Mission 

We help higher education institutions and secondary schools save money on their employee health insurance costs, facilitate collaboration between Human Resources and Finance, and uncover innovative opportunities to improve health and value so colleges, universities, and secondary schools can focus on their mission of educating students.

Guiding Principles 

edHEALTH is the proven employee healthcare solution for higher education and secondary schools. Our guiding principles include:

• Savings - Together, we can retain more risk with less volatility than most schools can realize on their own.  We strive to run programs with lower operating costs than average commercial insurance companies. Member-owners share in the savings. 
• Collaboration - At the core of every program is true collaboration. When our member-owner educational institutions, our business partners, and the edRISK team, including edHEALTH, come together, we improve the overall value of each of our programs.
• Ownership - edHEALTH and all of edRISK are entirely member-owned and governed. All profits belong to the member-owner educational institutions.
• Transparency - Our transparent approach means member educational institutions have access to all pricing components, and to their claim information, which enables data-driven decision-making. Member-owners directly contribute to strategic priorities and program design decisions that meet their needs while containing rising costs.
• Innovation - Innovation enables us to look ahead and better support educational institutions for the long term. Through data analysis, strategic thinking, and true collaboration, we provide educational institutions with new programs that meet their changing needs.

History

In the mid-2000s, healthcare costs started to escalate at unsustainable rates, far outpacing wages and inflation. Colleges and universities were concerned about the impact faculty and staff healthcare costs were having on their core mission of providing quality education to students. In late 2008, The Boston Consortium, which fosters collaboration between higher education institutions, began to explore ways to slow rapidly increasing health insurance costs. The group expanded to include chief financial and chief Human Resource officers from a number of area institutions and determined that in order to take control of healthcare costs, they needed to:

• Create savings through a more efficient financial structure and group purchasing power
• Include multi-institution participation to minimize risk and corresponding cost volatility

A Feasibility Study evaluated a number of funding options, and after numerous meetings, the group, which called itself Co-HIP (Co-sourced Health Insurance Program), determined that a captive insurer domiciled in Vermont would provide the best option. The Captive was expected to reduce health insurance premiums by 4-6% annually. Other benefits included:

• Ease and speed of implementation
• Fewer reporting and regulatory requirements
• Plan design flexibility
• Efficiencies and predictability of pooled claims
• Large group leverage for pricing and program negotiations
• Service and control managed by the member institutions

Representatives from 24 area colleges, universities, and the Boston Consortium formed an advisory group, agreed to contribute startup funds, and established the following founding principles, the same ones that edHEALTH adheres to today:

• Savings
• Ownership
• Transparency
• Innovation

Over the years, the Board was winnowed down to represent a smaller cross-section of member colleges and universities as well as two non-members who represent management and the Vermont Captive.

Key Milestones

July 10, 2012 – Educators Health, LLC (edHEALTH) becomes a legal entity.

April 18, 2013 – The State of Vermont licenses the edHEALTH Captive, Educators Health Insurance Exchange.

The edHEALTH parent company oversees the overall program, consisting of:

• A group of self-insured health plans with individually set self-insured retention attachment points
• A pooled stop-loss insurance program administered by a Vermont Reciprocal Captive.

July 1, 2013 – edHEALTH launched with six initial members: Boston College, Lasell College, Olin College of Engineering, Regis College, Wellesley College, and Wheaton College.

January 1, 2014 – Three additional members (Berklee College of Music, Wentworth Institute of Technology, and Worcester Polytechnic Institute) join, bringing edHEALTH to approximately 7,000 covered employees with $100 million of annual premiums.

January 1, 2015 – Two additional members (Brandeis College and Emerson College) join, bringing edHEALTH to 8,500 covered employees.

May 2016 – 24 colleges, universities, and The Boston Consortium are paid back their $50,000 startup contributions, a year earlier than projected.

January 2019 – A nationwide third-party administrator is selected, enabling geographic expansion.

June 17, 2019 – $2 million in dividends paid to member institutions as a result of a surplus in the Captive.

July 1, 2019 – Four charter schools enroll in edHEALTH. In addition to the early adopters, they join Salve Regina, Bentley, Suffolk, Clark, and Lesley universities. 

2020 – Three additional colleges join edHEALTH, including Sarah Lawrence College, our first New York school, and Bennington College, our first Vermont college. The total number of participating schools is now 23, with an estimated employee count of 13,500.

January 2022 – Two colleges, College of the Holy Cross and Saint Joseph’s College of Maine, join edHEALTH. This adds Maine as another New England state with an edHEALTH school.

May 2023 – The edRISK Sponsored Captive is formed to enable a broader organization to offer additional lines of insurance savings to educational institutions nationwide. The edHEALTH group captive is converted to being the first cell at edRISK. 

January 2024 – Two more schools join the consortium, Husson University in Maine and The Lawrenceville School in New Jersey, bringing edHEALTH to 27 member-owners.

June 2024 – Wilbraham & Monson Academy in Massachusetts becomes edHEALTH's 28th member-owner and second private secondary school.

On June 1st, edRISK, which includes edHEALTH, launched two more cell programs, edLIABILITY and edPROPERTY. 

On June 18th, edHEALTH presented dividend checks to 14 edHEALTH schools totaling $3.5 million.

Looking Toward the Future

edHEALTH is poised for growth. Our healthcare rates are beating the rising healthcare cost curve with a 10-year average increase of 3.7% compared with the industry average of 7.9%.

We’ve added some innovative clinical intervention programs to improve quality and control rising claims costs. Through our data vendor, we are gaining insights into our claims pain points, which enables us to develop proactive strategies. It’s been just under 20 years since conversations began on how to control rising healthcare costs. We appreciate your interest in the resulting edHEALTH solution.

You can learn about the group captive edRISK, which includes edHEALTH, edLIABILITY, and edPROPERTY, by visiting edrisk.org.