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Edinburg CISD insurance manager warns rising high-cost claims driving plan losses
Summary
District insurance manager told trustees that a small number of very sick plan members — notably cancer patients — account for nearly half of medical spending, pushing the district to consider plan design changes and education campaigns to control costs.
Dustin Garza, the district’s insurance manager, told the Edinburg CISD Board on Wednesday that medical and pharmacy costs have surged in recent years, driven largely by a rising number of very high-cost claimants. He said 169 plan members in the 2025 plan year accounted for roughly 45.5% of the district’s medical and pharmacy expenditures on a plan with about $56 million in annual costs.
"In two years, that category has risen 100 percent," Garza said, explaining the sharp increases in cancer-related treatments and newer, costly immunotherapies. He…
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