Small and midsize companies are paying more for healthcare every year—with fewer cost controls and narrower coverage in return.
There is a better way: Roundstone’s captive insurance.
Small and midsize companies are paying more for healthcare every year—with fewer cost controls and narrower coverage in return.
There is a better way: Roundstone’s captive insurance.
We pioneered captive insurance for small and mid-size businesses because we believe everyone should have access to quality, affordable healthcare. We combine innovative cost strategies with an employer-first approach to deliver industry-leading savings so you only pay for the healthcare that’s used.
With the most efficient financial structure on the market, our medical group captive smooths out volatility and returns the most value to you.
Our network of preferred TPAs and PBMs offer the transparency and value needed to deliver the lowest Per Employee Per Year (PEPY) cost in the industry.
Our data-driven platform recommends the most effective and fully-vetted cost containment solutions available to prevent and tackle bigger claims.
At Roundstone, we build quality, affordable self-funded health insurance plans tailored to the true needs of your business—no hidden costs and no overpaying for coverage your employees don’t need.
You pay for claims directly, up to a pre-defined level. From there, protection kicks in: employers share risk through premiums paid to our captive pool, and stop-loss insurance protects against larger claims. Any unused healthcare dollars are returned to where they belong, your hands.
That’s the foundation of our captive: Low up-front cost, predictable premiums, transparent data, and higher returns with an average savings of 25%.
Self-funded insurance depends on a strong network of partners. They can make the difference between a plan that functions and one that performs.
Our approach guides you to the right partners, preserving access to the doctors, pharmacies, hospitals, and providers your employees use.
We don’t believe in “one size fits all”. We let the data guide us. The best partners offer complete claims visibility and a streamlined process for implementing cost containment solutions. You have the flexibility to choose your own or select from Roundstone’s Verified Partners.
Our transparent TPA is built for self-funded insurance
Aligned with Roundstone’s employer-first solution, our medical Third-Party Administrator (TPA) offers one of the lowest Per Employee Per Year (PEPY) costs on the market without sacrificing service or administrative expertise.
A medical group captive is a self-funded health insurance model where employers share risk to gain stability, transparency, and buying power.
Employers using fully-insured pay a fixed premium for the carrier to take 100% of the risk and keep all profits. Captives allow employers to band together to control costs and receive refunds for better-than-expected claims.
Employers using level-funded pay a fixed monthly fee to cover administrative, claims, and stop-loss insurance expenses. Any surplus may be partially refunded at the carrier’s direction. With captives, you gain control—full data ownership, plan flexibility, and the ability to keep any savings.
Roundstone works with employers ranging in size from 25 to 1,000+ eligible employees.
Yes, with the right partners, transitioning to self-funding is easy. Roundstone assigns a dedicated Customer Outcomes Manager to guide clients through the process. Your third party administrator (TPA) then handles day-to-day administration and claims.
We wanted more control over our plan, and we wanted to understand what was driving the cost as well. Roundstone was instrumental in making that happen. In partnership with our advisor, they came in and lead with a high level of transparency and confidence.
CEO, Thomas Automotive
We’re helping businesses change self-funded health insurance for the better. Contact our team to get started on a quote today.
