Public Hearing: YES ☐ NO ☒ Department: Finance - Risk Management
SUBJECT:
Title
Commission District(s): All Commission Districts
2026 Medicare Retiree Rates
Body
Information Contact: Larry Jacobs/Deputy Director of Finance/Risk Management
Phone Number: 404-371-2050
PURPOSE:
To approve Medicare-retiree group health benefits and rates for the new plan year commencing January 1, 2026.
NEED/IMPACT:
To ensure the County is offering an affordable and valuable health plan for Medicare-eligible retirees. The plan year for Medicare-eligible retirees expires December 31, 2025.
FISCAL IMPACT:
Annual Premium - $7,505,000.00
RECOMMENDATION:
Recommended Action
1. Approve Aetna’s proposed 2026 Medicare retiree rate of $223.64; no increase over current rate. a) Switch to self-insured pharmacy benefit through CVS/Caremark. 2. Approve Kaiser’s proposed 2026 Medicare retiree rate of $222.59 PMPM, up from the current $209.79 .a) No Changes in plan design. Authorize the Chief Executive Officer to execute all necessary documents