Strategic Solutions for Every Stage of Your Business

From plan design to property protection — explore our full suite of benefits and coverage solutions.

SERVICES

Solutions Built Around Your Business

Level Funded
A level funded health plans is a type of self-insured health plan where employers pay a fixed monthly amount that is directed towards a claims fund, administration costs and stoploss insurance. These plans may be sold through a named carrier or Third Party Administrator. These plans may be set up where a portion of the claims fund that is left over after the policy term may be distributed back to the employer.
Self-Funded Health Plans
  • Employer Pays for Claims Directly
    Instead of paying monthly premiums to an insurance company, the employer sets aside money to directly pay employees’ medical claims as they come in.
  • Third-Party Administrator (TPA)
    Many self-insured employers hire a TPA or use a health insurance company to handle the administrative side (like processing claims, managing provider networks, and customer service).
  • Stop-Loss Insurance
    Employers typically buy stop-loss insurance to protect themselves against very high claims.
  • Specific stop-loss: Covers individual high-cost claims (e.g., one employee’s medical bills go over $100,000).
  • Aggregate stop-loss: Kicks in if the total claims for the group exceed a certain amount.
  • Customization and Control
    Employers can customize the plan more easily—like choosing what services are covered, wellness incentives, or cost-sharing options.
Fully Insured
Generally speaking Fully Insured plans have been utilized for high claim employer groups, employer groups coming off PEO’s where a usable claims experience could not be established or very complex claims and demographics are a challenge until the information can get cleaned up.
Ancillary and Supplemental
  • Dental
  • Vision
  • Life
  • Voluntary Life
  • Short Term Disability
  • Long Term Disability
  • Accident
  • Critical Illness (Heart and Cancer)
  • MEC Plans
  • Gap Plans
  • COBRA and Compliance
Benefit Admin

Centralize your HR records online with platforms that work in conjunction with most every insurance carrier and payroll provider.  One seamless online enrollment platform that speaks to all your vendors for single entry.  Pull census information, onboarding, deduction reports, integrated payroll, billings, benefit summaries and much more.

Property & Casualty

By aligning ourselves with general and specialty markets we can customize and build the right program for your company. Whether its commercial general liability, workers compensation, professional liability, property coverage, inland marine, commercial/business auto (BAP), umbrella liability, builder’s risk, employment practice liability (EPLI), cyber, directors and officers, or business income, we have you covered.

Services

Property & Casualty

Positive Benefit Solutions provides customized proposals and customer service to a variety of business industries. By aligning ourselves with general and specialty markets, we can customize and build our insurance programs. We are committed to delivering tailored products with thoughtful, strategic planning and valuable professional property & casualty services. We specialize in a wide variety of services and lines of coverage including, but not limited to:

Commercial General Liability (CGL)

A standard insurance policy issued to business organizations to protect them against liability claims for bodily injury (BI) and property damage (PD) arising out of premises, operations, products, and completed operations; and advertising and personal injury (PI) liability.

Workers Compensation (WC)

The system by which no-fault statutory benefits prescribed in state law are provided by an employer to an employee (or the employee’s family) due to a job-related injury (including death) resulting from an accident or occupational disease.

Professional Liability (PL)

A type of liability coverage designed to protect traditional professionals (e.g., accountants, attorneys) and quasi-professionals (e.g., real estate brokers, consultants) against liability incurred as a result of errors and omissions in performing their professional services. Although there are a few exceptions (e.g., physicians, architects, and engineers), most professional liability policies only cover economic or financial losses suffered by third parties, as opposed to bodily injury (BI) and property damage (PD) claims. This is because the latter two types of loss are typically covered under commercial general liability (CGL) policies. The vast majority of professional liability policies are written with claims-made coverage triggers. In addition, professional liability policies contain what are known as “shrinking limits,” meaning that unlike CGL policies (where defense costs are paid in addition to policy limits), the insurer’s payment of defense costs reduces available policy limits. Accordingly, when attempting to determine appropriate policy limits, insureds must consider the fact that because defense costs are often a high proportion of any claim settlement or judgment, they must usually purchase additional limits. The most common exclusions in professional liability policy forms are for BI, PD, and intentional/dishonest acts.

Umbrella Liability

A policy designed to provide protection against catastrophic losses. It generally is written over various primary liability policies, such as the business auto policy (BAP), commercial general liability (CGL) policy, watercraft and aircraft liability policies, and employers liability coverage. The umbrella policy serves three purposes: it provides excess limits when the limits of underlying liability policies are exhausted by the payment of claims; it drops down and picks up where the underlying policy leaves off when the overall limit of the underlying policy in question is exhausted by the payment of claims; and it provides protection against some claims not covered by the underlying policies, subject to the assumption by the named insured of a self-insured retention.

Builders Risk

A property insurance policy that is designed to cover property in the course of construction. There is no single standard builders risk form; most builders risk policies are written on inland marine (rather than commercial property) forms. Coverage is usually written on an all risks basis and typically applies not only to property at the construction site, but also to property at off-site storage locations and in transit. Builders risk insurance can be written on either a completed value or a reporting form basis; in either case, the estimated completed value of the project is used as the limit of insurance.

Employment Practice Liability (EPLI)

A type of liability insurance covering wrongful acts arising from the employment process. The most frequent types of claims covered under such policies include: wrongful termination, discrimination, sexual harassment, and retaliation. In addition, the policies cover claims from a variety of other types of inappropriate workplace conduct, including (but not limited to) employment-related: defamation, invasion of privacy, failure to promote, deprivation of a career opportunity, and negligent evaluation. The policies cover directors and officers, management personnel, and employees as insureds. The most common exclusions are for bodily injury (BI), property damage (PD), and intentional/dishonest acts. EPLI policies are written on a claims-made basis. The forms contain “shrinking limits” provisions, meaning that insurer payment of defense costs—which are often a substantial part of a claim—reduce the policy’s limits. This approach contrasts with commercial general liability (CGL) policies, in which defense is covered in addition to policy limits. Although EPLI is available as a stand-alone coverage, it is also frequently sold as part of a management liability package policy. In addition to providing directors and officers (D&O) and fiduciary liability insurance, management liability package policies afford the option to cover employment practices liability (EPL).

Cyber Liability

A type of insurance designed to cover consumers of technology services or products. More specifically, the policies are intended to cover a variety of both liability and property losses that may result when a business engages in various electronic activities such as selling on the internet or collecting data within its internal electric network.

Most notably, but not exclusively, cyber and privacy policies cover a business’ liability for a data breach in which the firm’s customers’ personal information, such as Social Security or credit card numbers, is exposed or stolen by a hacker or other criminal who has gained access to the firm’s electronic network. The policies cover a variety of expenses associated with data breaches, including: notification costs, credit monitoring, costs to defend claims by the state regulators, fines and penalties, and loss resulting from identity theft.

In addition, the policies cover liability arising from website media content, as well as property exposures from (a) business interruption, (b) data loss / destruction, (c) computer fraud, (d) funds transfer loss, and (e) cyber extortion.

Cyber and privacy insurance is often confused with technology errors and omissions (tech E&O) insurance. In contrast to cyber and privacy insurance, tech E&O coverage is intended to protect providers of technology products and services, such as computer software and hardware, manufactures, website designers, and firms that store corporate data on an off-site basis. Nevertheless, tech (E&O insurance policies do contain a number of the same insuring agreements as cyber and privacy policies.)

Directors & Officers (D&O)

A type of liability insurance covering directors and officers for claims made against them while serving on a board of directors and/or as an officer. D&O liability insurance can be written to cover the directors and officers of for-profit businesses, privately held firms, not-for-profit organizations, and educational institutions. In effect, the policies function as “management errors and omissions liability insurance,” covering claims resulting from managerial decisions that have adverse financial consequences. The policies contain “shrinking limits” provisions, meaning that defense costs—which are often a substantial part of a claim—reduce the policy’s limits. This approach contrasts with commercial general liability (CGL) policies, in which defense is covered in addition to policy limits. Other distinctive features of D&O policies are that they: (1) are written on a claims-made basis, (2) usually contain no explicit duty to defend the insureds (when covering for-profit businesses), and (3) cover monetary damages but exclude bodily injury (BI) and property damage (PD).

Business Income

Commercial property insurance covering loss of income suffered by a business when damage to its premises by a covered cause of loss causes a slowdown or suspension of its operations. Coverage applies to loss suffered during the time required to repair or replace the damaged property. It may also be extended to apply to loss suffered after completion of repairs for a specified number of days. There are two Insurance Services Office, Inc. (ISO), business income coverage forms: the business income and extra expense coverage form (CP 00 30) and the business income coverage form without extra expense (CP 00 32). Business income coverage (BIC) is also referred to as business interruption coverage.

Let’s Build the Right Plan for Your Team

Whether you’re starting from scratch or looking to optimize your current benefits, we’re here to help. Let’s create a solution that fits your team — and your bottom line.