31.
Commissioners Court Meeting
- Meeting Date:
- 09/08/2025
- Title:
- Aetna Health and Dental Insurance Rates
- Submitted for:
- Pilar De La Fuente
- Submitted By:
- Pilar De La Fuente
- Department:
- Risk Management
Subject:
Discussion and possible action to confirm the approval of the following employee benefit items as adopted by the Commissioner’s Court on August 25, 2025, to be effective January 1, 2026; and any matters incident thereto.
Issue: The County’s medical and dental premiums, including employer contributions, may require adjustments to ensure that funding levels align with employee needs and program sustainability.
Solution: Confirm the August 25, 2025, approvals for medical increases in the base plan by 20%-40% and the CDHP plan by a $1-15% increase, a $5 increase on the employee-only dental base plan and an 8% increase on all other dental tiers. Increase the county contribution to the Health Savings Account (HSA) from $600 to $900, increase employer contributions from $840.62 to $1,475.00 per employee per month and increase dental employer contributions from $25 to $27.07 per employee per month, and the implementation of the CVS weight management program. In addition, increase the individual Stop-Loss deductible from $225,000 up to $250,000.
Result: Ensure that Webb County maintains adequate funding levels for employee medical and dental plans, support employees with enhanced contributions, and provides access to additional health and wellness programs.
| 2026 Medical Insurance Bi-weekly Deductions |
| Medical Insurance Employee Bi-weekly Deductions |
| 2025 Rate Base Plan | 2026 Rate Base Plan | 2025 Rate CDHP Plan | 2026 Rate CDHP Plan | |
| Employee Only | $23.51 | $32.92 | $2.03 | $3.03 |
| Employee & Spouse | $214.23 | $257.08 | $162.78 | $187.20 |
| Employee & Children | $89.33 | $125.06 | $57.51 | $66.14 |
| Employee & Family | $236.87 | $284.24 | $181.61 | $208.85 |
| *Includes increase from $600 to $900 towards annual County Contribution to a Health Savings Account |
| *8% Increase in Dental Plans for 2026 |
| Dental Insurance Employee Bi-weekly Deductions |
| 2025 Dental Base Plan | 2026 Dental Base Plan | 2025 Rate Buy-up Dental Plan | 2026 Buy-up Dental Plan | |
| Employee Only | $0.00 | $5.00 | $12.28 | $13.29* |
| Employee & Spouse | $13.30 | $14.39* | $21.14 | $22.89* |
| Employee & Children | $9.97 | $10.80* | $21.14 | $22.89* |
| Employee & Family | $21.14 | $22.89* | $33.55 | $36.33* |
| Aetna Rates Effective 01/01/2026 |
Issue: The County’s medical and dental premiums, including employer contributions, may require adjustments to ensure that funding levels align with employee needs and program sustainability.
Solution: Confirm the August 25, 2025, approvals for medical increases in the base plan by 20%-40% and the CDHP plan by a $1-15% increase, a $5 increase on the employee-only dental base plan and an 8% increase on all other dental tiers. Increase the county contribution to the Health Savings Account (HSA) from $600 to $900, increase employer contributions from $840.62 to $1,475.00 per employee per month and increase dental employer contributions from $25 to $27.07 per employee per month, and the implementation of the CVS weight management program. In addition, increase the individual Stop-Loss deductible from $225,000 up to $250,000.
Result: Ensure that Webb County maintains adequate funding levels for employee medical and dental plans, support employees with enhanced contributions, and provides access to additional health and wellness programs.
Background:
Background: On August 25th, 2025, the Commissioner’s Court approved the increases mentioned above. This item formally confirms those approvals for recordkeeping and implementation purposes.
Previous Court Action:
Fiscal Impact
- Budget Account Number:
- N/A
- Funding Source:
- N/A
- Balance:
- N/A
Financial Impact:
N/A