Teton County OKs Allegiance benefits admin deal with new out-of-network savings fee

Teton County commissioners on April 7 approved a 2026 Administrative Services Agreement (ASA) with Allegiance Benefit Plan Management, the third-party administrator for the county’s self-funded employee health plan, according to the county’s staff report and attached contract packet. The agreement term is effective Jan. 1, 2026 through Dec. 31, 2026, with automatic 12-month renewals unless changed under the contract. See: Board Meeting Staff Report and Attachments Packet.

County Human Resources staff said the 2026 administrative fees reflect a 2.5% increase spread across per-employee-per-month charges, with an estimated overall impact of about $4,380. The staff report notes most other listed fee increases are “rarely used.”

The updated fee schedule also adds new language for a “Plan Out of Network Payment Limits; Out of Network Savings Program,” with a fee equal to 35% of gross savings (29% of net savings) per claim when the program reduces out-of-network costs. Other new or increased hourly fees include large case management ($175/hour, up from $115), medical review doctor and nurse rates ($300 and $110 per hour, respectively), an NQTL analysis rate ($450/hour), and a new $1,800-per-year-per-eligibility-feed fee in addition to existing eligibility-file fees, according to the staff report.