NEWS & UPDATES

September 2024 | Issue 44

2024 Walking Challenge Winner

In case you missed our announcement in July, Saint Joseph's College of Maine won for the second year in a row.


Thanks to the support and enthusiasm from our member-owner schools, we had another record-breaking participation year with a 40% increase to the faculty and staff accepting this year's challenge than last year. Congratulations to all involved!

Calendar Corner for edHEALTH Member-Owner Schools

What's New in the edHEALTH Portal


Two K-1 Forms

In addition to posting the edHEALTH LLC K-1 to the portal, you also now have a K-1 for your membership in edRISK, LLC. (You may recall that edHEALTH became part of edRISK last year.)


The K-1 is a tax form we are required by the IRS to share with you and represents each member-owner’s portion of income each tax year. This differs from the school’s portion of captive net income, which is reported to you in March each year and is called the Subscriber Savings Account (SSA) Letter.


Going forward, member-owner schools will receive two K-1s each year. 


Population Health - 80% Healthy Metrics Report

In addition to the reports, you'll find complementary wellness flyers related to five preventive HEDIS screenings. This content can help you promote to your faculty and staff the importance of going for early detection to address potential significant health issues like cancer, diabetes, and general preventive care.


New Employee Flyer on Variable Copay Card Program

For many of our schools, this flyer can help you explain to employees how the variable copay card program can save them money on their specialty medications. You'll find the template in the portal's Data Repository and Communications section.

2025 Renewals Final Reminder

Please return your signed rate sheets by Monday, September 30, 2024. Thank you!

Upcoming Member-Owner Meetings

Mark your calendars for these virtual meetings:


October 10 (10 AM) - edHEALTH 101

Attend this session for a refresher about edHEALTH and how we work with the schools, or invite new employees, especially those in Finance and Human Resources, to learn more about us. Please share this invitation and/or sign up now.


October 16 (11 AM) - Plan Design Committee Meeting

Member-Owners come together to discuss timely topics such as plan design options, third-party administrator updates, supplemental programs, PFML updates, and new edHEALTH opportunities.



November 13 (11 AM) - Plan Design Committee Meeting


November 14 (10 AM) - edHEALTH 101


December 5 (11 AM) - Finance Meeting - Q3 Review


December 12 (10 AM) - edHEALTH 101


December 18 (11 AM) - Plan Design Committee Meeting

New Content to Help Explain edHEALTH to Faculty and Staff

Some of our schools find it valuable to communicate about being an edHEALTH member-owner, both at the onset of joining and ongoing through the years. At our June annual meeting a few of you asked for assistance with messaging. That's why we created two new customizable templates.


1) Who's Who with Your Healthcare Coverage

This infographic highlights your third party administrator, pharmacy benefits manager, telemedicine vendor, edHEALTH, advisor (if applicable), and more so employees know who's their first point of contact.

2) The Value of edHEALTH

This flyer outlines the cost-saving power of group purchasing, wellness programs available, and more.


Since both flyers need to be customized for your school's business partners and offerings, we ask that you contact Lisa Barnstein so she can provide the right template and help you customize the communication.

edHEALTH Explained from the Finance Perspective: An Interview with AVP and Controller at Wellesley College

Melissa Fletcher, Assistant Vice President for Finance and Administrative Services and Controller at Wellesley College (a founding edHEALTH member-owner) and edHEALTH Board Treasurer, along with edHEALTH's Chief Financial and Operating Officer, David White, presented the value of a captive at NACUBO's Annual Meeting in July. Since not all our readers attended, we share Melissa's direct edHEALTH experience and insights with all of you.


Recognizing the complexity of finance, will you describe your role at Wellesley at its simplest? I'm responsible for the team that handles all the movement and reporting of financial transactions at the college.


How does edHEALTH fit into your work responsibilities? As we are self-insured, like all member schools, it is essential for us to stay connected with what is happening on the claims front. We regularly monitor Wellesley's bank account (the child account of edHEALTH) and review claims in conjunction with the Human Resources team. This way, we can identify trends and consider new opportunities to serve our faculty and staff better. I really value the collaboration with our Human Resources team. It is helpful to understand the priorities and concerns of other areas of the college.


Why do you think edHEALTH works for Wellesley College? The obvious reason is that being part of edHEALTH enables us to reduce costs dramatically while still providing incredible benefits. Beyond the savings, I value the additional programs included, such as the walking challenge and additional programs and services that we are only able to participate in because of our combined employee population.


You've been a big proponent of the added value the captive can offer, which has helped to launch edLIABILITY and edPROPERTY. What impresses you? The long-term savings we have seen with edHEALTH are very real. The model is solid. That's why we believe in applying the same type of model to other lines of business, like liability and property insurance, with the new edLIABILITY and edPROPERTY, respectively.


We trust the actuaries' analysis of the data. They analyzed 10 years’ worth of claims history, and their results put the risk profile of the schools in the new cell captives in a very favorable position. We recognize, too, that we need to be patient to see the savings. In the long run, the bigger picture of this should allow us to customize coverage, lower premiums, increase transparency, and manage claims.


After being on the edHEALTH board for a couple of years, do you see things differently in terms of a member school being part of edHEALTH? Without a doubt, I have gained a broader understanding of edHEALTH's impact and how the collaboration among all schools benefits both the captive and each school individually.



Do you have a favorite quote or words you try to live by? Yes, I even have one posted by my desk at work. It's the words of one of our most generous alumna, Kathryn Wasserman Davis, Class of 1928, who lived until she was 106 years old. She used to say often, and now I do, "My favorite day is… tomorrow." What a positive way to live life: always ready for the unknown blessings coming your way!  

edRISK is Captive Review's Cell Captive Initiative of the Year 2024

Last month, Captive Review recognized edRISK, which includes edHEALTH, and its two new programs, edLIABILITY and edPROPERTY. We appreciate your support in all we do. For a full list of this year's Captive Review award winners, visit captivereview.com.


To learn more about all of edRISK, please visit the new edRISK website.

Timely Articles Worth a Read

During the summer months, we read a few interesting articles about pharmacy benefits, employee feedback, and other healthcare trends. You may find them interesting and worthy of sharing with your colleagues.

Free Resources for Breast Cancer Awareness Month in October

Did you know that breast cancer is the second-most common cancer in women, affecting about 30% of the population, or one in three? It's second to skin cancer. The good news is that breast cancer is often successfully treated when caught early.


This makes spreading the word about screenings and early detection so important. With the many resources available to you at no cost, you can help promote preventive screenings and testing on your campus or organization. Here are some free downloadable tools we have created or found for you.

Want help in promoting on your intranet or microsite? Contact Lisa Barnstein for assistance.

edHEALTH Welcomes Julianna Parker

We are thrilled to announce that Julianna Parker has joined the team as our new Data Analyst/Member Relations Manager.


In addition to supporting and collaborating with many of our schools and their advisors, Julianna will manage our data trends and member-owner wellness initiatives.


Before joining edHEALTH, Julianna spent three years as a senior account manager at an evidence-based point solution firm specializing in diabetes, weight loss, and hypertension management. She also worked in hospitality and event management for seven years in Newport, Rhode Island. Please help us welcome Julianna to the team!


Member-owners: You can read more about our new Member Relations Manager role in edHEALTH President and CEO Tracy Hassett's email from September 24. If you missed it, check your inbox.

Want to learn more about the many benefits of edHEALTH?

Call Nancy McConaghy at 1.866.692.7473 ext. 702 or send her an email.

Please add lbarnstein@edrisk.org to your contacts so we're recognized as a safe sender.

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