For CFOs, CEOs & HR Leaders at Companies 50–500+ Employees

Your Benefits Broker Is Getting Rich
While You're Paying 44% Too Much
for Health Coverage

There is a structural conflict of interest embedded in every fully insured health plan — and almost no one in the industry will tell you about it. We will. And we'll show you, with your own claims data, exactly how much it's costing you.

44% of premiums lost to carrier
profits & inflated discounts
$0 visibility into your own
adjudication-level claims data
20–30% average first-year savings
with zero plan disruption
120 days before renewal we
begin your strategic audit

Healthcare Is Your 2nd or 3rd Largest
Expense. Why Are You Letting Someone Else
Control It?

Most C-suite leaders who come to us have spent years accepting annual rate increases as a fact of life. They don't know they have a choice. Here's what that assumption is actually costing you.

44%
of your premium dollar goes to insurance company profits, risk charges, and PPO network fees that provide zero clinical value to your employees.
8–12%
is the average annual premium increase your traditional carrier delivers — without a single improvement in the quality of care your employees receive.
🔒
You Can't See Your Own Claims Data

Traditional fully insured plans legally permit carriers to withhold adjudication-level claims data from you — the plan sponsor. You are funding a health plan for your employees without access to the information needed to manage it. No CFO would accept this arrangement in any other line of their business.

💸
Your Broker's Incentives Are Misaligned With Yours

A commission-based broker earns a percentage of your premium. When your costs go up 10%, their income goes up 10%. There is no financial incentive for them to find you a lower-cost solution. This isn't a conspiracy — it's structural. The Consolidated Appropriations Act now requires brokers to disclose this. Most hope you don't ask.

😞
Your Employees Are Paying the Price

To manage rising premiums, most employers shift costs to employees through higher deductibles — some exceeding $5,000 — and increased co-pays. The result: employees avoid preventive care, conditions worsen, emergency visits spike, and productivity suffers. You're spending more and getting less on both sides of the equation.

⚖️
You May Already Be Out of Compliance

Under ERISA, you are the plan fiduciary. The Consolidated Appropriations Act (CAA) now mandates Gag Clause Attestations, compensation transparency, and claims data access requirements. Non-compliance carries personal liability. Most employers — and their brokers — are not fully compliant today.

The System Was Not Designed to Serve You

"A broker who earns a commission on your premium has a financial incentive to keep your costs high. A fiduciary advisor who charges a flat fee has a financial incentive to drive your costs down. These are not the same relationship."

For decades, large employers have accepted the fiction that rising healthcare costs are inevitable. They are not. They are the predictable result of a system that profits from your opacity. The numbers tell the story plainly.

44¢
of every premium dollar absorbed by carrier profits, risk charges, and network fees — money that never reaches a physician or pharmacy.
$0
claims data visibility the average fully insured employer has into where their healthcare spend actually goes. You are flying completely blind.
1×/yr
is how often the typical broker engages — at renewal, with a spreadsheet. Strategic planning? Mid-year audits? Proactive cost management? Absent.
10,000+
employers have already transitioned to transparent, self-funded, or consortium models — and are reclaiming that 44%. Your competitors may be among them.

Get a Personalized Cost Analysis
for Your Organization

Answer four questions. Our benefits intelligence engine will analyze your situation and deliver a specific, actionable assessment in seconds — no email required.

America's Benefit Intelligence Engine
Analyzing 50,000+ data points across industry benchmarks, claims patterns & regulatory requirements
What best describes your organization's industry?
This helps benchmark your healthcare spend against true industry peers.
How many full-time employees does your organization have?
Employee count determines which funding strategies and risk-pooling options are available to you.
How is your health plan currently funded?
Your current funding mechanism determines your baseline exposure and transition pathway.
What is your organization's most urgent benefits challenge right now?
Be honest — there's no wrong answer, and it shapes the analysis significantly.
Analyzing your benefits profile…
Your Personalized Analysis

Specific Action Items for Your Situation

We Don't Sell You a Plan.
We Engineer a Strategy.

Every recommendation we make is preceded by a rigorous analysis of your population health data, utilization patterns, and funding mechanics. Then we model it. We quantify the impact on employee behavior and your bottom line before you move a single dollar.

Real-time plan modeling — we show you the numbers before you commit
Phased transition — no employee disruption, no doctor access issues
Flat-fee fiduciary model — our incentive is to reduce your costs
Every decision includes a documented, measurable ROI
120-day pre-renewal strategic planning — no last-minute decisions
The Wasted 44% — Broken Down
Insurance company profit margin ~12%
Risk & contingency charges ~8%
Inflated PPO network "discounts" ~14%
Administrative overhead & fees ~10%
Total recoverable waste 44%

Percentages are illustrative benchmarks based on industry research. Your actual recovery depends on plan structure, employee demographics, and utilization patterns — which we analyze in your complimentary strategy session.

The Crawl–Walk–Run Framework:
Maximum Savings, Minimum Disruption

Phase 1 — Crawl
Foundation
Same network. Same doctors. Immediate savings.
10–15% avg. first-year cost reduction

We keep your exact PPO network intact — same doctors, same hospitals. We layer in medical bill review, voluntary concierge services, and claims auditing to eliminate waste immediately, with zero employee friction.

Medical bill review & claims auditing
Voluntary benefits concierge
Current PPO network maintained
Carrier compensation disclosure
120-day pre-renewal strategic review
CAA Gag Clause Attestation compliance
Start With Foundation
Phase 3 — Run
Full Optimization
Consortium power. Fortune 500 tools. Your budget.
35–44% total cost reduction potential

Maximum optimization. We deploy advanced clinical programs — Green Imaging (imaging cost reductions of up to 80%), Direct Primary Care, captive or non-captive structures, and pharmacy benefit carve-outs — to achieve the full recoverable savings.

Everything in Transparent Self-Funded, plus:
Green Imaging — up to 80% imaging cost reduction
Direct Primary Care (DPC) integration
Pharmacy benefit carve-out & optimization
Captive or consortium risk-pool access
Disease management & wellness initiatives
Executive-level benefits communication program
Explore Full Optimization

We Don't Ask for Trust. We Earn It With Numbers.

Gary Bencivenga said it best: the most powerful word in advertising is not "free" — it's "proof." Here is ours.

0%
of fully insured premium recovered
on average in transparent models
0%
reduction in imaging costs
through Green Imaging programs
0
days before renewal we begin
your strategic planning process
0
maximum group size we
successfully serve and manage

What Working With America's Benefit
Actually Looks Like

No spreadsheet delivered at renewal. No reactive conversations. This is proactive, data-driven stewardship — 365 days a year.

01
Week 1–2
Complimentary Discovery & Data Audit

We conduct a no-cost, no-obligation analysis of your current plan, carrier contracts, broker compensation disclosures, and any available claims data. You see the full picture — likely for the first time.

02
Week 3–4
Executive Strategy Sessions

We facilitate in-person planning sessions with your leadership team. We model benefit plan designs in real time, quantify the impact of each variable on employee behavior and cost, and present an executive summary of our findings.

03
Month 2–3
Implementation & Transition

We manage the full transition — carrier negotiations, TPA selection, stop-loss placement, employee communications, and compliance documentation. Your employees experience no disruption. Their doctors don't change.

04
Ongoing
Year-Round Active Management

Monthly reporting. Mid-year clinical and financial audits. 120-day pre-renewal strategic planning. Multi-channel employee education. We are not a broker you call once a year — we are an integrated extension of your leadership team.

You Are the Plan Fiduciary.
Do You Know What That Means?

Under ERISA, you — the employer — bear personal fiduciary liability for how your health plan is administered. The Consolidated Appropriations Act (CAA) has significantly expanded those requirements. Most employers are not in compliance today, and most brokers are not helping them get there.

We begin every engagement with a full fiduciary compliance audit and ensure your plan meets every CAA requirement — including Gag Clause Attestations, compensation disclosure, and claims data access mandates. We document everything. Your liability is our priority.

Request a Compliance Audit
⚖️
ERISA Fiduciary Compliance

We ensure your plan documents, administrative procedures, and advisor relationships meet ERISA's fiduciary standards of prudence and loyalty — protecting you from personal liability.

📋
CAA Gag Clause Attestation

The Consolidated Appropriations Act requires annual attestation that your plan does not contain prohibited gag clauses restricting access to price and quality data. Most employers have not submitted this attestation.

💰
Broker Compensation Transparency

CAA Section 202 requires brokers to disclose all direct and indirect compensation over $1,000. We provide full transparency as a matter of standard practice — and help you demand it from every vendor in your benefits ecosystem.

📊
Machine-Readable Files & Data Access

The Transparency in Coverage rule requires carriers to publish machine-readable files containing in-network rates and out-of-network costs. We help you leverage this data — and ensure you're accessing your own claims data as required by law.

The information above is provided for educational purposes and does not constitute legal advice. America's Benefit works in collaboration with ERISA counsel to ensure your plan's compliance. Consult qualified legal counsel for advice specific to your situation.

The Questions Every CFO Asks
Before They Switch

This is the fear we hear most often — and it's understandable. The answer is no, not in our Crawl or Walk phases. Our Foundation phase specifically maintains your exact PPO network while we layer in cost-saving strategies. In the Walk phase, we transition the funding mechanism, not the network. Your employees keep their doctors and their hospitals. Network access does not change until we confirm, with your leadership, that a network change is in everyone's best interest — and that decision is never made unilaterally.
Stop-loss insurance. In any self-funded or level-funded plan, we structure specific stop-loss (which caps your exposure per individual claim) and aggregate stop-loss (which caps your total plan liability). We evaluate your stop-loss structure and carrier as a core part of every engagement — and recommend changes when current coverage is suboptimal. Your catastrophic risk is capped. Your upside is unlimited. That asymmetry is the fundamental value proposition of self-funding when done correctly.
The structural difference is incentive alignment. A commission-based broker earns more when your premiums are higher. A fiduciary advisor on a transparent flat fee earns more when you renew — which means our income depends entirely on producing results you can measure. Beyond compensation structure: most brokers engage at renewal. We engage 365 days per year — monthly reporting, mid-year audits, quarterly strategic sessions, year-round employee education. If your current broker cannot show you your adjudication-level claims data on demand, that's the simplest measure of the difference.
Absolutely. In fact, the employer with 85 employees often has more to gain proportionally because they've historically lacked the leverage to demand better terms. Our consortium model solves this directly — we pool smaller employers into a larger risk pool, giving you the purchasing power, data analytics, and plan design options typically reserved for employers with thousands of employees. We have successfully served groups from 50 to over 10,000.
Some strategies — like medical bill review, broker compensation disclosure, and voluntary concierge services — can be implemented within 30 days, mid-plan year. A full funding structure transition is typically timed to your annual renewal date. We begin the strategic planning process 120 days before that date to ensure nothing is rushed. If you're mid-year today, we use that time for discovery, modeling, and planning — so that when your renewal arrives, every decision is deliberate and documented.
We use proprietary technology — developed internally — to analyze population health data, utilization patterns, and claims trends at a level of granularity that traditional spreadsheet-based analysis cannot achieve. Our system identifies cost drivers, flags anomalies, models plan design scenarios, and generates predictive risk profiles specific to your employee population. We don't disclose the technical architecture of our platform because it's a core part of our competitive advantage — but the outputs are fully transparent. You see the analysis. You see the data. You make the decision.
No Obligation. No Pressure. Just Data.

Find Out What 44% of Your
Healthcare Budget Actually Looks Like

In a 20-minute strategy session, we'll show you — with your own numbers — what your current plan is actually costing versus what a transparent, self-funded alternative would deliver. No commitment required.

Your information is used solely to schedule your complimentary strategy session. We do not sell or share your data. You can opt out at any time.