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edHEALTH's Captive Risk Management Options
How edHEALTH’s Captive Risk Financing Options Work
Nov 22

Under edHEALTH’s captive, member organizations pick their own self-insured retention level based on their risk tolerance, philosophy, financial status, and experience. In addition to the stop-loss coverage schools automatically receive, they can purchase aggregate stop-loss coverage to further protect their risk. Here’s how the risk financing works:

If a school picks a Self-Insured Retention (SIR) of $100,000 per claim:

  • The college will pay any single claim up to $100,000.
  • The Educators Health Insurance Exchange captive will pay the next $1-$650,000 for each individual claim from this school.
  • edHEALTH purchases excess protection from a stop-loss insurer. This insurer reimburses edHEALTH for any part of a particular claim that exceeds $750,000.

Members work with the actuaries to pick a Self-Insured Retention amount that balances their claims experience with the risk of paying claims and stop-loss insurance. Final rates reflect the level of risk a school wants to take and its claims experience.

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Don't Leave Money on the Table: Self-Insurance Saves Money

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Human Resources

Time – it often seems like there’s not enough of it to get everything we want to do completed. College and university Human Resources departments are especia...

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Passionate About Football - Tracy Hassett Shares Everyday Lessons for edHEALTH

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Tracy Hassett and Tom Brady

edHEALTH’s President and CEO, Tracy Hassett, has been an avid football fan since she was young. It’s a sport she’s shared with her dad over the years. They w...

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2020 in Review and Looking Ahead

Jan 13
Polina Kovaleva 2021 image

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How to Unlock Additional Savings if You’re a Go-it-Alone Self-Insured Healthcare Purchaser

Apr 14
Wentworth Institute of Technology

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Did You Know That All edHEALTH PPO Members Enjoy Access to In-Network Providers?

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Member School employees have access to providers nationwide

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Why Vermont? edHEALTH’s Captive Management Leader Explains the Benefits

Oct 7
David White

Inquiring minds want to know: Why is edHEALTH’s stop-loss subsidiary, Educators Health Insurance Exchange, based in Vermont? David White, Vice President for ...

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Reluctant to Join a Captive? Take the Jump - it's Worth it says Boston College Financial VP

Feb 8
How captive insurance compares with normal insurance

You may hear the word “captive” and get nervous. What is it and what’s the risk? Not only are captives not scary, they also provide added value to a go-it-al...

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April 2021 edHEALTH Newsletter

Apr 15
Spring 2021

Find out:How to Unlock Additional Savings if You’re a Go-it-Alone Self-Insured Healthcare PurchaserInformation on edHEALTH’s May 26 Thought Leadership Semina...

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Protect Yourself and Others - Get a Flu Vaccine

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How Walking Helps Keep the edHEALTH Team Sane and Healthy

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Walking is Keeping Us Sane and Healthy

Although it’s cold, walking is a safe exercise option during the pandemic so the edHEALTH team is making a point of getting outside. We’re finding it’s good ...

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Salve Regina Realizes Strong Results and Valuable HR Support

Aug 25
Salve Regina University

With compensation and benefits comprising 60% of Salve Regina University’s budget, Vice President for Administration and Chief Financial Officer, William Hal...

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Share-it Employee Engagement Communications

Apr 12
edHEALTH employee engagement share-it communications

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February 2021 edHEALTH Newsletter

Feb 10
February 2021 news

Find out:How partnerships and collaboration are helpful strategies during the crisis and beyond – from the “Chronicle of Higher Education”Boston College’s Fi...

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COVID-19 Vaccine Tools for Employees

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COVID-19 vaccine

Informational Videos to Share with Faculty and StaffThe National Alliance of Healthcare Purchaser Coalitions, to which edHEALTH belongs, has created a COVID-...

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New Lunch and Learn Series Help Faculty and Staff Improve Their Own Well-being

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Lunch and Learn program

edHEALTH recently launched a new complimentary Lunch and Learn series hosted by WorkPartners for member school faculty and staff. These one-hour virtual prog...

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Why is it a Challenge to Control Rising Healthcare Costs? It's the Prices

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Prices are to blame for rising healthcare costs

The U.S. is spending nearly 20% of its Gross Domestic Product on healthcare services, which crowds out other needed products and services. Most other countri...

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March 2021 Newsletter

Mar 18
March 2021 Newsletter

Find out:How HR's Role Become More Interesting and Rewarding After Joining edHEALTHWhy it’s a Challenge to Control Rising Healthcare CostsDetails on New Comp...

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