HoldCo, a holding company with 184 employees on their fully-insured medical plan, was presented with a 23% renewal increase for 2010. Frustrated with their lack of options, and knowing that adding employees through planned acquisitions would only compound future increases, they needed a better solution.

Their broker-consultant worked with management to develop a strategy to take control of their health plan.

The first step was to transition the company from fully insured to self-funded so they could gain insight into and control over their actual claims costs. As a result of this move, HoldCo was able to achieve a 4% decrease in medical plan costs in 2010 vs the 23% increase. This was accomplished with no change to the plan designs.

The broker-consultant also had HoldCo join Everlong. In the Captive, the company could participate in the innovative insurance and funding solution that takes the profits that health insurance carriers make on individual plans and pays that money back to members as owners of the Captive. This innovative funding solution, plus Everlong’s group purchasing power, helped keep HoldCo’s future health plan increases far below what they would have been had the company remained fully insured.

In addition, self-funding and moving to Everlong enabled HoldCo and their broker-consultant to analyze and project claims costs and to take innovative steps to better manage risk and further control costs in their health plan.

In eight years, the number of employees in the plan grew to 426. Over this period, Everlong’s innovative solutions enabled HoldCo to save a cumulative total of $15.3 million compared to what the company would have spent had they remained fully insured—all without cutting benefits for the employees.

Download PDF

Recent Posts

Specific Stop Loss: How It Works

HOW IT WORKS Specific Stop Loss (or Individual Stop Loss): The Stop Loss Carrier and the Owner will agree to a threshold where once an individual member’s claims exceed that amount, the Stop Loss Carrier will assume responsibility for claims paid for services incurred...

Getting the Product Right Is More Than Innovation

Getting the product right builds trust between you and the consumer. But what exactly does it mean to get the product right? With varied industries throughout the United States, is the “right” product available in a one-size-fits-all solution? Perhaps not in the way...