Highlights
- Turnkey health insurance offers your business a customizable solution for high-quality healthcare coverage that gives more flexibility and control over plan benefits while eliminating the high costs and complex management of traditional health plans.
- Roundstone’s turnkey approach to self-funding, powered by our in-house TPA, Bywater (or one of your choosing), combines healthcare cost control, data-driven insights for better cost containment, and healthcare price transparency with the freedom of reduced administrative burden.
- Roundstone guarantees businesses will save money within the first five years of joining our turnkey self-funded group captive, or we will cover the difference.
With premiums rising at astonishing rates, many businesses wonder how to balance their budgets while offering high-quality benefits that attract and retain top talent.
Aon expects the average cost of employer-sponsored health care coverage in the U.S. to increase 9.0% in 2025, surpassing $16,000 per employee.
The good news? There’s a better way to gain control over your healthcare expenses — a turnkey approach to self-funded health insurance through a group captive.
What Is Turnkey Health Insurance?
Turnkey health insurance is a hassle-free package that provides your company with a complete healthcare solution. It’s like having a pre-built setup where all the essential components, like coverage plans, administration, and support, are in place and ready to use immediately.
This approach to self-funding provides a straightforward way to offer coverage to your employees without having to handle the detailed administrative work on your own.
After designing your turnkey self-funded health insurance plan, you can skip the complicated setup and jump right into providing the care your team deserves.
What Is Self-Funding Through a Group Captive?
When you self fund,, your business covers employees’ healthcare costs directly, giving you control over benefits and expenses. Large corporations have long benefited from self-funding due to cost savings and flexibility. Now, through Roundstone’s group medical captive, businesses of all sizes can access these same advantages.
A captive pools businesses with as few as 25 employees so they can self-fund their health benefits with the same confidence and predictability as the Fortune 500s. Roundstone’s group medical captive covers over 700 companies and protects more than 120,000 lives.
Our clients save an average of 20% compared to traditional fully insured plans. Since our start 20 years ago, we’ve returned over $91.8 million to captive participants, demonstrating the effectiveness of our cost-saving strategies. We guarantee you’ll save money within the first five years, or we’ll cover the difference.
Fully Funded Plans vs. Self-Funded Turnkey Models
Employers have two main options for employee health insurance: fully funded and self-funded models. A fully funded model is like having someone else take the wheel. An insurance company covers your employee’s healthcare costs, but you pay a set premium, which is usually higher than the actual cost of healthcare.
These premiums often include embedded markups for administrative fees, risk charges, and profit margins, which are not transparent to the employer.Plus, the employer sees no money back for unused premiums.
In a self-funded model, you set the budget and customize the plan to fit your team’s needs, putting you in control. From there, you have a support team working for you to take over most of the heavy lifting.
Roundstone’s Self-Funded Group Captive: A Turnkey Solution for Employer-Sponsored Health Insurance
Bywater, our in-house TPA, is the cornerstone of our turnkey solution and what sets us apart, offering businesses a fully integrated approach to managing healthcare costs.
Our TPA handles all aspects of plan administration, including claims processing, compliance oversight, and customer service, making it easier for businesses to switch to, and manage, self-funded health insurance.
They also work hand-in-hand with Roundstone’s Cost Savings Investigators (CSI) Team to provide expert guidance, using data-driven insights to identify opportunities for cost containment and healthcare price transparency within your plan.
The table below highlights the differences between the two models.
| Fully Insured | Turnkey, Self-Insured | |
| Definition | Employer purchases coverage from insurance carrier | Multiple businesses pool resources to provide coverage |
| Risk and Responsibility | Insurance carrier manages risk and claims | Group captive shares risks and costs |
| Premium Structure | Fixed premium with yearly increases | Economies of scale for potential cost savings |
| Provider Network | Carrier provides network of providers | Businesses negotiate their own network |
| Employee Costs | Employees have copayments, deductibles, coinsurance | Benefits are customized to employee needs |
| Premium Rate Changes | Rates predetermined, increase annually | Total control over plan design |
| Administrative Tasks | Carrier handles claims, customer service, compliance | Hand-picked third-party administrator handles claims |
| Flexibility and Plan Design | Limited customization | Customizable for coverage, vendors, providers, and other services |
Real-World Example: Totem Solutions Case Study
Totem Solutions, a benefits consulting firm, switched to Roundstone’s group medical captive after facing high deductibles, expensive copays, and lack of data transparency. With Roundstone, they achieved:
- Zero deductibles: Transitioned from $6,000 in deductibles to zero.
- Reduced copay costs: Lower costs for employees led to improved care access.
- Personalized primary care: Implemented a direct primary care program.
- High employee satisfaction: Contributed to being named one of Inc. Magazine’s best workplaces in 2021.
12% refund on unused premiums: The data-driven approach contributed directly to this high ROI.
How to Get Started With Roundstone’s Turnkey Self-Funded Health Insurance
It’s easy to get started with Roundstone! Simply reach out to a Roundstone representative to discuss your company’s needs.
During your initial consultation, we’ll gather insights into your company’s workforce, current healthcare challenges, and future goals. We’ll then help you design a customized plan that meets the needs of your unique situation.
