CT PRIME stabilizes and reduces members’ health benefit stop loss costs, short term and long term, and also provides a platform for additional regional cooperation opportunities the members may choose to pursue. Currently we offer member towns and schools with stop loss insurance that attaches anywhere from $150,000 to $500,000 per claim. CT PRIME can work with all TPA’s and brokers or consultants.
Notable Benefits
SAVINGS: CT PRIME saves member towns and schools money and holds the promise of much more in the years to come.
- Members’ premiums for health benefit stop loss coverage have consistently been better than stop loss cost inflation.
- Premiums include extra funding to provide for future initiatives.
- The collective purchasing power of CT PRIME makes the other expenses – including program administration and future initiatives – lower than would be the case for any individual member, year-in-and-year-out.
STABILITY: CT PRIME’s structure allows for the pooling of risk and resources, to provide the budgetary stability that its member towns and schools value.
- CT PRIME is member-governed and advised by nationally-recognized industry experts.
- Its policies and procedures are designed around the philosophy of long-term stability in coverage and pricing.
- The CT Insurance Department regulates CT PRIME, to add an extra level of oversight.
SERVICE: CT PRIME’s legal and organizational structure is designed in anticipation of increasing opportunities for member collaboration to reduce risk and cost.
- Collaborating through CT PRIME, members analyze aggregate data and develop strategies to better manage health benefit claim costs.
- CT PRIME will consider adding new town and school members if they are a good fit with the group; it also considers additional coverages or services that benefit the members collectively.
- CT PRIME’s captive insurance company structure also can be used to allow other entities or groups to leverage its infrastructure through separate independent cells.
Frequently Asked Questions
Is my town a member of the captive?
The current CT PRIME captive members are:
- Cheshire (town and BOE)
- CREC
- Glastonbury (town and BOE)
- Wethersfield (town and BOE)
- Windsor (town only)
- Windsor Locks (town only)
Why isn't my town/BOE a member?
We invite all municipalities and school districts to consider joining our group to take advantage of group pricing, discounted based on our consolidated size. In some cases, towns or boards of education with multi-year contracts with their current providers may not be eligible to participate until their contract expires. We will work with all brokers and advisors.
Can my town/BOE join?
Towns and school districts may join based on the rules established by the captive Board. They can join together or separately. Towns and boards of education that are interested in learning more should contact CREC.
What is CREC's role?
CREC, the legal sponsor, administers the captive, and can assist on answering questions on how to join. CREC is also one of the founding and current members of CT PRIME.
What is the legal structure of the entity?
The legal structure of the entity is a captive insurance company as authorized by the CT Insurance Department. Under current law, the captive structure is the only legal structure that allows true risk pooling for health benefits, an option that is critical for towns and schools to assume some control over the peaks and valleys of the commercial insurance market. While municipal captives are new to CT, they are not new to other states.
What is the legal authority required to join?
CREC and member towns and schools adopted governing documents to determine how new members join. Resolutions by the municipal legislative body will be required.
What is the model for CT PRIME?
This captive was modeled after the Connecticut Conference of Municipalities program, known as the Connecticut lnterlocal Risk Management Agency (CIRMA). Established in 1980 in response to the municipal insurance crisis of the time, CIRMA operates two risk pools, the Workers’ Compensation and the Liability-Auto-Property pool. While CT law allows inter-local pooling for property and casualty risk, pooling is not allowed for health benefits, which is why CT PRIME formed as a captive. The member-owned, member-driven concept, however, is exactly the same.
How are expert advisors selected?
Vendors and service providers are secured through an RFP process, including legal counsel, auditor, captive manager, and actuary. In addition, individual municipalities can retain their own broker services.