Rivendell

What Rivendell does

Rivendell, operated by Delaware corporation Elrond Health Inc. (d/b/a Rivendell in New York and Rivendell Insurance & Administration Services in California), is a health insurance broker and third-party administrator targeting venture-backed startups headquartered in California with at least 10 enrolling employees. The company launched its core product, Rivendell One, in February 2026 as an HSA-qualified, level-funded health plan with a $1,700 individual deductible fully funded by a default employer HSA contribution, producing a $0 net deductible at a California baseline price of $899 per employee per month ($757.33 medical insurance plus $141.67 employer HSA contribution), with a founding-cohort rate of $799 for the first 10 groups. Underwriting is anchored in California on an A-rated stop-loss carrier (Companion Life), but coverage is open-access nationwide across all 50 states with no network or referral restrictions.

The product wraps the medical plan in a human concierge service delivered through Slack Connect and iMessage, supported by One Medical for $0 virtual primary care, Amazon Pharmacy for three-hour prescription fulfillment, virtual therapy and psychiatry with no visit caps, and optional add-ons (Dental & Vision at $100/month, Function Health wellness pack at $30/month, Carrot fertility at $12.50/month, lifestyle stipend at $100/month). A key technical differentiator is an MCP server (https://rivendell.health/mcp) that exposes plan and member workflows to Claude, ChatGPT, and any MCP-aware assistant, including a broker-facing Claude skill for terminal-based quoting. The Rivendell member app ingests biomarker and wearable data for personalized concierge recommendations.

Rivendell monetizes via recurring per-employee-per-month subscriptions across insurance premiums, the employer HSA contribution, add-ons, and a flat broker distribution fee included in the premium. Distribution combines founding-team-led direct sales (30-minute Cal.com kickoffs), a broker and payroll partner channel with disclosed commissions, and self-serve recruitment tools via custom rivendell.health/{company}/plan URLs. The company was founded in 2024 by Heiki Riesenkampf, a former Google product manager and insurance broker, holds California DOI (#B20260025795), New York producer (#6018541), and Delaware producer (#1970717) licenses, and operates offices in San Francisco (156 2nd Street, Unit 310) and New York (895 Broadway, Floor 5).

Name

Rivendell

Legal name

Elrond Health Inc.

Website

https://rivendell.health

Company type

Private

Founded year

2024

Operating status

Operating

Headcount range

11–50 employees

Short description

Rivendell is a licensed insurance broker and third-party administrator (Elrond Health Inc.) selling an HSA-qualified, level-funded health plan with $0 net deductible to venture-backed California startups of 10+ employees, bundling nationwide open-access coverage, One Medical primary care, Amazon Pharmacy delivery, and human concierge support via Slack and iMessage.

Ownership category

akta.pro rank

Product category

Group Health Insurance

NAICS

Insurance Agencies and Brokerages (524210)

SIC

Insurance Agents, Brokers & Service (6411), Hospital & Medical Service Plans (6324)

akta.pro primary industry

Level-Funded Employer Plans (HLAEAAAE)

akta.pro secondary industries

Small Group Health Insurance (2–50/100) (FSAIAFAD), High-Deductible Health Plans (HDHP) with HSA-Eligible Coverage (FSAIAFAM), Self-Funded (ERISA) Employer Plans (HLAEAAAC)

Keywords

• Level-funded health plans
• Startup health insurance
• HSA-qualified plans
• Benefits administration services
• Health insurance broker

Headquarters

HQ city

San Francisco

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Supply Chain, Operations, Technology or R&D, Marketing or Sales, Infrastructure

Revenue model

1. Health Insurance Premiums: Insurance component of level-funded plan: $757.33 per member per month (California baseline, rates vary by employee location). This is the core medical plan premium.
2. Employer HSA Contributions: Default monthly HSA contribution of $141.67 per employee ($1,700 annually), which funds the deductible and belongs to the employee.
3. Optional Add-ons: Dental & Vision ($100/mo), Wellness Pack with Function Health ($30/mo), Lifestyle Perk ($100/mo via payroll), Carrot fertility ($12.50/mo).
4. Broker Distribution Fee: Flat per-employee-per-month commission paid to brokers of record, included in premium. $40/member/month distribution for direct accounts.

Pricing tiers

Go-to-market motion2 records

Distribution channels3 records

Marketing channels5 records

Core offering

Rivendell sells Rivendell One, a level-funded HSA-qualified group health insurance plan for venture-backed startups. The plan bundles medical insurance ($757.33 per member per month California baseline) with an employer HSA contribution ($141.67 per employee per month) that fully funds the $1,700 deductible, producing a $0 net deductible. Membership includes nationwide open-access to any licensed provider, $0 One Medical primary care, $0 virtual therapy, Amazon Pharmacy 3-hour delivery, and a human concierge team staffed via Slack Connect and iMessage, with optional add-ons for Dental & Vision, Carrot fertility, Wellness Pack with Function Health, and a Lifestyle Perk stipend.

Product overview

Rivendell is a digital health insurance platform for startups, operating as a licensed insurance broker and third-party administrator (Elrond Health Inc., d/b/a Rivendell in New York and Rivendell Insurance & Administration Services in California). The core product is Rivendell One, an HSA-qualified level-funded health plan combining $757.33/month medical insurance with a $141.67/month employer HSA contribution for ~$899/month total. Key components include: One Medical primary care ($0, 24/7), Amazon Pharmacy 3-hour delivery, virtual therapy at $0, nationwide open-access provider network, and a human concierge team via Slack Connect and iMessage. Optional add-ons include Dental & Vision ($100/mo), Carrot fertility ($12.50/mo), Wellness Pack with Function Health panels ($30/mo), and Lifestyle Perk stipend ($100/mo). The platform integrates with AI assistants via MCP server for coverage queries and offers a plan advisor as a Claude skill.

Differentiator

Problem solved

Functional benefit

Products and services

• Rivendell One HSA-qualified level-funded group health insurance plan for venture-backed startups with a $1,700 individual deductible fully funded by employer HSA contribution, producing a $0 net deductible. Includes nationwide open access to any licensed provider, $0 One Medical primary care, $0 virtual therapy, 3-hour Amazon Pharmacy delivery, and human concierge support via Slack and iMessage. Priced at $757.33/month insurance plus $141.67/month employer HSA contribution (~$899/month total) before optional add-ons.
• Concierge Service Human concierge team accessible to every member via a shared Slack Connect channel and an iMessage number. Handles appointment booking, prescription routing through Amazon Pharmacy, refill cadence, bill disputes, provider finding, maternity care coordination, and specialist referrals. Staffed by real people, not chatbots.
• Dental & Vision Add-on Optional self-funded dental and vision benefit at $100 per member per month. Uses the same Rivendell card and administrative rails as the base medical plan. Not included in the core insurance line.
• Carrot Fertility Add-on Optional fertility and family-building support through Carrot at $12.50 per member per month. Transparent pass-through pricing. Not included in the base plan.
• Wellness Pack Add-on Optional $30 per member per month add-on including Function Health biomarker panels twice a year (80+ biomarkers covering metabolic health, cardiovascular risk, hormones, and inflammation) and integration with compatible wearables (sleep, HRV, training load). Hardware is not included.
• Lifestyle Perk Add-on Optional $100 per month stipend for fitness and wellness, administered through payroll. Outside the medical plan.
• One Medical Primary Care Access Every Rivendell member receives One Medical access for virtual primary care, 24/7, with same-day or next-day visits available in person or virtually at $0 copay and no referrals required for any specialty.
• Amazon Pharmacy Delivery Prescription routing through Amazon Pharmacy with typical 3-hour delivery fulfillment. Rivendell concierge handles prescription intake and maintains refill cadence to prevent gaps in medication.
• Rivendell Member App Member-facing application displaying biomarker results with trend lines and clinician commentary, integrated wearable device data (HRV, sleep, training load), plan information, and concierge support access.

Quantifiable outcome

• $0 net deductible when employer funds full $1,700 HSA contribution
• +3 more outcomes

Segments2 records

Ideal customer profiles2 records

Technology focussed Yes

API detail

Has API

Yes

API docs

API detail

Core technology

AI maturity

App detail

Integration9 records

AI capability6 records

Feature4 records

Partnerships

Seven partnerships are on record, tiered core and minor.

• One MedicalcoreStrategic or Co-development PartnerVirtual primary care partner. Every member gets One Medical access with same-day or next-day visits, in person or virtual, at $0. No referrals needed for any care.
• Amazon PharmacycoreTechnology or IntegrationPrescription delivery partner. Prescriptions routed through Amazon Pharmacy with typical 3-hour delivery. Rivendell handles refill cadence to prevent gaps.
• Companion LifecoreOthersA-rated stop-loss carrier providing large claims backstop. Employer downside capped at fixed insurance amount with no clawback.
• Function HealthminorStrategic or Co-development PartnerOptional wellness add-on partner. Provides 80+ biomarker panels twice yearly covering metabolic health, cardiovascular risk, hormones, inflammation. Includes clinician commentary and trend lines.
• CarrotminorStrategic or Co-development PartnerOptional fertility and family-building support add-on. Transparent pass-through pricing at $12.50/mo.
• Apple (iMessage)coreTechnology or IntegrationiMessage platform used for member concierge communication. Every team gets an iMessage number staffed by concierge crew.
• Slack (Slack Connect)coreTechnology or IntegrationSlack Connect channel used for team concierge communication. Members message via shared channel for scheduling, bills, and specialist referrals.

Scale indicators3 records

Recent moves6 records

Expansion highlights6 records

Market position

Strengths4 records

Competitive moat5 records

Key highlights6 records

Customer concentration

• Xx.com/rivendellhealth
• LinkedInlinkedin.com/company/rivendell

Compliance4 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Rivendell