Keep the value your health plan creates.

In a traditional insured plan, the carrier keeps any underwriting profit. In a captive, employers share the risk and can share in the surplus. Vault provides the strategy, governance, and day-to-day operations to run it.

Ask about the captive How Vault runs it

How the risk is layered

Reinsurance
Covers catastrophic claims, so one very large claim can't sink the plan.
Captive stop-loss layer
Participants share the predictable middle layer of risk, where carriers usually make their margin.
Employer self-funded plan
Each employer pays its expected claims and can see where every dollar goes.
Surplus returned to participants
When the captive performs well, underwriting surplus can be paid back to the participants as dividends, subject to captive performance and governance.

What is a group captive?

An insurance company owned by the employers who use it.

Each employer self-funds its expected claims. The captive covers the next layer of risk, shared across all the employers in it, and reinsurance covers the largest claims. Because the employers own the captive, money left over when claims come in lower than expected belongs to them, not to a carrier.

How Vault runs it

A captive works only if its claims are actively managed.

As a full-service third-party administrator, Vault manages the claims inside the captive every day.

Member advocacy

Hands-on help that steers members to better care.

Specialty drug sourcing

Finding lower-cost sources for the high-cost drugs behind today's claim trends.

Large-claim management

Active management of the big claims that decide how a plan performs.

Data and reporting

Current reporting you can act on, which we also use to catch problems early.

Plan design and compliance

Plan documents, summary plan descriptions, and administration, all handled in-house.

Broker partnership

We work through the broker, and the broker keeps the client.