NACo EDGE
Enterprise for Government Excellence
NACo Public Promise Insurance

Premier Voluntary Benefits & Savings on Rx Drug Costs

Hear from your peers
"NACo's voluntary benefits have addressed our labor shortage issues from both ends of the pipeline — recruitment and retention. Public Promise is one of the best partnerships for public entities across the U.S."
Roy Charles Brooks
Commissioner
Tarrant County, TX

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.

3.6 Million

County Employees

Benefit from National Pricing

80 %

Choose Better Benefits

Over Additional Pay Raise

20 %

Average Savings

On Rx Drug Plans

72 %

Employees Report

Greater Happiness from Better Benefits

Voluntary Benefits

Retain & recruit top talent:
Bridge the pay gap between public & private sector compensation

Public Promise Insurance is a fully licensed provider in all 50 states that strengthens and enables counties and local governments to demonstrate workplace value and enrichment to employees’ lives with voluntary benefits including accident, dental, vision, life, supplemental disability, critical illness, pet insurance, and other benefits public workforces want from their employers.

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

Success Stories
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
Pharmacy Benefit Management Coalition

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

Success Stories
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

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

Alex Herrera
Managing Director
Public Promise Insurance
aherrera@naco.org

Success Stories

Testimonial from Public Officials

"Our county workforce has increased productivity, lower turnover costs, and we are more competitive with the private sector because of Public Promise Insurance."
Glen Whitley
County Judge (Ret.)
Tarrant County, TX
"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