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District announces 2025–26 benefits changes: 5% average medical rate decrease, new prescription and concierge services

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Summary

The CRCSD benefits team told the board the district secured a roughly 5% reduction in medical plan rates for 2025–26 while keeping the same set of four plans, added a PrudentRx specialty-prescription program, expanded vision and dental allowances, and plans to roll out HealthJoy as a health-concierge and new EAP.

The Cedar Rapids Community School District benefits team on Monday presented proposed changes for the 2025–26 benefits year, saying the district expects an approximate 5% reduction in medical premiums while maintaining the existing four-plan menu for employees.

Carla (district benefits leader) introduced members of the benefits team and presenters: Shelly Gray (payroll benefits manager) and Heather Moore (benefits specialist). The presenters said the district successfully transitioned away from the MIP consortium into its own plan while keeping the same insurance carriers: Wellmark for medical and Caremark for prescription administration.

Key points presented: - Medical: roughly a 5% decrease in overall cost across the medical plans; district will continue covering the employer share for full-time benefit-eligible employees. - Prescription: addition of PrudentRx to help employees with high-cost specialty drugs potentially reduce or eliminate copays. - Dental: rates will be locked for three years and district is adding coverage for a third oral exam so routine care is less likely to count against the standard two-exam allowance. - Vision: frame and contact-lens allowance raised from $130 to $200. - Health and support services: the district will add HealthJoy, a health-concierge service for benefit navigation, appointment scheduling, claim assistance and referrals, and will move to a new Employee Assistance Program delivered through the HealthJoy platform. - Benefits consulting: the district continues to work with True North to analyze claims and guide long-term fiscal strategies.

Presenters said these changes were well received during annual enrollment and noted outreach and employee education will continue; they emphasized that some rates (dental and vision) are locked multi-year to provide stability.

Board members thanked the benefits team for the transition work and for limiting cost increases while improving benefits. No formal board vote on benefits plan design was recorded Monday; the presentation summarized proposed changes for the coming plan year.