{"id":49913,"date":"2023-08-30T11:22:32","date_gmt":"2023-08-30T15:22:32","guid":{"rendered":"https:\/\/roundstoneinsurance.com\/?page_id=49913"},"modified":"2024-06-27T10:04:39","modified_gmt":"2024-06-27T14:04:39","slug":"how-it-works","status":"publish","type":"page","link":"https:\/\/roundstoneinsurance.com\/excelsior\/how-it-works\/","title":{"rendered":"How It Works"},"content":{"rendered":"\t\t
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HOW IT WORKS<\/h1>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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The economics and the experience of self-funding <\/h5>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
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How the Roundstone Captive Solution Works\n<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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\n\t\t\t\t\t\t\tThe Roundstone Captive enables companies to self-insure safely. With our three-tiered model, you pay for healthcare costs up to a specific deductible, you share some costs above that deductible across a pool of hundreds of other employers in the Captive, and finally, you shift costs to a stop-loss carrier to cover catastrophic claims. The Captive, with its thousands of lives, acts as an additional protective layer that absorbs risk, reduces stop-loss fixed costs, and gives smaller companies the advantages of self-insuring like the Fortune 500s.\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Your new self-funded plan will have 3 cost \u201clayers\u201d:<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\"Self-Funded-Plan-Layer-Cake-with-callouts\"\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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CARRIER<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Shift Healthcare Costs to a Stop-Loss Carrier <\/span><\/i><\/div>

The employer purchases s<\/span>top-loss <\/span>reinsurance <\/span>to cover<\/span> large <\/span>claims <\/span>above $500,000.<\/span><\/span><\/p><\/div>\n\t\t\t\t\t<\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t

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CAPTIVE<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Share Healthcare Costs with Other Employers <\/span><\/i><\/div>
The employer shares a portion of total costs with a pool of hundreds of other employers in the Roundstone Captive.<\/div>\n\t\t\t\t\t<\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
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EMPLOYER<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Pay Healthcare Costs<\/span><\/i><\/div>
The employer pays for employees\u2019 and families\u2019 care up to a custom deductible.<\/div>\n\t\t\t\t\t<\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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CARRIER<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Shift Healthcare Costs to a Stop-Loss Carrier <\/span><\/i><\/div>

The employer purchases s<\/span>top-loss <\/span>reinsurance <\/span>to cover<\/span> large <\/span>claims <\/span>above $500,000.<\/span><\/span><\/p><\/div>\n\t\t\t\t\t<\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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CAPTIVE<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Share Healthcare Costs with Other Employers <\/span><\/i><\/div>
The employer shares a portion of total costs with a pool of hundreds of other employers in the Roundstone Captive.<\/div>\n\t\t\t\t\t<\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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EMPLOYER<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Pay Healthcare Costs<\/span><\/i><\/div>
The employer pays for employees\u2019 and families\u2019 care up to a custom deductible.<\/div>\n\t\t\t\t\t<\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Does this mean I have to use the same plan as the hundreds of other companies?<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Absolutely not.<\/strong> Your plan is your own. It\u2019s customized to the individual care needs of your employees. Roundstone\u2019s solution gives you complete flexibility in plan design. You end up with great healthcare at a lower cost. And the best part is that you can evolve and optimize your plan as you learn more from your claims data for a highly effective long-term healthcare strategy.\n<\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Who's Who in a Self-Funded Health Plan? <\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\tSelf-funding is an employer-centric solution. Everyone involved is aligned around the best interests of the employer: Benefits Advisor, Roundstone, Third Party Administrator (TPA), and Pharmacy Benefit Manager (PBM). They work together as one integrated team to manage and administer the health plan, process claims, and make sure everything is running optimally. It’s a seamless experience.\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\tRoundstone is different from other stop-loss carriers in that we manage the group captive and we provide employer-centric customer service throughout. It\u2019s important to note that Roundstone provides personalized service and attention for advisors, too. We help to ensure success and are always aligned with the employer\u2019s best interests. \t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\tLearn More About Who\u2019s Who In A Self-funded Health Plan<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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How You Save Money with a Self-Funded Plan in the Captive<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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First, you only pay for the healthcare you use \u2013 what you deserve to pay and nothing more. Any savings from the claims account stays with you.<\/p><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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\"icon-2_400x400\"<\/figure>

Second, any unused premium from the Captive is returned annually to employers on a pro rata basis. Annual distributions are based on Captive performance \u2013 not one individual company. You can still receive a distribution even if you had a bad claims year.<\/p><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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\"icon-3_400x400\"<\/figure>

Third, we prefer transparent and pass-through Pharmacy Benefits Managers who send 100% of pharmacy rebates and savings back to you.\n<\/p><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Unlike traditional fully-insured plans where the carrier pockets any unused spend as profit, you get it back in full. You only pay for the healthcare you use.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Our Guarantee to You<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\tRoundstone is so confident that your company will save money that we offer the Roundstone Guarantee: We promise you will save money in the first five years \u2014 or we’ll make up the difference.\u00a0\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
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