Sandy Springs health-plan proposal puts maximum projected 2027 cost at $12.73 million

Sandy Springs staff projects a maximum 2027 medical-program cost of $12,730,217 under its recommended shift to self-funded coverage administered by Cigna. The cost table assigns $11,681,462 to the city and $1,048,755 to employees. Council’s Oct. 6 agenda lists the proposal for consideration, not approval.

The memo puts expected cost at $10,647,869 but recommends appropriating the maximum projection. That maximum includes medical and pharmacy claims, administrative fees, stop-loss insurance premiums and city Health Savings Account contributions. Actual costs may vary with enrollment, claims, insurance reimbursements and pharmacy rebates.

The draft ordinance would approve the self-funded arrangement at an estimated $11,344,016.55 and establish an Employee Benefits Fund. The reviewed packet pages do not reconcile that estimate with the memo’s $12.73 million maximum projection. These remain proposed funding provisions, not an adopted council decision.