In a September 2025 Self-Insurer article entitled "Cross-Pollinating Healthcare, P&C Captives: A Shared Success for Mid-Market Employers,” Dave Gillis, Head of Business Development for Health Solutions at Captive Resources, explained how mid-market employers are finding new advantages by participating in both Property and Casualty (P&C) captives and Medical Stop Loss (MSL) group captives.
Gillis described how the demand for MSL captives first emerged more than a decade ago: “A lot of the casualty members that have been in these programs for 10, 20, 30 years started coming to us and saying, ‘Hey, health insurance is really starting to impact our P&L. Can you help us?’” That need spurred Captive Resources to become one of the first consultants to launch MSL captives tailored for the middle market.
Today, the MSL captives we advise continue to see strong growth, attracting a widening range of employers. While early members largely came from existing P&C captives, Gillis noted that participation has since expanded to employers outside the firm’s client base. In recent years, interest has begun flowing both ways, with health captive members exploring P&C captives as well.
This cross-pollination not only broadens participation but also helps employers break down internal silos. As Gillis explained, many organizations separate human resources and risk management functions. Involvement in both captives, however, can foster collaboration and a more holistic approach to enterprise risk management. For example, insights from health captives around wellness or chronic disease management can be applied to safety training, reducing workplace injuries and workers’ compensation claims.
Transparency and collaboration are also central to the captive model. Gillis emphasized that members benefit from access to real claims and cost data, which they use to shape strategies, share best practices, and support each other’s success. “We see a mindset shift at the captive meetings,” he said. “It flips their mindset to thinking they need to do their part for their fellow members because that’s why they’re there”.
For Gillis, the growing integration of P&C and MSL captives illustrates the broader potential of captives to help employers proactively manage costs, improve outcomes, and strengthen long-term stability.
Read the full article here (found on page 48).
