Local Government Health Care Clients
- Albany (GA), City of
- Bibb County (GA) Government Health Care Plan
- Central Nebraska Public Power and Irrigation District
- Chattanooga, City of (TN)
- Chattanooga (TN) Area Regional Transportation Authority
- Cobb County (GA) Health Plan
- Cook County (IL) Pension Fund Retirement Board
- Coweta (GA), County of
- Dona Ana County (NM)
- Escambia County (FL)
- Florida College System Risk Management Consortium
- Fulton County (GA)
- Grand Junction (CO), City of
- Grand River Dam Authority (OK)
- Gwinnett County (GA) Retirement System Health Insurance Plan
- Hampton (VA), City of
- Hampton City Public Schools (VA)
- Hernando County School Board (FL) Health Insurance Plan
- Jefferson County (AL)
- Lenexa (KS), Board of WaterOne
- Lexington-Fayette Urban County Government (KY)
- Lincoln (NE), City of
- Los Angeles County (CA) Employees Retirement Association
- Miami-Dade College (FL)
- North Carolina Association of County Commissioners
- North Carolina County Health Plan
- North Carolina League of Municipalities
- North Carolina Municipal Insurance Trust
- Omaha Metropolitan Utilities District (NE)
- Pensacola (FL) General Pension Retirement Fund
- Pensacola (FL) Health Insurance Plan
- Shelby County (TN) Retirement System
- Sioux Falls (SD), City of
- Suffolk (VA), City of
- Suffolk City Schools
- Topeka (KS), City of
- Ventura County (CA) Retiree Health Benefits Program
- Washington County Johnson City EMS (TN)