Most plans don’t fail because of cost. They fail because employees can’t use them.

1

Renewal arrives. Costs are up again.

2

You absorb it or shift it to employees.

3

Participation drops. Employees can't afford the deductible.

4

Turnover rises. You lose good people over benefits.

5

Twelve months later, do it all again.

THE APPROACH

Limit days.
Limit costs.

The core idea is simple: most employees don't need unlimited coverage for every imaginable scenario. They need reliable coverage for the things that happen, primary care visits, urgent care, labs, a hospital stay when it matters, with costs they can predict and afford.

$0
Deductible on plans we offer
100%
Preventive care covered
$30
Typical PCP visit copay
30-40%
Less than standard major medical

Illustrative figures for one plan type we offer. Actual plan specifics vary by employer and workforce.

The benefits your workforce ranks as most important, the ones they'll notice and use.

CORE COVERAGE

According to Kaiser Family Foundation research, employees consistently rank these five as the benefits that matter most:

  • Preventive care
  • Emergency care
  • Mental health
  • Maternity care
  • Birth control
PREVENTIVE CARE

The plans we offer cover the 64 preventive and wellness services designated by Centers for Medicare and Medicaid Services, paid at 100% with no out-of-pocket cost.

Well-baby. Well-mother. Immunizations. Physicals. Preventive medications. The routine care employees should use, covered at no cost.

VIRTUAL CARE

Virtual primary care, urgent care, talk therapy, and teen therapy, typically at $0 out-of-pocket.

The easiest way to remove the cost friction that keeps hourly employees from getting care in the first place.

PATIENT ADVOCACY

Employees get a real person to call who helps them find the right provider, schedule appointments, compare costs, and navigate the system. Built into the plan, not a premium add-on.

This matters for a workforce that's never had benefits before. The hardest part isn't the coverage, it's knowing how to use it.

THE DIFFERENCE IN DOLLARS

Two common scenarios. Same employee. Two different plan designs. These are the decisions your workforce makes every day about whether to use their coverage.

SCENARIO ONE

They go to the ER. They get X-rays, the arm set, and pain medication. They leave. The average ER visit for a broken arm costs $2,200.

WHAT THEY PAY
STANDARD $2,500-DEDUCTIBLE PLAN
$2,200
Full cost until deductible hits
PLAN WE OFFER
$500
Flat copay. No deductible.
Employee saves $1,700, a 73% reduction
SCENARIO TWO

Standard 48-hour hospital stay, typical delivery. The average hospital bill in the U.S. for a straightforward delivery runs about $14,768.

WHAT SHE PAYS
STANDARD $3,000-DEDUCTIBLE PLAN
$3,000+
Full deductible plus coinsurance
PLAN WE OFFER
$500
Flat copay. No deductible.
Employee saves $2,500+, an 84% reduction

This is why "we offer benefits" and "our employees actually use them" are two different things.

A $2,200 ER bill isn't theoretical for a $20/hour warehouse worker. It's the thing that keeps them from going to the ER in the first place. Plans designed around flat copays change that calculation.

Illustrative scenarios based on industry-average costs and typical plan designs. Actual employee costs depend on plan specifics, provider, and situation. These are not guarantees of coverage or savings for any specific plan or employer.

Five people. Five thousand. Everyone in between.

We work across every industry below and many others. The common thread is not one type of labor. It is a plan structure that no longer fits the size, economics, or reality of the business.

Manufacturing
Construction
Hospitality
Logistics
Retail
Franchise Groups
Trades & Services
Any Industry, Really
THE PATTERN WE SEE

When renewals keep increasing and employees don't value your benefits, it's time for a different approach.

Every renewal looks the same and nothing seems to change

They feel stuck between cost and coverage

They've never been shown a plan their employees can afford to use

Clarity on why their current structure produces the same results

A clear view of where cost and utilization are misaligned

An honest look at what different options could mean for their workforce

When you have the right benefit strategy, the ROI is real: a healthier workforce, reduced absenteeism, and improved retention.

THE PROOF

The People Who Broke the Cycle

Real employers, real employees, real results.

Client company logo
We were tired of getting 20% increases annually and at a certain point offering traditional group medical plans became unaffordable for our employees. Pete and his team found us a benefit plan tailored for our industry that we could afford and actually use and we’ve been with them the past 5 years.
Taylor S.

J Christopher’s

Restaurant • Hospitality

TAB Retail Remodeling, Inc. logo
After receiving a large rate increase from our carrier we were concerned with affordability and participation with our employees. Pete and his team presented some unique solutions that allowed us to offer more affordable coverage for our employees that they could actually use.
Andrew R.

CEO

TAB Retail Remodeling, Inc.

WHO THIS WORKS BEST FOR

We work best with employers who:

Have hourly, distributed, or frontline workforces

Run a small or midsize business priced out of traditional group plans

Are experiencing rising renewals with low participation

Feel their current plan underperforms in practice

Want to explore alternatives beyond the standard model

Have never offered benefits before and want a plan their workforce can afford to use

If any of that sounds like you, let's talk. One honest conversation, no pitch. Just a clear look at what's possible for your business.

Most conversations begin with a simple review:

What's driving your current costs

How your employees are actually using the plan

Where the structure may be working against you

From there, we can determine whether a different approach makes sense.

Start the Review
INSIGHTS
PLAN DESIGN

Why shopping the market every year produces the same result—and what actually changes when you change the structure.

Read article →
WORKFORCE REALITY

38% of insured employees skipped needed care last year because of cost—not because they didn’t want coverage.

Read article →
FINANCIAL IMPACT

When employees can’t use their benefits, the cost doesn’t disappear—it shows up in turnover, absenteeism, and renewal increases.

Read article →
See All Articles →

Better benefits exist. Let’s find yours.

Tell us about your business. We’ll show you what’s possible.

No obligation No pitch Honest assessment
Let’s Talk
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