How Tender Care Tripled Health Plan Enrollment After Group Plans Priced Them Out

After Thatch, employee enrollment in health plans increased by 80%

Quick Facts

  • Results: Affordable coverage across a wide range of employee income levels, coverage despite a high-claims population, and plan choice suited to different family needs

  • Industry: Healthcare

Background

Tender Care Pediatric Services (TCPS) serves children with high medical needs. Because of this population, most insurance companies would not offer the organization coverage at all. Anthem was one of the only carriers willing to work with TCPS, but rates were high. After a year of high claims tied to skilled-needs children and pandemic-related issues, Anthem raised rates further to recoup its losses. A single basic Anthem plan would have cost more than $900 a month even with an employer contribution, pricing many employees out of coverage. TCPS needed an option that worked for a wide range of employees, from young single employees to those covering full families.

Approach

TCPS had never heard of an employee health budget until about a year and a half before making the switch. The team moved to Thatch to give employees the ability to choose plans suited to their own needs, whether that meant a basic individual plan or full family coverage. They worked with Thatch's team through onboarding and training. And heading into their second renewal, TCPS worked with Thatch on timing and preliminary rates.

Outcome

Enrollment has nearly doubled since TCPS moved to Thatch, driven by both business growth and higher employee participation rates. Employees have responded well to having real plan choice, and they described the enrollment process itself as smooth once employees got into the platform. TCPS chose to stay with Thatch for a second year, citing the platform, plan options, and a responsive partnership. When TCPS speaks with prospective customers as a reference, they point to contained costs with no unexpected increases and consistently strong customer support.

💬 “It's given our employees an opportunity to be able to choose their own plan because everybody's needs are different.” — Alicia Anderson, HR Manager, TCPS

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