San Joaquin Valley Insurance Authority

Board Agenda & Materials

September 12, 2025

The San Joaquin Valley Insurance Authority (SJVIA) Board will meet on Friday,September 12, 2025 at 8:30am. The meeting will take place at the County of Fresno Board of Supervisors Chambers, 2281 Tulare St. #301, Fresno, CA 93721.  Links below include the agenda and items being considered at the meeting.

Agenda

Listen to the meeting live at 8:30 am on Friday, September 12, 2025.

Listen to a recording of the meeting.

  • Item 4 - Public Comment

  • Item 5 - Item One

    • Receive Pharmacy Benefits Manager Marketing Report and Recommendation from Ad Hoc Committee;

    • Discuss and Vote to Approve a Pharmacy Benefits Manager between three choices as follows:

      • EmpiRx, with an adjusted claim cost of $32,726,268 and an administration fee of $565,296, for a total 2026 cost of $33,291,564.

      • CarelonRx, with an adjusted claim cost of $29,677,649 and an administration fee of $317,979, for a total 2026 cost of $29,937,308.

      • CVS Caremark, with an adjusted claim cost of $30,227,902, with an administration fee of $227,236 and a coalition fee of $252,484, for a total 2026 cost of $30,707,621.

    • Authorize Consultant and SJVIA Staff to Negotiate Agreement with Awarded Pharmacy Benefits Manager, and Authorize SJVIA President to Execute Agreement with Awarded Pharmacy Benefits Manager, Subject to Approval of SJVIA Counsel and Staff.

    • Item 5 Staff Report

    • Item 5 Attachment - Consultant's Report

    • Item 5 Attachment - Revised Cost Exhibit

  • Item 6 - Adjourn