Most employers don’t review health insurance because they want to.
They do it because the renewal came in too high — again — and the current setup no longer feels sustainable.
This situation usually shows up when costs keep rising, options feel limited, and no one can clearly explain why the numbers are what they are. The result is frustration, rushed decisions, and the same conversation every year.
Our role is to slow that process down, explain what’s actually driving the cost, and walk through real options — not just another renewal.
Why health insurance keeps getting more expensive
- Small-group pricing that doesn’t reward good experience
- Rate increases driven by broad market trends, not your company
- The same plans being recycled every year with different pricing
- Little transparency into how premiums are calculated
- Shopping carriers without changing the underlying setup
The real issue: limited options, not effort
- Accepting the increase
- Shifting more cost to employees
- Cutting benefits
- Or shopping similar plans with a different carrier name
None of those feel like real solutions.
There are other ways to structure employer health insurance. The challenge is that those options are rarely explained clearly or compared honestly.
Explore Your Health Insurance Options
What actually changes when health insurance is set up differently
Health insurance outcomes depend less on the carrier and more on how the plan is set up.
Depending on the situation, different setups can:
- Open access to pricing that isn’t available in traditional small group
- Reduce year-to-year volatility
- Make costs easier to understand and anticipate
- Allow more flexibility in how the employer contributes
Common situations — and what usually helps
Example 1: Costs keep increasing and explanations don’t add up
What usually helps:
- Evaluating whether the current structure offers any real alternatives
- Looking at options that pool risk differently than small group
- Exploring setups where underwriting can be more flexible
- Prioritizing stability instead of reacting to each renewal
Translation: finding a way out of the same loop.
Example 2: Costs are manageable, but unpredictable
What usually helps:
- Structures that make costs easier to track during the year
- Fewer billing adjustments and end-of-year corrections
- Renewals that feel expected instead of disruptive
- Clearer reporting instead of guessing
Example 3: Benefits matter, but costs can’t run away
What usually helps:
- Aligning plan design with how employees actually use benefits
- Avoiding overpaying for features that don’t improve outcomes
- Using contribution strategies that balance cost and competitiveness
- Coordinating benefits with payroll and HR administration
Where PEO-sponsored health plans fit
In many cases, PEO health plans provide:
- More plan options than small group
- Greater flexibility in employer contribution strategies
- Pricing approaches not available elsewhere
- Month-to-month participation, similar to most health plans
They are not a default solution — but for the right employer, they can be a meaningful improvement.
We evaluate PEO health plans as one option among several, based on how well they fit the company’s situation.
What gets reviewed before recommendations are made
Before recommending any change, we look at:
- Current plans and renewal history
- How the plan is paid for
- How employees actually use the benefits
- The level of flexibility needed
- How benefits interact with payroll, HR processes, and risk exposure
This prevents changes that look good on paper but create problems later.
The Bottom Line
Employer health insurance shouldn’t feel like:
- Guesswork
- Defending numbers no one understands
- Or repeating the same conversation every year
The objective is:
- Fewer surprises
- Clearer choices
- A setup that makes sense for the business
Lower costs aren’t always possible.
Better options usually are.
FAQs
Q: Why do our health insurance costs keep increasing every year?
A: Increases are often driven by market-wide pricing, plan structure, and risk pooling—not just your company’s claims. Many employers are priced in systems that don’t reward stability or good experience. Understanding the structure matters more than switching carriers.
Q: Is shopping carriers every year the best way to control costs?
Q: Are PEO-sponsored health plans always cheaper?
Q: Do we need to be a large company to have better health insurance options?
A: Not always. Some alternatives become available based on structure rather than size alone. The availability depends on workforce makeup, stability, and how risk is pooled.
Q: Can health insurance costs be made more predictable?
Ready to talk?
If health insurance feels confusing, unpredictable, or disconnected from reality, the next step is a clear review of the available options — without pressure or jargon.