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Board of County Commissioners Meeting Minutes - Final June 3, 2025 transition to Rightway Pharmacy for Pharmacy Benefits Management (PBM) expected to yield significant savings, and no rate increases for Dental, Vision, or Life/Disability insurance. Significant trends in medical and RX claims were noted, particularly the rising costs associated with GLP-1 medications, which contributed notably to the claims trend. The Board discussed the financial strain these medications placed on the insurance trust, with expenditures reaching $930,000 over five months. The Board considered the potential exclusion of these medications from coverage, which would affect 241 members relying on them for weight management. Concerns were raised about the long-term implications of removing coverage and the balance between financial costs and health benefits. Two options were proposed: implementing a higher co -payment for GLP-1 medications or maintaining current benefits while monitoring the situation. The need for effective communication and oversight during the transition was emphasized. Sebastian resident Nathan McCollum, expressed serious concerns about Blue Cross, particularly regarding their customer service and the difficulty in contacting them. He noted that many others faced similar challenges but hesitate to complain. Mr. McCollum criticized the contract language on performance measures and called for accountability through a performance bond. He highlighted potential HIPAA violations, as the contract allows Blue Cross to share medical information with employers and subcontractors. Sharing his frustrating experience, he described delays in responses and issues with the misclassification of his medical problems, questioning the reliability of Blue Cross's independent reviewers and emphasizing the need for service improvements. A motion was made by Commissioner Adams, seconded by Commissioner Earman, amending Administrative Services Only (ASO) with BCBS providing for increased wellness funds, rate hold for two (2) additional years, reduced access fees, and performance guarantees. The motion carried by the following vote: Aye: 5 - Chairman Flescher, Vice Chairman Loar, Commissioner Adams, Commissioner Earman, and Commissioner Moss A motion was made by Commissioner Adams, seconded by Commissioner Moss, to transition Pharmacy Benefits to Rightway and continue coverage for GLP-1 weight loss benefits for one year with HR providing a monthly report on claims. The motion carried by the following vote: Aye: 5 - Chairman Flescher, Vice Chairman Loar, Commissioner Adams, Commissioner Earman, and Commissioner Moss Indian River County, Florida Page 10