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MMSD staff outline options as health insurance costs project a 17% jump for 2026–27

Madison Metropolitan School District Board/Operations Work Group · March 10, 2026
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

District staff told the board they estimate the health plan will cost about $98 million in 2026–27 — roughly a 17.3% increase — and presented three cost-mitigation options: increase employee premium shares, raise deductibles, or offer a high-deductible plan with an HSA as a choice.

Madison Metropolitan School District staff told the board the district—xpects roughly $98,000,000 in total health-plan payments for 2026—27 under current benefit designs and initial carrier rates, an increase staff estimated at about $14—16 million, or roughly 17.3%.

Rachel, the district benefits manager, said current enrollment is about 3,700 employees, with about 27% of those enrolled in the Dean plan and the rest with the other carrier. She reported plan claims are running above premiums: the district-wide claims ratio is roughly 105%, and Dean's portion is about 120%.

To reduce the projected increase, staff presented three options: Option 1 would raise employee premium shares (keeping the district—urrent tiered structure); staff modeled a 2-percentage-point increase that they estimated would reduce…

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