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District proposes insurance design changes, on-site clinic and stop‑loss savings to hold premiums flat
Summary
Business officials reported a 0% increase to employee premiums for 2025–26, citing several plan design changes, a new provider ACO tiering arrangement, pharmacy edits and an onsite clinic arrangement intended to control costs; administration said stop‑loss procurement also yielded anticipated savings
District finance staff presented a summary of the recommended employee health-insurance plan design for the 2025–26 year and said the administration expects to hold employee premiums at a 0% increase.
Business officials described a multi-pronged approach: maintain the current UMR provider relationship while joining a local Nexus ACO that creates tiered provider networks (tier 1 including Aurora, Froedtert and other local providers), refine the pharmacy formulary to exclude weight‑loss medication when used only for elective…
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