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. 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.