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.
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.
What’s Guaranteed:
- 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
In addition to cost containment, NACo Public Promise Insurance gives counties greater transparency and control over pharmacy benefit management, an area that has traditionally been opaque and difficult for public employers to navigate. By pooling purchasing power across counties nationwide, the PBM Coalition strengthens counties’ negotiating position, improves access to data, and helps ensure that savings flow back to public employers and employees rather than being absorbed by intermediaries. For counties managing self-insured health plans, this model supports predictable budgeting, protects benefit quality, and reinforces long-term fiscal sustainability while maintaining competitive compensation packages for the public workforce.
