We design total rewards programs for self-insured companies — hand-curated brokers, concierge utilization management, and a TPA that actually fits how your people live and work.
When a company moves to self-insurance, they usually bring their broker, inherit a TPA, and bolt on a utilization management vendor. Three separate relationships, three separate incentives, nobody owning the outcome.
We take a different approach. We start with your culture — how your people think about healthcare, what your workforce actually needs, what your leadership values — and we design the entire benefits architecture around that. Then we hand-select every partner in the stack and stay accountable for how it performs.
One point of contact. Full accountability. No finger-pointing when something goes wrong.
Not a menu of services. A single integrated engagement that covers everything.
Most companies end up with a broker by default — a relationship that carried over from a previous role or a referral that stuck. We don't inherit your broker. We select them.
We interview, evaluate, and recommend brokers based on their alignment with your specific population, plan design philosophy, and carrier relationships. Then we stay in the room to make sure the relationship performs.
Utilization management is where most self-insured programs quietly break down. Authorizations get delayed. Members get frustrated. Nurses never call back. The process feels adversarial when it should feel supported.
Through VantaUM, we provide a concierge UM layer — a human on the phone, AI handling the paperwork, and a clinician panel matched to the case. It's not bolted on. It's built in.
The TPA is the engine of your self-insured plan. Most companies hire one, sign a contract, and hope for the best. We evaluate the TPA landscape on your behalf, make the recommendation, and manage the relationship ongoing.
We're not a TPA. We're the people who hold the TPA accountable — because we work for you, not them.
A manufacturing company in the South with a workforce of 800 hourly employees has completely different healthcare needs than a 200-person tech firm in Miami. But most benefit programs treat them identically — same TPA templates, same UM protocols, same broker playbook.
We don't believe in off-the-shelf. We believe in designed. Every engagement starts with a genuine understanding of who your people are, what they value, and where the current program is failing them. Then we build something that actually fits.
The result isn't just better coverage. It's coverage that feels like it was made for your company — because it was.
We work with self-insured employers who are serious about owning their benefits outcomes — not just administering them.
You own the benefits strategy and you're tired of inheriting other people's vendor relationships. We help you build something you can actually stand behind.
You care deeply about the employee experience. We make sure the benefits architecture reflects that — from the plan design down to what happens when someone calls for help.
You know the details better than anyone. We work alongside you — not above you — to fill the gaps, manage the vendors, and keep the whole system aligned.