The Miami-Dade Board of County Commissioners held a special meeting on August 13, 2025, to discuss the selection of a health insurance provider for county employees. The meeting focused on the proposals from Aetna and AvMed, with significant emphasis on cost implications and the quality of services provided.

The discussion began with a presentation highlighting the projected costs associated with each provider. A representative noted that Aetna's estimated cost for the upcoming year would be $503 million, which is $70 million higher than the county's own projections. Concerns were raised about the reliability of these figures, with one commissioner cautioning against making a decision based on potentially flawed procurement processes. The representative emphasized the risk of a $1.1 billion mistake if the projections did not hold true.

Commissioners expressed their reliance on consultants for accurate information, acknowledging the complexity of health insurance and the need for careful consideration. One commissioner highlighted the importance of ensuring that any decision made would not adversely affect the health and well-being of county employees, especially in light of a significant budget deficit.

As the meeting progressed, the conversation shifted towards the merits of Aetna's proposal. A commissioner noted that Aetna's extensive network could lead to better contract negotiations, potentially resulting in savings for the county. This sentiment was echoed by other commissioners who expressed confidence in Aetna's ability to provide quality health insurance while also being cost-effective.

A motion was made to recommend Aetna as the insurance provider, which received a second and was met with support from several commissioners. The discussion included input from constitutional officers, with both the property appraiser and the clerk expressing their support for Aetna, citing the importance of employee health benefits.

The meeting concluded with a call for transparency and assurance that the decision would prioritize the best interests of county employees. The commissioners reiterated their commitment to making a well-informed choice, emphasizing the need for clarity and trust in the process. The board is expected to finalize its decision in the coming weeks, with a focus on ensuring a smooth transition for employees.