At the May meeting in Lorman, the IHL board approved continuing accreditations (three nursing programs with conditions), Mississippi College's stage-two approval to admit nursing students, multiple new degree requests (including a UMMC Ph.D.), property and cyber insurance renewals, a three-year legal services agreement, committee chair appointments and a trustee reappointment.

Aon presented drivers of a projected 9.5% national healthcare trend and flagged sharp GLP-1 pharmacy cost growth; the board approved VSP 2027 vision rates and New York Life renewals for life and disability products by unanimous roll call.

The board approved renewals for workers’ compensation with SAIF, property/liability with CIS, and cyber coverage with Cowbell; members debated a statewide rise in PTSD claims, payroll growth, and cybersecurity spending choices including a separate MDR purchase.

A consultant told the Merrimack County Board of Commissioners that medical and prescription trends are driving unusually large renewals and that the county's recent spike in catastrophic claims has left carriers unwilling to quote. Commissioners approved switching ancillary benefits to a different carrier with a three‑year rate guarantee.