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Negotiating Premiums Rate Reductions Due to One Time Claims – A Kapnick Case Study

By March 17, 2022April 29th, 2026Case Studies, Employee Benefits

Managing the rising costs of employee benefits, especially health insurance, is a challenge for many organizations. This case study highlights how Kapnick used data-driven strategies to help three clients significantly lower their costs. By analyzing claims data and negotiating with carrier partners, we delivered substantial savings for each client.


THE PROBLEM: HIGH EMPLOYEE BENEFITS COSTS

Three clients approached Kapnick with concerns about the escalating costs of their employee benefits, particularly health insurance. Each organization faced large, one-time claims that were driving up their premiums. These challenges made it difficult for them to manage their budgets effectively.


THE SOLUTION: DATA-DRIVEN SAVINGS WITH KAPNICK LENS

To address these issues, Kapnick utilized Kapnick Lens to analyze claims data and identify cost-saving opportunities. The claims activity revealed the following:

First Client:

  • A heart attack
  • Injuries from a motor vehicle accident
  • Two back surgeries

Second Client:

  • Knee surgery with complications
  • Amputation with complications

Third Client:

  • Two complicated pregnancies and deliveries

In addition to these claims, further changes impacted the clients’ plans. For instance, Client B had three large claimants leave their plan, while Client C had a claimant with cancer enter remission. With this data in hand, Kapnick negotiated with carrier partners to secure significant premium reductions.


THE RESULTS: SIGNIFICANT SAVINGS FOR OUR CLIENTS

First Client:

  • Reduced costs by $550,000 (26.5%) from the initial renewal quote.
  • Achieved a $71,808 premium decrease from the previous year (4.5%).
  • Continued to save money the following year with a 13.9% decrease.

Second Client:

  • Lowered costs by $173,825 (18.9%) below their initial renewal quote.

Third Client:

  • Saved $65,130 (7%) from their initial renewal quote.

Want to Learn More?
Kapnick’s data-driven approach can help your organization reduce employee benefits costs. Contact us at  to discuss your needs and explore how we can assist you.