The Nonprofit CEO Podcast

018 Pulling the Plug on a $22 Million Program | President and CEO of Missio Nexus Ted Esler

June 23, 2026·34 min
Episode Description from the Publisher

Ted Esler launched a partially self-funded health insurance program for the staff of Missio Nexus member organizations. It grew from zero to $22 million in about 18 months. Then COVID arrived. Claims went quiet while people stayed away from the doctor, so the program looked healthy when it was not. The bills landed all at once when they came back, and the losses grew large enough to threaten an association running about $2 million a year. His consultants told him to ride it out. H...

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