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

Staff Report & Agenda Item Details

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. 2027 Aetna Medical Plan Insurance Summaries

This motion is scored as RESTRAINS_GOVERNMENT (Impact Weight: 2.5/10). Under the Bastiat Liberty Watchdog Index, voting YES on measures that cap or reduce ad valorem tax burdens, expand taxpayer exemptions, retire debt early, enforce competitive bidding caps, or remove regulatory/zoning barriers to private property rights earns a positive Pro-Liberty score.