For HR, benefits & finance leaders

Your health plan should save you money — not cost you talent.

CGS Health gives employers a better alternative to traditional carriers. Custom self-funded plans that cut costs 15–25% while giving your employees coverage they can count on.

HR leader reviewing benefits
15–25%
Average annual savings vs. fully-insured plans for employer clients.
The case for self-funding

Two ways to think about a renewal. One of them works.

The problem

Traditional health plans punish you for being healthy.

Every year, the same cycle: double-digit renewal increases, opaque billing, coverage decisions made by carriers with no incentive to control costs. You absorb the increases or pass them to employees. Neither option is sustainable.

The shift

Self-funding pays for the care your people actually use.

No carrier markup. No hidden admin fees. Full transparency into where every dollar goes. With the right TPA managing your plan, you get the support and protection you need — without the carrier overhead.

What CGS handles

A complete plan, administered end-to-end.

From plan design through claims, pharmacy, and member support — one team, one platform, one point of accountability.

01

Plan design

Custom coverage structure tailored to your workforce demographics, geography, and budget.

02

Claims management

Transparent processing with real-time reporting so you always know where you stand.

03

Pharmacy benefits

Integrated Rx management through CAPSL Rx for transparent pricing and clinical oversight.

04

Stop-loss protection

A-rated carrier partnerships through Litchfield Underwriters protect you from catastrophic claims.

05

Member support

Dedicated service team handles eligibility, claims questions, and care navigation.

06

Reporting & analytics

Data dashboards that surface utilization patterns, cost drivers, and plan performance.

Cost comparison

Where the savings actually come from.

Traditional fully-insured
Carrier admin & profit margin~15–18%
Pooled risk premium~7–10%
Pharmacy markup~5–8%
Claims (the actual care)~65–70%

You pay the full premium whether your team uses it or not. Surplus stays with the carrier.

CGS self-funded
TPA admin (transparent)~6–8%
Stop-loss protection~8–12%
Pharmacy (CAPSL Rx pass-through)at cost
Claims (the actual care)~80–85%

More of every dollar reaches care. Surplus stays with you.

Illustrative ranges. CGS to validate methodology and provide actuarial reference.

Employers who made the switch

In their words.

We spent years watching renewals climb with no explanation. Moving to a self-funded plan with CGS gave us that visibility back — we cut spend meaningfully in year one, and for the first time our people actually understood their coverage.
CFO
CGS client
What sold our team was the service. We reach a real person who knows our account, plan changes don't turn into a three-week ordeal, and our employees get help instead of a runaround. It's made benefits one less thing I worry about.
Head of HR
CGS client
Ready when you are

See how much your company could save.

Request a no-obligation plan analysis. We'll show you exactly where the savings are — with the methodology, not just the number.