Edward Kaplan

Edward Kaplan

Edward Kaplan

Senior Vice President, Health Practice Leader

Ed is a Senior Vice President and the National Health Practice Leader in Segal’s New York office. In addition, he leads Segal’s Medical Stop Loss Leadership Group and supports the New York Health Alliance. Ed has more than 30 years of experience in the benefits industry and has specialized expertise in pricing and plan design strategies for managed medical, dental and prescription drug programs. He works with companies, governments and collectively bargained plans (including a statewide retirement health plan system, coalition of entertainment industry health plan sponsors and the collectively bargained workers of a national transportation employer). In 1996, Ed created the Segal Health Plan Trend Cost Survey, now a standard in the industry, and client appreciation and use of the survey has contributed to Segal’s national reputation as a leader in prescription drug plan benefit consulting and pharmacy benefits management consulting.

Prior to joining Segal, Ed served as an Associate Manager of Underwriting for a major insurance carrier, where he helped to develop managed care plan designs, pricing techniques and financial risk sharing arrangements. He also served as a Health Consultant for a major consulting firm, where he assisted in the development of rate manuals for managed medical, dental and prescription drug programs, and was involved in several special studies related to managed care, including studies on the prescription drug “shoebox” effect, HMO “skimming” and other issues.

Ed received a BA in Economics from Rutgers University.

Ed is quoted frequently in general business and employee benefit publications on managed care issues. He has authored articles and book chapters for several trade journals and publications, including Employee Benefits Handbook, published by WG&L; Trustees Handbook, published by the International Foundation of Employee Benefits; IPMA HR News; and Workspan magazine. Ed testified before a congressional sub-committee on several aspects of the Affordable Care Act before it was enacted into law and has provided economic analysis of the law on behalf of several different industry groups. He also speaks at industry events and conferences and is frequently published in industry publications, including:

  • "Trends in Coverage for Retirees," NCCMP Annual Conference, September 2016
  • "Plan Designs for the Future," 2016 Self-Insured Taft Hartley Plan Executive Forum, May 2016
  • "Assessing ACA's Big Issues: Grandfathered Status and the 40% Excise Tax," IPMA-HR Eastern Region Training Forum, April 2016
  • "Prepare to Avoid or Delay the Affordable Care Act Excise Tax," IPMA HR News, January 2016
  • "What if ACA Excise Tax Isn't Repealed?" Benefits Magazine, November 2015
  • "ACA's Big Issues: Strategies for Coping with the 40% Excise Tax," Segal Fall Public Sector Webinar Series, September 2015
  • “ACA Update King v. Burwell: United States Supreme Court Upholds ACA Subsidies in all States," Segal Consulting Webinar, July 2015
  • "Emerging Health Benefit Strategies: Which Path is Right for You?" Segal Consulting Annual Fund Administrator's Seminar, May 2015
  • "A Path Forward," Segal Consulting Annual Fund Administrator's Seminar, May 2015
  • "Understanding the Value of Your Self-Insured Plan," Self-Insurance Institute of America, Inc.’s (SIIA) Self-Insured Taft-Hartley Plan Executive Forum, Washington, DC, April 2015
  • "What Obesity’s Designation as a Disease Means for Plan Sponsors," IPMA HR News, January 2015
  • "ACA Compliance," Attorneys Seminar: Committee for the Labor Management Cooperation Initiative, Las Vegas, NV, December 2014

Read insights from Edward

  • July 27, 2022

    Rx Coverage Is a Valued Benefit: Manage Its Cost Effectively

    Learn more about how to deliver more cost-effective prescription drug benefits to your plan participants.

    Topics covered: Health, Pharmaceutical, Healthcare Industry

    Read full insight

  • May 5, 2022

    The Current and Future State of Digital Health

    How best to choose what you need? Get our tips on what to look for in a digital partner.

    Topics covered: Health

    Read full insight

Edward Kaplan

Edward Kaplan

Edward Kaplan

Senior Vice President, Health Practice Leader

Ed is a Senior Vice President and the National Health Practice Leader in Segal’s New York office. In addition, he leads Segal’s Medical Stop Loss Leadership Group and supports the New York Health Alliance. Ed has more than 30 years of experience in the benefits industry and has specialized expertise in pricing and plan design strategies for managed medical, dental and prescription drug programs. He works with companies, governments and collectively bargained plans (including a statewide retirement health plan system, coalition of entertainment industry health plan sponsors and the collectively bargained workers of a national transportation employer). In 1996, Ed created the Segal Health Plan Trend Cost Survey, now a standard in the industry, and client appreciation and use of the survey has contributed to Segal’s national reputation as a leader in prescription drug plan benefit consulting and pharmacy benefits management consulting.

Prior to joining Segal, Ed served as an Associate Manager of Underwriting for a major insurance carrier, where he helped to develop managed care plan designs, pricing techniques and financial risk sharing arrangements. He also served as a Health Consultant for a major consulting firm, where he assisted in the development of rate manuals for managed medical, dental and prescription drug programs, and was involved in several special studies related to managed care, including studies on the prescription drug “shoebox” effect, HMO “skimming” and other issues.

Ed received a BA in Economics from Rutgers University.

Ed is quoted frequently in general business and employee benefit publications on managed care issues. He has authored articles and book chapters for several trade journals and publications, including Employee Benefits Handbook, published by WG&L; Trustees Handbook, published by the International Foundation of Employee Benefits; IPMA HR News; and Workspan magazine. Ed testified before a congressional sub-committee on several aspects of the Affordable Care Act before it was enacted into law and has provided economic analysis of the law on behalf of several different industry groups. He also speaks at industry events and conferences and is frequently published in industry publications, including:

  • "Trends in Coverage for Retirees," NCCMP Annual Conference, September 2016
  • "Plan Designs for the Future," 2016 Self-Insured Taft Hartley Plan Executive Forum, May 2016
  • "Assessing ACA's Big Issues: Grandfathered Status and the 40% Excise Tax," IPMA-HR Eastern Region Training Forum, April 2016
  • "Prepare to Avoid or Delay the Affordable Care Act Excise Tax," IPMA HR News, January 2016
  • "What if ACA Excise Tax Isn't Repealed?" Benefits Magazine, November 2015
  • "ACA's Big Issues: Strategies for Coping with the 40% Excise Tax," Segal Fall Public Sector Webinar Series, September 2015
  • “ACA Update King v. Burwell: United States Supreme Court Upholds ACA Subsidies in all States," Segal Consulting Webinar, July 2015
  • "Emerging Health Benefit Strategies: Which Path is Right for You?" Segal Consulting Annual Fund Administrator's Seminar, May 2015
  • "A Path Forward," Segal Consulting Annual Fund Administrator's Seminar, May 2015
  • "Understanding the Value of Your Self-Insured Plan," Self-Insurance Institute of America, Inc.’s (SIIA) Self-Insured Taft-Hartley Plan Executive Forum, Washington, DC, April 2015
  • "What Obesity’s Designation as a Disease Means for Plan Sponsors," IPMA HR News, January 2015
  • "ACA Compliance," Attorneys Seminar: Committee for the Labor Management Cooperation Initiative, Las Vegas, NV, December 2014

Read insights from Edward

  • July 27, 2022

    Rx Coverage Is a Valued Benefit: Manage Its Cost Effectively

    Learn more about how to deliver more cost-effective prescription drug benefits to your plan participants.

    Topics covered: Health, Pharmaceutical, Healthcare Industry

    Read full insight

  • May 5, 2022

    The Current and Future State of Digital Health

    How best to choose what you need? Get our tips on what to look for in a digital partner.

    Topics covered: Health

    Read full insight

Edward Kaplan

Senior Vice President, Health Practice Leader

Edward Kaplan

Ed is a Senior Vice President and the National Health Practice Leader in Segal’s New York office. In addition, he leads Segal’s Medical Stop Loss Leadership Group and supports the New York Health Alliance. Ed has more than 30 years of experience in the benefits industry and has specialized expertise in pricing and plan design strategies for managed medical, dental and prescription drug programs. He works with companies, governments and collectively bargained plans (including a statewide retirement health plan system, coalition of entertainment industry health plan sponsors and the collectively bargained workers of a national transportation employer). In 1996, Ed created the Segal Health Plan Trend Cost Survey, now a standard in the industry, and client appreciation and use of the survey has contributed to Segal’s national reputation as a leader in prescription drug plan benefit consulting and pharmacy benefits management consulting.

Prior to joining Segal, Ed served as an Associate Manager of Underwriting for a major insurance carrier, where he helped to develop managed care plan designs, pricing techniques and financial risk sharing arrangements. He also served as a Health Consultant for a major consulting firm, where he assisted in the development of rate manuals for managed medical, dental and prescription drug programs, and was involved in several special studies related to managed care, including studies on the prescription drug “shoebox” effect, HMO “skimming” and other issues.

Ed received a BA in Economics from Rutgers University.

Ed is quoted frequently in general business and employee benefit publications on managed care issues. He has authored articles and book chapters for several trade journals and publications, including Employee Benefits Handbook, published by WG&L; Trustees Handbook, published by the International Foundation of Employee Benefits; IPMA HR News; and Workspan magazine. Ed testified before a congressional sub-committee on several aspects of the Affordable Care Act before it was enacted into law and has provided economic analysis of the law on behalf of several different industry groups. He also speaks at industry events and conferences and is frequently published in industry publications, including:

  • "Trends in Coverage for Retirees," NCCMP Annual Conference, September 2016
  • "Plan Designs for the Future," 2016 Self-Insured Taft Hartley Plan Executive Forum, May 2016
  • "Assessing ACA's Big Issues: Grandfathered Status and the 40% Excise Tax," IPMA-HR Eastern Region Training Forum, April 2016
  • "Prepare to Avoid or Delay the Affordable Care Act Excise Tax," IPMA HR News, January 2016
  • "What if ACA Excise Tax Isn't Repealed?" Benefits Magazine, November 2015
  • "ACA's Big Issues: Strategies for Coping with the 40% Excise Tax," Segal Fall Public Sector Webinar Series, September 2015
  • “ACA Update King v. Burwell: United States Supreme Court Upholds ACA Subsidies in all States," Segal Consulting Webinar, July 2015
  • "Emerging Health Benefit Strategies: Which Path is Right for You?" Segal Consulting Annual Fund Administrator's Seminar, May 2015
  • "A Path Forward," Segal Consulting Annual Fund Administrator's Seminar, May 2015
  • "Understanding the Value of Your Self-Insured Plan," Self-Insurance Institute of America, Inc.’s (SIIA) Self-Insured Taft-Hartley Plan Executive Forum, Washington, DC, April 2015
  • "What Obesity’s Designation as a Disease Means for Plan Sponsors," IPMA HR News, January 2015
  • "ACA Compliance," Attorneys Seminar: Committee for the Labor Management Cooperation Initiative, Las Vegas, NV, December 2014

Read insights from Edward

  • July 27, 2022

    Rx Coverage Is a Valued Benefit: Manage Its Cost Effectively

    Learn more about how to deliver more cost-effective prescription drug benefits to your plan participants.

    Topics covered: Health, Pharmaceutical, Healthcare Industry

    Read full insight

  • May 5, 2022

    The Current and Future State of Digital Health

    How best to choose what you need? Get our tips on what to look for in a digital partner.

    Topics covered: Health

    Read full insight

Edward Kaplan

Senior Vice President, Health Practice Leader

Edward Kaplan

Ed is a Senior Vice President and the National Health Practice Leader in Segal’s New York office. In addition, he leads Segal’s Medical Stop Loss Leadership Group and supports the New York Health Alliance. Ed has more than 30 years of experience in the benefits industry and has specialized expertise in pricing and plan design strategies for managed medical, dental and prescription drug programs. He works with companies, governments and collectively bargained plans (including a statewide retirement health plan system, coalition of entertainment industry health plan sponsors and the collectively bargained workers of a national transportation employer). In 1996, Ed created the Segal Health Plan Trend Cost Survey, now a standard in the industry, and client appreciation and use of the survey has contributed to Segal’s national reputation as a leader in prescription drug plan benefit consulting and pharmacy benefits management consulting.

Prior to joining Segal, Ed served as an Associate Manager of Underwriting for a major insurance carrier, where he helped to develop managed care plan designs, pricing techniques and financial risk sharing arrangements. He also served as a Health Consultant for a major consulting firm, where he assisted in the development of rate manuals for managed medical, dental and prescription drug programs, and was involved in several special studies related to managed care, including studies on the prescription drug “shoebox” effect, HMO “skimming” and other issues.

Ed received a BA in Economics from Rutgers University.

Ed is quoted frequently in general business and employee benefit publications on managed care issues. He has authored articles and book chapters for several trade journals and publications, including Employee Benefits Handbook, published by WG&L; Trustees Handbook, published by the International Foundation of Employee Benefits; IPMA HR News; and Workspan magazine. Ed testified before a congressional sub-committee on several aspects of the Affordable Care Act before it was enacted into law and has provided economic analysis of the law on behalf of several different industry groups. He also speaks at industry events and conferences and is frequently published in industry publications, including:

  • "Trends in Coverage for Retirees," NCCMP Annual Conference, September 2016
  • "Plan Designs for the Future," 2016 Self-Insured Taft Hartley Plan Executive Forum, May 2016
  • "Assessing ACA's Big Issues: Grandfathered Status and the 40% Excise Tax," IPMA-HR Eastern Region Training Forum, April 2016
  • "Prepare to Avoid or Delay the Affordable Care Act Excise Tax," IPMA HR News, January 2016
  • "What if ACA Excise Tax Isn't Repealed?" Benefits Magazine, November 2015
  • "ACA's Big Issues: Strategies for Coping with the 40% Excise Tax," Segal Fall Public Sector Webinar Series, September 2015
  • “ACA Update King v. Burwell: United States Supreme Court Upholds ACA Subsidies in all States," Segal Consulting Webinar, July 2015
  • "Emerging Health Benefit Strategies: Which Path is Right for You?" Segal Consulting Annual Fund Administrator's Seminar, May 2015
  • "A Path Forward," Segal Consulting Annual Fund Administrator's Seminar, May 2015
  • "Understanding the Value of Your Self-Insured Plan," Self-Insurance Institute of America, Inc.’s (SIIA) Self-Insured Taft-Hartley Plan Executive Forum, Washington, DC, April 2015
  • "What Obesity’s Designation as a Disease Means for Plan Sponsors," IPMA HR News, January 2015
  • "ACA Compliance," Attorneys Seminar: Committee for the Labor Management Cooperation Initiative, Las Vegas, NV, December 2014

Read insights from Edward

  • July 27, 2022

    Rx Coverage Is a Valued Benefit: Manage Its Cost Effectively

    Learn more about how to deliver more cost-effective prescription drug benefits to your plan participants.

    Topics covered: Health, Pharmaceutical, Healthcare Industry

    Read full insight

  • May 5, 2022

    The Current and Future State of Digital Health

    How best to choose what you need? Get our tips on what to look for in a digital partner.

    Topics covered: Health

    Read full insight

Edward Kaplan

Edward Kaplan

Senior Vice President, Health Practice Leader

Ed is a Senior Vice President and the National Health Practice Leader in Segal’s New York office. In addition, he leads Segal’s Medical Stop Loss Leadership Group and supports the New York Health Alliance. Ed has more than 30 years of experience in the benefits industry and has specialized expertise in pricing and plan design strategies for managed medical, dental and prescription drug programs. He works with companies, governments and collectively bargained plans (including a statewide retirement health plan system, coalition of entertainment industry health plan sponsors and the collectively bargained workers of a national transportation employer). In 1996, Ed created the Segal Health Plan Trend Cost Survey, now a standard in the industry, and client appreciation and use of the survey has contributed to Segal’s national reputation as a leader in prescription drug plan benefit consulting and pharmacy benefits management consulting.

Prior to joining Segal, Ed served as an Associate Manager of Underwriting for a major insurance carrier, where he helped to develop managed care plan designs, pricing techniques and financial risk sharing arrangements. He also served as a Health Consultant for a major consulting firm, where he assisted in the development of rate manuals for managed medical, dental and prescription drug programs, and was involved in several special studies related to managed care, including studies on the prescription drug “shoebox” effect, HMO “skimming” and other issues.

Ed received a BA in Economics from Rutgers University.

Ed is quoted frequently in general business and employee benefit publications on managed care issues. He has authored articles and book chapters for several trade journals and publications, including Employee Benefits Handbook, published by WG&L; Trustees Handbook, published by the International Foundation of Employee Benefits; IPMA HR News; and Workspan magazine. Ed testified before a congressional sub-committee on several aspects of the Affordable Care Act before it was enacted into law and has provided economic analysis of the law on behalf of several different industry groups. He also speaks at industry events and conferences and is frequently published in industry publications, including:

  • "Trends in Coverage for Retirees," NCCMP Annual Conference, September 2016
  • "Plan Designs for the Future," 2016 Self-Insured Taft Hartley Plan Executive Forum, May 2016
  • "Assessing ACA's Big Issues: Grandfathered Status and the 40% Excise Tax," IPMA-HR Eastern Region Training Forum, April 2016
  • "Prepare to Avoid or Delay the Affordable Care Act Excise Tax," IPMA HR News, January 2016
  • "What if ACA Excise Tax Isn't Repealed?" Benefits Magazine, November 2015
  • "ACA's Big Issues: Strategies for Coping with the 40% Excise Tax," Segal Fall Public Sector Webinar Series, September 2015
  • “ACA Update King v. Burwell: United States Supreme Court Upholds ACA Subsidies in all States," Segal Consulting Webinar, July 2015
  • "Emerging Health Benefit Strategies: Which Path is Right for You?" Segal Consulting Annual Fund Administrator's Seminar, May 2015
  • "A Path Forward," Segal Consulting Annual Fund Administrator's Seminar, May 2015
  • "Understanding the Value of Your Self-Insured Plan," Self-Insurance Institute of America, Inc.’s (SIIA) Self-Insured Taft-Hartley Plan Executive Forum, Washington, DC, April 2015
  • "What Obesity’s Designation as a Disease Means for Plan Sponsors," IPMA HR News, January 2015
  • "ACA Compliance," Attorneys Seminar: Committee for the Labor Management Cooperation Initiative, Las Vegas, NV, December 2014

Read insights from Edward

  • July 27, 2022

    Rx Coverage Is a Valued Benefit: Manage Its Cost Effectively

    Learn more about how to deliver more cost-effective prescription drug benefits to your plan participants.

    Topics covered: Health, Pharmaceutical, Healthcare Industry

    Read full insight

  • May 5, 2022

    The Current and Future State of Digital Health

    How best to choose what you need? Get our tips on what to look for in a digital partner.

    Topics covered: Health

    Read full insight