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Consultant: Waco ISD medical plan trending above budget; TRS ActiveCare not recommended now
Summary
A Gallagher consultant told the board the district's medical plan shows elevated pharmacy-driven costs and is running above budget year to date; Gallagher advised against a near-term move to TRS ActiveCare citing rebate and runout risks.
Gallagher consultant Brad Spring reviewed Waco ISD's employer-sponsored medical plan, presenting data through August 2025 and a high-level analysis of Teacher Retirement System ActiveCare (TRS) as a potential option.
Spring said the plan's gross medical expense for August was about $1.7 million (roughly $948 per-employee-per-month) and that the plan's year-to-date gross medical expense on a calendar-year slice was about $10.7 million. On a calendar-year basis the plan was running roughly 8.2% above budget and Gallagher's preliminary projection showed a…
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