Savings on Rx Drug Costs & Premier Supplemental Benefits

"Our employees like stability, it is important to them. These benefits provide that stability, and they are encouraged at the fact that the county is actually looking out for them."

George Dunlap

Commissioner
Mecklenburg County, NC

Enriching the lives of public employees & their families

NACo Public Promise Insurance provides a platform of voluntary employee benefits solutions, along with a Pharmacy Benefits Management (PBM) Coalition, built exclusively for public sector employees and their families. These benefits help counties recruit and retain top talent, while managing skyrocketing costs of prescription drug benefits.

PBM Rx Savings

Debt Relief

Supplemental Benefits

3.6 Million

County Employees

Benefit from National Pricing

20 %

Average Savings

On Rx Drug Plans

$ 65 Million

Projected Savings

For Local Governments

126000

Lives Covered

through NACo-Sponsored Rx Plans

Reduce pharmacy costs by an average of 15-25% by joining the NACo Rx Coalition

More than 30% of county employee health plan expenses are related to pharmacy benefits. NACo’s PBM Coalition, partnered with CVS Caremark—One of the largest PBMs in the nation—is the only plan specifically built for counties & county pools that manage self-insured health plans.

Leveraged Negotiation

Public agencies realize Rx pricing discounts of 15-25% through nationally pooled pricing agreements

Multi-Year Pricing

Strong multi-year pricing guarantees self-insured pools have budget stability without unexpected jumps in cost

Mecklenburg County is currently a self-insured CVS PBM customer and was faced with renewing under their direct contract for 2025. With the transition to our program, NACo evaluated their historical RX claims costs under their direct contract vs with NACo's PBM program. Projected 2025 savings is 28.1% ($7.5M).

Mecklenburg County
North Carolina

Better Benefits.
Stronger Counties.

NACo’s solutions help counties attract and retain a resilient workforce while delivering cost control, choice, and value. The Supplemental Benefits Trust is a turnkey bundle of high-value benefits employees want—easy to offer, easy to use, with no size limits.

Pick-your-need package options
Pre-negotiated bundled benefits
Recruitment & retention tool

Professionally Managed

Comprehensive platform, along with a dedicated support team of insurance brokers, lessens time and burden on HR administrators

Affordable Structure

Customizable to local needs but leveraged with the national buying power of 3.6 Million public employees

Broad Range of Options

Solutions include accident, dental, vision, cancer care, critical illness, supplemental disability, life, pet, identity theft, and legal service insurances

Be a Leader in Benefits

More than 3 in 5 employers (61%) offer voluntary benefits as part of a comprehensive benefits package. Is your local government one of them?

In partnership with the County Commissioners Association of Ohio (CCAO), individual counties have shown significantly improved options for their supplemental employee benefit offerings. Additionally, many counties have been given the option to reduce county-paid life insurance costs by as much as 10% through the program

County Commissioners
Association of Ohio

Let's Get Started

Our team of public sector benefit experts are here to assist your county offer employees greater voluntary benefits & save counties money on Rx drug costs.

Using the form below, contact us today to learn more about NACo Public Promise Insurance Solutions.

Program Contact

Christopher Blanchette
Managing Director
Public Promise Insurance
cblanchette@naco.org

Testimonial from Public Officials

"NACo can negotiate multi-year pricing which means we get price predictability. That in turn means we are competitive in the market for our employees and their benefits."

Eric Bryson

Executive Director
Montana Association of Counties

"Our employees are ambassadors of local government. As leaders, we must ensure our workforce is strong, engaged, and operating to the full benefit of our constituents. Public Promise advances that goal."

Mary Ann Borgeson

Chairwoman, Board of Commissioners
Douglas County, NE