Group Captive Health Insurance

    group captive health insurance

    Lower premiums, increased assets, greater control

    With healthcare expenses posing an ever-greater threat to businesses' bottom lines, most large companies manage employee benefits expenses by self-funding insurance coverage. Thanks to the stability inherent in having a sizable risk pool, companies with 500 or more employees are able to use self-funding as a means to strategic control, data transparency and cost containment.

    But without a large risk pool of employees to mitigate claims volatility and limit financial exposure, what's a midsize company to do? The answer, increasing numbers of midsize companies are finding, is Group Captive Health Insurance.

    For midsize employers who aren't ready to go it alone in a self-funded program, group captives combine the advantages of self-funding with the security and stability once available only to larger businesses. That's why group captives — solutions that enable members to share risk while exercising a long-term cost-saving strategy —  are the fastest-growing trend in self-funding today.

    Like self-funded plans, group captive programs eliminate insurance company profits, allow full control of plan design and provide complete data transparency. Group captives also offer advantages that go beyond features of a self-funded program. These advantages include:

    • an expanded stop-loss risk pool, replicating the size of a large, self-funded employer
    • stability and predictability based on members' experience
    • mitigation of the potential for individual underwriting
    • sharing of financial results
    • peer collaboration in areas such as best practices
    • opportunity for distribution to members if the captive's claims are lower than expected.

    The bottom line: Membership in an established group captive is a long-term solution to financing and managing healthcare costs.  

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    Working with the industry leader

    As an independent broker, Sylvia Group works with group captive pioneer Berkley Accident and Health to enroll midsize employers — with 50-500 employees — in Berkley's turnkey group captive program, the Hamilton EmCap. Creator of the Hamilton, Berkley oversees one of the largest, most mature and diverse blocks of employee benefit group captives in the U.S.

    For clients, that means an unmatched combination of stability and experienceHamilton members gain the advantages of a large-group plan while maintaining the independence to custom-design and control the features of their particular plan.

    Hamilton members engage in a true partnership, with access to full disclosure and opportunity for involvement you won't find elsewhere in the group captive market. In Hamilton, members collaborate to promote best practices in health risk management and employee participation. Active participation is facilitated through program features including:

    Group captive health insurance isn't for everyone, and it shouldn't be regarded as an instant fix to a financial challenge. But for employers making a long-term commitment to health risk management and a high-performing plan, the Hamilton EmCap is a sound solution.

    Turning complex solutions into straightforward success

    When you work with a consultant who can coordinate efforts to design and implement a quality employee benefits plan, complex solutions produce seemingly simple results. Employers spend less on premiums, increase their assets and gain greater control of claims management. Employees find their benefits more comprehensive in coverage and less impactful on paychecks.

    Those are results only an expert consultant can help you achieve.

    To experience the difference an expert consultant on Group Captive Health Insurance can mean to your business, contact Sylvia Group Vice President of Financial Services and Benefits Rosemarie S. Lopes at 508-742-9230 or


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