Discussion and possible action to confirm the approval of the following employee health benefit items as adopted by the Commissioners Court on August 24, 2026, to be effective January 01, 2027; and any other matters incident thereto. 
 

2027 Aetna Medical Plan Insurance Summaries
Plan Summary	Current Base Plan	New Base Plan	CDHP Plan
Individual Deductible	$1,250	$2,000	$3,500
Family Deductible	$2,500	$4,000	$7,000
Benefit Percentage	80%	80%	100% after deductible is met
Individual OOP Max  (Includes deductible and cost share)	$7,000	$7,000	$3,500
Family OOP Max  (includes deductible and cost share)	$17,500	$17,500	$7,000
Primary Care Physician Co-Pay	$25	$25	$0 after deductible is met
Specialty Care Physician Co-Pay	$35	$35	$0 after deductible is met
Urgent Care Co-Pay	$35	$35	$0 after deductible is met
Emergency Room Co-Pay	$500	$500	$0 after deductible is met
Retail Rx Co-Pay	Generic $10/$30 Preferred Brand  $30/$60	Generic $10/$30 Preferred Brand  $40/$120	$0 after deductible is met
	Non-Preferred Brand $60/$100	Non-Preferred Brand  $70/$210	$0 after deductible is met
	Rx Specialty $40/$60	Rx Specialty $80/$240	$0 after deductible is met
			*Includes $900 towards annual County Contribution to a Health Savings Account

 

2027 Medical Insurance Bi-Weekly Deductions (5% Increase on all Tiers)
Health Insurance	2026 Rate Base Plan	2027 Base Rate Plan
Employee Only	$32.92	$34.57
Emp. & Spouse	$257.08	$269.93
Emp. & Child(ren)	$125.06	$131.32
Emp. Spouse, Child(ren)	$284.24	$298.45
Health Insurance	2026 Rate CDHP Plan	2027 Rate CDHP Plan
Employee Only	$3.03	$3.18
Emp. & Spouse	$187.20	$196.56
Emp. & Child(ren)	$66.14	$69.45
Emp. Spouse, Child(ren)	$208.85	$219.29
County Contribution of $1,475.00 per employee per month

 

Vision Insurance Employee Bi-Weekly Deductions (5% Decrease on all Tiers)
Vision Insurance	2026 Vision Rate	2027 Vision rate
Employee Only	$3.51	$3.33
Emp. & Spouse	$6.67	$6.34
Emp. & Child(ren)	$7.02	$6.67
Emp. Spouse, Child(ren)	$10.32	$9.80

 

Dental Insurance Employee Bi-Weekly Contributions (No Change in Premiums)
Dental Insurance	2027 Dental Base Plan	2027 Buy-Up Plan
Employee Only	$5.00	$13.29
Emp. & Spouse	$14.39	$22.89
Emp. & Child(ren)	$10.80	$22.89
Emp. Spouse, Child(ren)	$22.89	$36.33

Issue: The recommended premium and plan adjustments for plan year 2027 have been approved and are scheduled to be implemented on January 01, 2027.

Solution: Confirming the August 24, 2026, approvals for medical increases in the base plan and consumer driven health plan (CDHP) by 5% on all tiers with no change in the county contribution of $1,475.00 per employee per month, a reduction of 5% on all tiers to the vision rates and no change to the dental employee premiums.  Additionally, removal of the GLP1’s used for weight loss from the health plan along with the removal of the CVS Weight Loss Management Program. 

Result: Ensure that Webb County maintains adequate funding levels for employee medical, dental and vision plans.

On August 24, 2026 commissioners court approved the recommendations mentioned above. This item formally confirms those approvals for recordkeeping and implementation process. 

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