District benefits staff told trustees that Aetna and Cigna declined to quote on the district's 2026 medical RFP and that year-to-date claims and carrier responses make at least a 10% increase in employer contributions likely; administration will update trustees at the May 20 budget meeting.

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.