Employed physicians have ended up with stronger and more succinctly managed insurance programs through captives than when they were commercially insured.
As health care moves to population management, captive insurers have accepted the challenge. Captive loss data will make the difference in its success.
As also discussed in the video "History of US Employee Benefits in Captives" featuring Debbie Liebeskind of Towers Watson, the company must obtain a prohibited transaction exemption from the US Department of Labor.
For interviewing and selecting a captive insurance company manager, Brady Young of Strategic Risk Solutions says to look for experience in the captive insurance business, familiarity with the domicile, and the capability of the manager.