Case Studies

Real clients. Real problems. Real outcomes.

Three stories of how we helped employers across all 50 states rebuild their benefits program — lower cost, better coverage, less administrative drag, and stronger recruiting tools.

Case Study Overview

A snapshot of three different employers and the outcomes we delivered.

Each engagement looks different — but the model is the same: listen first, build a strategy, manage the rollout, and stay through every renewal.

36-Employee Dental Group

Better benefits, lower renewal cost, less burden

Challenge: Carrier mismatch, overpaying, admin burden, limited benefits.

Solution: Moved to a better-aligned carrier; added voluntary benefits; held in-person enrollment meetings.

Outcome: Better benefits for less than renewal; reduced management burden.

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20-Person HVAC Company

Helping a growing trade business offer benefits for the first time

Challenge: No benefits program; recruiting challenges; owner lacked time.

Solution: Built and implemented first benefits program; supported office manager; onboarded employees before workday.

Outcome: Successful first-time benefits rollout; stronger recruiting and retention tool.

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75-Employee Law Firm

Level-funded vs. self-funded — picking the right model

Challenge: Steep fully-insured renewal; needed transparency and predictability without claims volatility.

Solution: Reviewed funding models; recommended level-funded with stop-loss protection.

Outcome: Predictable cost, claims protection, potential year-end refund.

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Case Study 1 of 3 · Dental

Helping a 36-Employee Dental Group Improve Benefits and Reduce Administrative Burden

Dental Group: Better benefits, lower renewal cost, less administrative burden.

Dentist and assistant treating a patient at a dental practice
Client Profile

36 employees · Pennsylvania & South Jersey

A 36-employee dental group with employees in Pennsylvania and South Jersey needed a better approach to employee benefits. The practice offered medical coverage, but the existing carrier relationship no longer aligned well with the makeup of the group. As a result, the employer was overpaying and dealing with ongoing administrative frustration.

The Challenge

The current medical carrier was not the right fit for the demographics and needs of the group. The practice was paying more than it needed to, and the renewal created an opportunity to reevaluate whether the existing plan structure still made sense.

Administrative burden had also become a major problem. Employee changes were not being handled properly — including situations where employees asked to be removed from the plan but remained enrolled, creating unnecessary cost and frustration.

At the same time, employees were asking for more than just medical coverage — but the employer needed a solution that would not add cost.

The Solution

We reviewed the group's existing medical plan, carrier fit, renewal options, employee needs, and administrative process. After evaluating the market, we identified a carrier solution that better aligned with the group and allowed the employer to improve benefits while coming in below the renewal.

  • Evaluated carrier fit based on group makeup
  • Moved the group to a better-aligned medical carrier
  • Rolled out voluntary benefits at no cost to the company
  • Held multiple in-person enrollment meetings with staff
  • Direct employee support channel, not the carrier call center

The Result

The dental group moved to a better-aligned carrier, improved the benefits available to employees, and came in below the cost of the renewal. Employees gained access to a broader benefits package, including voluntary options that had not previously been available.

The practice also reduced administrative strain by having a more active service partner for employee support, enrollment, and ongoing plan management. Staff members had a clearer understanding of their options and became more comfortable asking for help directly — reducing the burden on managers.

Why It Matters

Healthcare practices rely on skilled employees — but most don't have the internal HR infrastructure to manage benefits alone.

A poorly aligned carrier or weak administrative process can lead to unnecessary costs, employee confusion, and frustration for ownership. We help employers solve those problems by combining market knowledge, hands-on service, employee education, and practical benefits strategy.

Case Study 2 of 3 · Trades

Helping a 20-Person HVAC Company Launch Benefits for the First Time

HVAC Company: A growing trade business offering benefits for the first time.

HVAC field service team
Client Profile

20 employees · Field-services trade business

A 20-person HVAC company had grown to the point where employee benefits became an important part of recruiting and retention. The company had never offered benefits before — not because ownership didn't care, but because the business was moving fast and the owners were focused on running day-to-day operations.

The Challenge

As the company continued to grow, it became harder to recruit and retain employees without a formal benefits program. Ownership knew benefits would help, but the process felt overwhelming.

The company needed to research plan options, coordinate setup, educate employees, manage enrollment, and handle ongoing administration. Like many trade businesses, leadership was busy serving customers, managing crews, scheduling work, and keeping the business moving.

The company needed a partner who could take ownership of the process, guide the office manager, support employees, and create a benefits program without creating more work for the owner.

The Solution

We stepped in as a hands-on benefits partner and took on a role similar to an extension of the company's internal HR function. The goal was to make the process seamless for the employer while giving employees the education and support they needed to enroll properly.

  • Helped evaluate benefit options for the first time
  • Selected a program built for a 20-person trade business
  • Worked closely with the office manager to organize data and systems
  • Owner stayed largely hands-off through implementation
  • Met employees in person early in the morning, before the workday

The Result

The HVAC company successfully launched employee benefits for the first time. Employees were onboarded properly, the office manager had support throughout the process, and ownership was able to add a valuable recruiting and retention tool without getting buried in the details.

The company gained a benefits program that matched its stage of growth and gave employees access to coverage they had not previously been offered. The owner was able to focus on running the business while the benefits rollout was handled in a structured, employee-friendly way.

Why It Matters

For growing trade businesses, benefits are a major advantage in recruiting and retaining skilled workers.

But many owners delay offering coverage because they don't have the time, staff, or expertise to manage the process. We bridge that gap by guiding the strategy, managing implementation, educating employees, and supporting the business after enrollment — a benefits experience that feels manageable for ownership and valuable to employees.

Case Study 3 of 3 · Funding Strategy

Helping a Growing Employer Evaluate Level-Funded vs. Self-Funded Health Insurance

A 75-employee law firm in the Greater Philadelphia area facing a significant fully-insured renewal — wanting more control, transparency, and predictability without unnecessary financial risk.

Philadelphia City Hall — the law firm's Center City base
The Challenge

A steep renewal — and a question about the funding model itself.

As the company continued to grow, leadership began questioning whether its traditional fully insured health plan was still the right fit. The renewal increase was significant, but the carrier provided limited explanation beyond general market trends.

The employer wanted to explore alternatives, but the leadership team was cautious. They needed a benefits strategy that could reduce cost pressure while still protecting the company from large, unpredictable claims.

  • Cost predictability — a benefits budget the company could plan around.
  • Risk protection — open to alternatives, but no uncapped claims exposure.
  • Administrative simplicity — limited internal bandwidth for a complex self-funded arrangement.
Our Approach

Three funding models, evaluated side-by-side.

Rather than simply comparing renewal rates, we helped leadership understand the funding models behind each option — how each one balances cost, transparency, and risk.

Funding Option A

Fully Insured

What it offered: Simple administration, but little transparency into claims and limited flexibility.

Fit for this employer: Familiar, but did not solve the renewal or visibility problem.

Funding Option B · Recommended

Level-Funded

What it offered: Fixed monthly payments that include expected claims, administration, and stop-loss protection — with a potential refund if claims run well.

Fit for this employer: Strong fit. Balanced predictability, protection, and savings opportunity.

Funding Option C

Self-Funded

What it offered: Greater long-term control and claims-data visibility, but more claims volatility and administrative responsibility.

Fit for this employer: Too aggressive for the company's current size, cash-flow tolerance, and internal HR resources.

Reviewing renewal options with leadership
Our Recommendation

A level-funded health plan — a practical middle ground.

After reviewing the company's size, risk tolerance, and internal resources, we recommended a level-funded health plan. The recommendation gave the employer more transparency and potential savings than a traditional fully insured plan, but less volatility and complexity than a fully self-funded arrangement.

  • Predictable monthly costs — budget around a consistent payment.
  • Built-in protection — stop-loss coverage caps unexpectedly high claims.
  • Savings opportunity — potential year-end refund if claims perform well.
The Result

A strategic benefits structure, without jumping too far too fast.

Predictable costs

Maintained consistent monthly health insurance costs through the year.

Protected from large claims

Stop-loss kept the company safe from unexpected high-claim scenarios.

Less admin burden

Reduced administrative load compared to a fully self-funded arrangement.

Year-end refund potential

Created the upside of a year-end refund if claims experience runs well.

Future funding flexibility

Positioned the company for future funding options as it continues to grow.

Clarity on the "why"

Leadership understood why the recommendation fit — not just another renewal increase to accept.

Why It Matters

The right question isn't "which carrier is cheapest" — it's "is our funding model still the right fit?"

Level-funded and self-funded plans can both be valuable, but they serve different types of employers. A healthy company with 25 to 100 employees may benefit from the predictability and upside of level funding, while a larger company with strong cash reserves and benefits infrastructure may be better positioned for self-funding.

Your Story Could Be Next

Not sure whether to stay fully insured, move to level-funded, or explore self-funded options?

We can review your current plan, renewal, census, and contribution strategy to help determine which approach makes the most sense for your business. Same model for benefits redesigns, first-time rollouts, and carrier transitions.

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