Placement: Consent Agenda
Action Requested: Motion / Vote
title
Approve Stop Loss Insurance Policy with Cigna Health and Life Insurance Company (Cigna) for Fiscal Year 2026/2027
body
Submitted By: Kimberly Sala, Assistant Director, Human Resources
Strategic Plan Link: The City’s Mission to utilize fiscal responsibility.
Summary Brief (Agreements/Contracts only)
Prepared by: City of Port St. Lucie and Cigna Health and Life Insurance Company (Cigna).
Parties: City of Port St. Lucie and Cigna Health and Life Insurance Company (Cigna).
Purpose: To provide Stop Loss Insurance for medical claims.
New/Renewal/Modified: New
Duration: 1 year
Benefits to Port St. Lucie: To provide protection to the City for medical claims that exceed the threshold of $500,000.00 per claimant.
Cost to Port St. Lucie (Annual and Potential): The estimated expenditure for FY 26/27 is $1,259,826.00 (a 20.3% reduction from the FY 25/26 cost).
Presentation Information: Staff is available to answer any questions the Council might have.
Staff Recommendation: Move that the Council approve the Stop Loss Insurance Policy with Cigna.
Alternate Recommendations:
Move that the Council amend the recommendation and approve the Stop Loss Insurance Policy with Cigna.
Move that the Council not approve the Stop Loss Insurance Policy with Cigna and provide staff direction.
Background: Stop Loss Insurance is a component of the City’s self-funded health insurance program and it provides protection to the City from the financial risk of unpredictable high costs and/or high-volume claims filed under the plan. Stop Loss coverage protects against claims that could compromise the City’s financial health. On July 17, 2026, the City’s third-party administrator, the Gehring Group, released an RFP to the market and solicited responses for Stop Loss Insurance proposals. A total of eight (8) proposals were received and all proposals were vetted by the Gehring Group and the City. Cigna had the best coverage for...
Click here for full text