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