANNUAL COST TO COUNTY $18,810,144 No Change ANNUAL COST TO EMPLOYEES $5,241,432 +$2,386,524 MONTHLY EMPLOYEE-PAID PREMIUM BY TIER Coverage Tier 2026 2027 Employee Only $63 $115.50 Employee + Spouse $511 $938 Employee + Children $339 $623 Employee + Family $711 $1,305.50County Contribution $1416 PEPM OPTION 2 OF 4 Shared Increase The projected increase is shared proportionally between the County and employees. TALKING POINTS Both employee premiums and the County's contribution rise proportionally Financial responsibility for rising costs is shared, not placed on one party Employees see an increase, but less than under Option 1 The County increases its annual investment in employee benefits ANNUAL COST TO COUNTY $20,922,300 +$2,112,156 ANNUAL COST TO EMPLOYEES $3,173,208 +$318,300 MONTHLY EMPLOYEE-PAID PREMIUM BY TIER Coverage Tier 2026 2027 Employee Only $63 $70 Employee + Spouse $511 $568 Employee + Children $339 $377 Employee + Family $711 $790County Contribution $1575 PEPM OPTION 3 OF 4 Employees Increase 5%; County Covers the Remainder Employee premium increases are capped at 5%, with the County absorbing the rest of the renewal increase. TALKING POINTS Employees receive a more modest premium increase The County assumes the majority of the renewal increase Reduces financial impact on employees while acknowledging rising costs A balanced approach between affordability and fiscal responsibility ANNUAL COST TO COUNTY $21,254,400 +$2,444,256 ANNUAL COST TO EMPLOYEES $2,995,104 +$140,196 MONTHLY EMPLOYEE-PAID PREMIUM BY TIER Coverage Tier 2026 2027 Employee Only $63 $66 Employee + Spouse $511 $536 Employee + Children $339 $356 Employee + Family $711 $746County Contribution $1600 PEPM OPTION 4 OF 4 County Absorbs 100% of the Increase The County funds the full cost of the projected renewal; employee premiums remain unchanged. TALKING POINTS Employee premiums remain unchanged for another year The County funds the full cost of the projected renewal Largest additional investment by the County Raises long-term sustainability questions ANNUAL COST TO COUNTY $21,387,240 +$2,577,096 ANNUAL COST TO EMPLOYEES $2,854,908 No Change MONTHLY EMPLOYEE-PAID PREMIUM BY TIER Coverage Tier 2026 2027 Employee Only $63 $63 Employee + Spouse $511 $511 Employee + Children $339 $339 Employee + Family $711 $711County Contribution $1610 PEPM The Four Options 1 Employees Absorb 100% of the Increase 2 Shared Increase –11.25% Proportionally 3 Employees Increase 5%; County Covers the Remainder 4 County Absorbs 100% of the Increase