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Springfield SD 186 board approves split-vendor health plan strategy, selects Aetna network, Consociate Health TPA and Smith Rx PBM
Summary
After months of committee work and an expedited RFP, the board approved a “best‑in‑class” approach that separates third‑party administration, health network and pharmacy‑benefit management. The change is intended to increase transparency of discounts and rebates and reduce long‑term costs.
The Springfield School District 186 board on April 7 approved a change to the district’s employee health‑benefit strategy, moving away from a single “one‑stop‑shop” vendor toward a split‑vendor “best‑in‑class” model. The board adopted three resolutions to accept Aetna as the health network (with a Springfield Clinic Advantage option and access to Barnes‑Jewish care), Consociate Health as the third‑party administrator (TPA), and Smith Rx as the pharmacy benefits manager (PBM) for the contractual year beginning June 1, 2025.
Board documents and presenters said the district issued separate RFPs for the TPA, network, PBM and stop‑loss coverage, received multiple proposals (11 vendor proposals in total), and conducted committee review and vendor presentations in March. The district’s insurance committee — which included representatives from the district’s bargaining groups and administration — voted unanimously to…
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