Orange County NC Website
Browse       Search
20 <br /> Travis Myren reviewed some of the methods for reducing health insurance costs, including <br /> a direct-to-consumer pharmacy benefit. <br /> Vice-Chair Fowler said that the state health plan stopped covering GLP-1 drugs. She said <br /> a middle ground option could be considered by the county. <br /> Travis Myren said, in theory, they will reduce the county's overall health costs. He said <br /> there is also an indication that GLP-1's can affect sleep apnea. <br /> Vice-Chair Fowler said it is difficult to stop GLP-1s once you begin taking them. <br /> Chair Hamilton asked if the county would put all drugs in the direct-to-consumer plan. <br /> Travis Myren said they would start with GLP-1s and then see if other drugs would be a <br /> good fit. <br /> Chair Hamilton asked for the tradeoffs for changing co-pays and other health benefit <br /> parameters. <br /> Travis Myren said the county is in the NC Health Insurance pool, and Gallagher is the <br /> administrator. He said they give the county data on the possible disruptions that changes would <br /> cause. <br /> Commissioner Carter asked if there are other counties that are doing direct-to-consumer. <br /> Travis Myren said there are other employers using the direct-to-consumer pharmacy card, <br /> but he wasn't sure about counties. <br /> Commissioner Bedford said she was glad that the psychiatry costs are up because it <br /> indicates that employees are using the benefit. <br /> Slide #15 <br /> FY 2026-27 Expenditure Budget <br /> Local Government Employee Retirement System <br /> Historic and Projected LGERS Contributions <br /> 18 00% <br /> Both the employee and the employer contributes a percentage of <br /> salary 600% i6.02%• <br /> Employee contribution is fixed at 6% is.m% 15.51% <br /> 14 00% 14.35°k <br /> County rate is set each year by the LGERS Board eo% <br /> 12.95% <br /> 12.om 12.10% <br /> 11,35% <br /> County percentage has nearly doubled since 2019 <br /> 10.00% 1o.1s% <br /> FY2026-27 Budget would need$5.5 million less if contributions were at the s96% <br /> 2019 rates. 9.00% 775% <br /> 6.00% <br /> Most recent actuarial estimates project that county contribution will 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 <br /> Pro]. P` Pro]. <br /> continue to increase through FY 2029 <br /> -LGERS Conlrfbutlan ---Projected <br /> ORANGE COUNTY <br /> 15 NOR'VK CAROLINA <br /> Commissioner Greene asked what is expected to happen in 2030 that will make the <br /> contribution increase go down. <br /> Travis Myren said this is based on actuarial studies. He said there is likely something that <br /> changes the pool at that time that will make the increase lower. <br />