SOLUTIONS

The Right Plan for Your Business Exists.
You Just Haven’t Been Shown It.

We match the solution to your business. Not the other way around.

Jump to your situation

The Situation

You're paying for benefits. They're not using them. Almost always a plan design problem, not a communication problem.

Show Me What's Possible
Primary Solution

These plans replace the high-deductible model entirely. Instead of a running balance employees have to clear before coverage kicks in, they pay a flat copay at the point of care which changes whether they walk in at all.

What This Looks Like in Dollars

Standard $2,500-Deductible Plan

$2,200

Warehouse worker breaks arm. ER visit, X-rays, arm set. Full bill deductible hasn't been met.

Plan We Offer

$150

Flat ER copay. Same visit, same treatment. No deductible to clear first.

A $2,200 bill keeps a $20/hour worker from going to the ER. A $150 copay is something they can plan for.

Illustrative example. Actual costs vary by plan, employer, and carrier.

  • $0 deductible on covered services — coverage starts at visit one
  • Flat copays for primary care, urgent care, and labs
  • Typically 30–40% less than a fully-insured PPO
  • Meets ACA affordability requirements for applicable large employers
  • Unlimited telehealth typically included at $0
The Situation

When every carrier is offering the same plan structure, you're comparing prices on the same product. The structure is what needs to change.

Review My Current Structure
The Solution

A self-funded structure with monthly costs that look like a traditional group plan. You get visibility into your actual claims which becomes your leverage at renewal. Your rate is based on what your group actually costs, not the broader small-group market.

What This Looks Like at Renewal

Traditional Fully Insured Renewal

+18%

Carrier increase arrives with limited visibility into what actually drove the cost.

Level-Funded Structure

Claims visibility

You can see what your group actually used, identify cost drivers, and negotiate or redesign from real data.

Illustrative example. Actual renewal outcomes vary by group, carrier, claims history, and plan design.

  • Predictable monthly premiums with potential year-end surplus refunds
  • Claims transparency: you see what's driving cost
  • Available for groups as small as 5 enrolled
  • Your renewal history works for you, not against you
Also Worth Knowing

If your employees are enrolled but not using the plan because of the deductible, a GAP plan can improve participation without replacing your current coverage entirely.

The Situation

One plan rarely covers a workforce like this well. The fix is a strategy that addresses each worker type appropriately.

Map Out My Workforce
For Salaried & Full-Time W-2 Employees

PPO, HMO, and POS group plans for full-time staff or a level-funded structure if you want claims visibility and potential year-end surplus returns. Placed based on what fits your group.

For Hourly & Part-Time Employees

Hourly workers often can't absorb a traditional group plan's costs. A flat-copay, $0-deductible plan designed for their wage reality gives them real first-dollar coverage without being added to your full-time group.

For 1099 Contractors & Gig Workers

Independent contractors can't be added to your group plan. We offer plans built specifically for 1099 workers and gig employees that provide real coverage at a cost that makes sense for their situation. They can enroll directly without any employer group requirement.

Contractor Enrollment →
The Situation

Traditional group health with a $500+ monthly employee contribution isn't the only path.

Show Me What This Costs
Where Most First-Time Employers Start

A Stacked Package Affordable to Offer, Designed to Be Used

A limited-day plan as the medical foundation with supplemental layers for accident, critical illness, and hospital indemnity. The full stack typically costs employees less per paycheck than a traditional plan with a deductible they can't absorb.

Medical Foundation

Limited-Day Plan $0 deductible, flat copays, first-dollar coverage

Catastrophic Layer

Accident + Critical Illness + Hospital Indemnity cash directly to employees

Wellness

Dental + Vision benefits employees notice and use most

Income Protection

Life + Disability financial protection when illness disrupts a family

The Situation

Medical is the foundation. The rest of the package is what employees notice in their day-to-day.

Design the Full Package

Standalone or bundled coverage for preventive and major services. PPO and DHMO networks, employer-paid or voluntary.

Consistently one of the highest-utilization benefits. Exams, frames, lenses, and contacts.

Basic and voluntary life plus short and long-term disability. Protects income when illness or injury hits.

Cash paid to employees for covered accidents: copays, deductibles, lost wages, and transport.

A lump sum paid at diagnosis of cancer, heart attack, or stroke. Use it for bills, mortgage, or childcare during treatment.

Flat daily benefit paid to employees for hospital stays, on top of medical coverage.

Voluntary benefits let employees customize their own coverage layer through payroll deduction without expanding your cost base.

The Situation

When a group falls outside your master policy, losing the client shouldn't be the only option. We step in, place the group, and keep you in the relationship.

Talk to Us About This
How It Works

Not every group fits neatly into your master policy. When that happens, we find the right solution and handle the placement end-to-end so you keep the client and close the deal.

  • Win new business you’d otherwise lose
  • Retain clients when the master policy is no longer a fit
  • Broker the deal yourself or have us place it for you

Every solution below is available based on what fits your situation.

Traditional Group Health
Level-Funded Plans
Limited-Day Plans
GAP Plans
ICHRA
1099 & Variable Worker Plans

Dental Insurance
Vision Insurance
Life & Disability
Accident Insurance
Critical Illness Insurance
Hospital Indemnity
Voluntary Benefits

SIMERP
PEO Client Placement
Ongoing Benefits Advisory
Mixed Workforce Programs

Better benefits exist. Most employers just haven’t seen them.

Let’s Talk