Save on Employee Health Benefits. Control the plan. Share the upside.

With InCap, the captive health-benefits program from Hilb Group, you’re shifting from being a premium-payer to being an owner-participant—unlocking cost savings, transparency and control.

InCap is a health insurance pool formed by companies joining together to reduce the cost of their medical benefit spend, including Rx expenditures.

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Why Traditional Health Coverage Is Broken

Most employers are locked into a fully-insured model: you pay a fixed premium, the insurer carries the risk, and any unused claims or efficiencies are their profit. Over time you face creeping premiums, less control, and little reward for keeping your workforce healthy.

In contrast, captive insurance programs give you the power to design your benefits, access detailed claims-data, pool risk with peers and retain underwriting or investment profit rather than watching it disappear.

InCap — Cut Costs Without Cutting Quality

As healthcare costs continue to rise, you must determine which healthcare plan offers the best quality and cost-efficiency for your business per employee per month. As you compare options, it quickly becomes clear that the InCap healthcare captive program offers your best opportunity to lower healthcare costs without cutting the quality of your benefits program.

If you have a workforce with 50-2,000 employees, you owe it to your business and employees to learn more about InCap.

How InCap Works

1

Instead of paying a carrier a fixed premium, your organization joins a health-benefits captive where you retain ownership of risk and benefit from collective economies of scale.

2

Claims are pooled with other participating employers, volatility is reduced, underwriting and investment profit may be returned to you.

3

You keep the quality of your benefits program — but you gain flexibility, transparency and alignment of incentives.

3

We assist you with plan design, stop-loss layering, data analytics, wellness and pharmacy benefit management (PBM) strategies so the savings stick.

Benefits of the InCap Medical Captive

Plan Design Control

Design a health plan with choice of network, claims service, wellness and biometric program providers.

Avoid Unexpected Rate Hikes

Because you’re part of the risk-pool, you’re not subject to the same renewals and margin-driven premium spikes seen in fully-insured models.

Pharmacy Benefits Management

Rx Rebates are processed by the PBM and the savings passed along to you in quarterly reimbursements.

Cost Management

Add the cost-containment strategies of choice including pharmacy programs, disease management and wellness initiatives.

Transparency in Data & Cost

We tell you up-front the fixed and variable cost information. We also provide you access to usage-data, medical and claims data reporting, PBM rebates, and discuss results and adjustment recommendations in quarterly meetings, so you can make informed decisions.

Profit & Return of Premiums

When claims are lower, you participate in surplus/underwriting profits rather than the carrier.

Better Cash-Flow Options

Instead of locked-in premiums, you have more flexibility in when and how dollars are deployed.

Turnkey

Simple and effective. We don’t just drop you into a captive; we'll make the transition seamless for both HR departments and employees. Our team provides guidance on wellness, compliance, HR tech and other benefit-adjacent strategies to strengthen the program.

The Savings Are Real

12-15% Rate Savings

Mid-sized groups (50–1,000+ lives) that moved from fully-insured to captive often realize 12 %–15 % savings in year one.

$95+ Million in Claims Savings

Over $95 million in total claim-cost savings in the past 12 consecutive years.

$13+ Million Profit Distribution

A total of $13+ million in profits distributed to InCap members.

Is Your Organization a Good Fit?

InCap medical captive is ideal for employers that:

Have around 50+ enrolled employees (or 50+ employees on plan) — captive-fit starts there.
Have stable claims trends or are ready to drive wellness/plan-design initiatives.
Want more control, lower volatility and upside for unused claims rather than paying only fixed premiums.
Are open to working collaboratively, using data and plan design levers to improve outcomes.

What Our Customers are Saying

“The transition was seamless and (Hilb Group) makes it easy for you,” said the company’s Senior VP of HR. “When we are wearing five different hats, Hilb Group just needs a date and time, and they take care of the rest… Within the first 3 years of the program, a lot of employees stopped smoking thanks to the wellness program education and accountability.”

Credit Union InCap Member since 2015

"As we begin 2025, I want to send a thank you for your help introducing InCap to my clients. Significant health insurance premium rate increases has created tremendous anxiety for many of those clients over the past couple of years.

Fortunately, the InCap option has been a very successful solution. Not only saving significant premium dollars but the service from everyone at InCap, HPI & the other InCap partners has been second to none. This has been especially true for my most challenging accounts. Utilizing the data made available through HPI we have been able to introduce unique programs including; the Variable RX Co-Pay plan & the SHARX RX program. Both of these programs have been very successful not only mitigating many RX issues but in this challenging RX environment these programs have been a welcome relief and have saved significant dollars that would otherwise gone to RX payments.

Noreen, I very much appreciate your advice, support and the speed of your response. I am delighted with the results. Thank you again for a great job."

Paul Beggan Producer, Hilb Group

“If you have financial stability, there is no other plan you should do. It is the right thing for your company and employees. Hilb Group has helped us reduce a significant amount of cost. We can control expenses while also providing quality products to employees. The flexibility in the product lets us analyze and look at trends to make educated decisions. For example, we joined a PBM to save on prescription costs and provided information regarding urgent care to save on ER costs.”

Manufacturing Company InCap Member since 2013

"We just completed two very successful first year renewals with InCap Hilb clients. There is certainly a learning curve for the clients, however implementation went smoothly and the communication and education of the quarterly reviews were extremely effective.

Both clients were formally fully insured and now greatly appreciated the transparency and new vendor partners for cost savings. Both clients also received significant savings from the rebates and PBM engagement. I now consider it an obligation to present InCap as an option for any of my 50+ fully insured clients."

Tim A. Nugent Producer, Hilb Group

"This was my first case I have written with InCap and my first case with a group captive. InCap has been the best move I have made in many years. Noreen, my broker/Consultant with InCap, has been excellent. She has done everything she had promised and more. Noreen has set up quarterly meetings with my client and has taken the lead to get my client very comfortable with their move to a captive.

It has only been 6 months, but Noreen just recommended a change to the company prescription plan. The result is a savings of $80,000-$100,000 for prescriptions. I wish I could write all my clients with InCap, they have been great!"

Paul Pietro Benefits Director, Hilb Group

Frequently Asked Questions

Quick Answers for HR & Finance

Will benefits quality be impacted by joining a captive?

No — in fact, you often gain more flexibility and design choice so you can keep employee-facing benefits competitive or even enhance them.

Does joining a captive require more work from HR/Finance teams?

The first year is the transition and learning curve, but ongoing administration is manageable and supported by our team.

What kind of risk does the employer bear in a self-insured/captive structure?

Risk isn’t “unlimited” — with captive design, stop-loss insurance, pooled risk and prudent underwriting most risk is within agreed parameters. You also gain upside.

How quickly can we start seeing savings?

Many clients see savings in year one; typical ranges are 12%–15% less premium spend compared to fully-insured.

Take the Next Step

If you’re ready to take control of your health-benefit program, turn premium spend into owned risk and upside, then talk with us about whether InCap is the right path. We’ll review your current plan, claims trends and design options — then show you a modeling of potential savings, profit-share upside and implementation roadmap.