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.
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.
A Health Benefit Captive delivers better affordability, predictability, stability and
manageability of volatile health benefits.
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.
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.
Cost Savings
Safety
Control
Growth
Retention
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.
