When we began working with this rural Eastern Texas timber logging and sawmill company (125 employees), they faced a daunting 40% premium increase from their fully insured UnitedHealthcare plan, driven by uncontrolled claims post-COVID. This hike threatened to burden employees already struggling financially.
We conducted a claims audit to identify high-utilization areas, implemented cost-control measures, and educated employees on smarter care access. We introduced a solution that reduced the premium increase to 10%, which the company absorbed to maintain employee contributions.
Since 2021, the company saved $2.9 million compared to staying fully insured, with $120,000 in 2024 alone from alternative sourcing of specialty medications. Employee contributions remained unchanged, and a growing surplus account enabled lower premiums through claims risk management, with savings from hospital costs, surgeries, and prescriptions.
