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A safe way to self-insure

Captive Solutions & Options was founded in 2014 to provide a safe way for Middle Market Employers
(75 employees to 2,000 employees) to enjoy the same benefits and costs savings that
major employers get from self-insuring. 

Today we have a portfolio of employer groups covering more than 11,000 individuals in the medical, education, professional services, legal, government and industrial fields.
 

What is a Health Benefit Captive?


A Health Benefit Captive is a group of Middle Market Employers who join together to create a larger group which makes claims costs more predictable. That predictability gives the Captive leverage for attaining lower costs, reducing their financial risks and providing greater employer autonomy and control
than they have with traditional insurance coverage. 

What are the benefits?


A Health Benefit Captive delivers better affordability, predictability, stability and
manageability of volatile health benefits.

  • Eliminating the normal insurance company overhead
  • Removing the mystery of renewal rates
  • Enhancing claims data and risk management
  • Removing the mystery of renewal rates
  • Reducing operating costs

How does a Health Benefit Captive Work?


Each Captive participant creates its own health benefit plan that meets their unique corporate culture and risk management needs. The plan includes a provider network and administrator and benefit structure.

Each participant is linked through a common stop loss carrier: Berkley Accident & Health (BAH).
They pay a single monthly premium to BAH.

There are three layers of coverage in each plan

The first layer is constituted of the claims that the employer pays from its own funds and covers normally incurred medical claims costs. Each employer determines the level of risk it is willing to take. That determination dictates the premium costs to the employer and its employees.

The second layer of the plan is funded from 60 percent (on average) of each Captive participant’s premium and pays for claims up to a prearranged annual cap for each individual and for the employer as a whole.

The third layer of the plan is covered by the 40 percent (on average) premium paid to BAH that covers all costs where an individual’s claims are greater than an annual cap or the sum of all claims of the individual employer exceed an annual cap.

Why is a captive right for you?


  • Click For Employers

    Cost Savings

    • 7% lower than fully funded at transition
    • 20% lower at 24 months
    • 1%-6% renewal increases
    • Distribution of Captive surplus

    Safety

    • High cost claims spread over larger population equals reduced risk
    • Three levels of protection for the price of one

    Control

    • Plan design flexibility
    • Provider choice
    • Transparency
    • Aggregated solutions
  • Click For Employees

    • Programs that engage, educate and empower
    • Improved health
    • Sophisticated wellness and disease management initiatives
    • Best healthcare providers
  • Click For Brokers

    Growth

    • Market driving and self-funding for employers with 100 to 1,500 employees
    • Forty percent of Captives employers are new clients for the broker
    • Cross sale property and casualty clients
    • A great product to offer clients

    Retention

    • Savings for current clients
    • Change conversation from selling a commodity to selling your expertise

Meet The Leadership


The Principals of CS&O have more than a decade of experience developing and managing successful health benefit Captives. In that time, no employer participant has ever left one the Captives they have managed.  

Michael A. Kuss

  • Created, managed and sold one of the first California Health Maintenance Organizations (HMO) purchased by United Health.
  • Builder of large directed medical networks for self-funded entities in the for-profit and not-for profit arena.
  • Broker behind creation and 5-year growth of one of the most financially successful vertically aligned health benefits captives.

William "Robbie" Burlas

  • Pioneer in Population Health Improvement programs.
  • Developed first health incentive-based health improvement model utilizing multiple data sets (biometric, clinical, claims) to drive success.
  • Robbie’s program “saved our manufacturing plant from being closed and our jobs shipped overseas”.
  • 30 years of experience with every aspect of self-funded benefit plans nationally and served on the CDC Expert Panel for Cardiovascular Disease, the State of Georgia Worksite Health Committee, and Chairman of the American Heart Association Advocacy Committee for Georgia and the Southeast.

William "Will" Hinshaw

  • Twenty-five years leading organizations to profitable growth and superior service delivery.
  • Operational lead for integration of five (5) Health Care Organizations to create, at the time, one of the largest HMO,’s, Magellan Behavioral Health; Strategy and implementation lead for the nation’s first mixed delivery Children’s Health Insurance Plan (CHIP); developed and implemented pharmaceutical distribution process resulting in $125MM savings in 12-month period.

Contact us to learn more.

800-665-4185
info@csocaptives.com
2110 Powers Ferry Rd. SE Atlanta, GA 30339