What’s Changing in 2025–2026

New Administrator for Spending Accounts, COBRA

WEX will replace Flores as the administrator of our Health Care and Dependent Daycare Flexible Spending Accounts (FSAs), Lifestyle Account, Health Reimbursement Account (HRA), and COBRA benefits. We made the switch to provide more convenience to team members, including an app that allows for real-time access to your accounts 24/7.

Remember, you must enroll in an FSA each year—your 2024-2025 election will not roll over. FSA enrollees and those with an HRA can expect to receive a new debit card from WEX by October 1.

If you are currently enrolled in an FSA, Lifestyle Account, or HRA, you should continue to use Flores for claims incurred through September 30, 2025. WEX will begin administering these accounts beginning with elections effective October 1, 2025.

Medical and Dental Plan Costs Increasing

Medical and dental plan premiums are increasing October 1, 2025. There are no changes to your medical and dental deductibles and copays. This year, however, we are increasing in-network out-of-pocket maximums under both medical in-network tiers:

• From $3,000 individual/$6,000 family to $4,000 individual/$8,000 family under the Tidelands Health Plan; and
• From $6,000 individual/$12,000 family to $8,000 individual/$16,000 family under the Blue Preferred PPO.

In addition, lab work performed at Tidelands Health will now have a $50 copay.

New! Two Prescription Savings Programs

Tidelands Health will introduce two new programs for team members and dependents enrolled in the medical plan, beginning October 1, 2025.

Counter Health

Counter has teamed up with ProAct, your Pharmacy Benefit Manager, to help you save up to $2,000 a month on your medications, at no extra cost.

You can activate your account at my.counterhealth.com/signup. When you do, you can review your personalized savings opportunities, accept savings recommendations, track your progress, and more. If you have questions or need help signing up, call Counter’s Member Care Team at 833-603-3864.

ProActPLUS

ProActPLUS works in the background to automatically find and enroll you in drug manufacturer financial assistance programs that decrease your copays on certain medications. If you have an opportunity to save via ProActPLUS, you may receive a phone call from the ProAct team on steps to take. It is important to respond to the reach out to ensure you do not experience delays in getting medications filled.

Improved Vision Benefit

Interested in Lasik surgery? Vision Plan coverage for this benefit will increase from 35% to 50% beginning October 1.

Allstate Replaces IDShield

Allstate will replace IDShield as provider of identity protection benefits. Allstate goes beyond basic identity protection services to offer programs that meet specific needs of targeted groups. This includes digital tools to help keep tweens and teens safe online, and resources to protect parents age 65+ against fraud and abuse—even if they don’t live in your household.

Important! If you are currently enrolled with IDShield and wish to continue this benefit with Allstate, there is nothing you need to do. Your coverage will roll over to Allstate Identity Protection effective October 1, 2025.

Your Costs for 2025–2026

The amount of your contribution is based on which benefits you select and who you want to cover under the plans.

View your 2025–2026 contributions 

If you have questions, please contact your Tidelands Health benefits team at [email protected].