The Round Rock ISD board voted Tuesday to approve a four‑year contract with Marathon Health to operate an employee worksite health and wellness clinic, a move district leaders and consultants said is intended to improve access to primary care for staff and reduce long‑term claims costs in the self‑insured health plan.

Board action: After a presentation from district HR and benefits staff and consultant David Beach (Marsh McLellan Agency), trustees voted to approve the contract with Marathon Health; the board discussion included projected utilization, financial contingencies and monitoring plans.

What staff said: HR and benefits staff said employee survey feedback emphasized convenience, access and costs of care; they argued the clinic could offer same‑day in‑person and virtual appointments and reduce reliance on higher‑cost urgent care or ER visits. The district’s financial model estimated that with good utilization the clinic could reduce medical‑claims costs by a conservative $5–7 million over time, not by eliminating a deficit but by reducing annual medical‑cost inflation.

Contract and monitoring: The initial contract term presented to the board is four years with provisions allowing adjustments if district headcount or utilization changes or in case of financial exigency, the consultant said. Trustees requested regular financial and utilization reports; district staff said they will monitor utilization closely, hold weekly implementation meetings at launch and provide monthly updates to the board.

Discussion versus decision: The board approved the Marathon Health contract by roll call (motion, second, vote 7–0). Trustees and staff agreed that the clinic’s success depends on outreach and steady employee utilization.

Attribution: Quotes and attributions come from district HR/benefits staff, the district superintendent and the external consultant present to the board.