Hamilton Insurance Group, Inc.

Policyholders often find themselves entangled in the confusing maze of claims, often struggling to understand the process.

Hamilton Insurance Group, Inc. takes the mystery out of insurance by evaluating clients’ specific needs and matching them with companies that offer the best value for their money and provide superior protection. The insurers represented by Hamilton are chosen for their reliable products, exemplary customer service and outstanding reputations for fast and fair claims resolution, providing clients the assurance that they have a trusted ally in navigating the complexities of insurance.

Many employers remain unaware of back-office deals where insurers or brokers profit without their knowledge. We empower them effectively in their decision-making process with our clear communication

In the health insurance sector, Hamilton acknowledges the challenges posed by rising pharmacy expenditures, particularly those associated with specialty drugs, which can account for up to 60 percent of employers’ medical expenses. Hamilton Insurance Group, Inc. collaborates with employers to develop tailored cost-reduction strategies. These strategies include sourcing medications internationally to achieve savings of up to 40 percent and revising drug plans to ensure employees have access to necessary medications without financially overburdening the employer.

Transparency is a cornerstone of Hamilton Insurance Group, Inc.’s approach, ensuring that all fees are fully visible in the plans and guaranteeing the return of 100 percent of any pharmacy rebates to employers. Hamilton Insurance Group, Inc. partners exclusively with entities that uphold the same standards of transparency, providing clear information about fees and compensation structures to aid employers in making informed decisions.

By giving clients full access to all claims data—including reviews of actual claims, prescriptions and associated costs—Hamilton Insurance Group, Inc. leaves no stone unturned in providing clients with detailed insights into their expenditures.

“Many employers remain unaware of back-office deals where insurers or brokers profit without their knowledge. We empower them effectively in their decision-making process with our clear communication,” says Michael Hamilton, Vice President of Employee Benefits.

Another significant challenge for employers is staying abreast of compliance, especially for those with more than 50 eligible employees who are subject to regulations for large employers. Hamilton addresses this by integrating essential compliance features, such as forms 1094 and 1095, directly into insurance products, easing the compliance burden. Hamilton Insurance Group, Inc. supports employers in meeting affordability and other regulatory standards, which are often overlooked. For example, adjusting employee salaries to meet affordability requirements is an area where many employers may require guidance. Hamilton’s comprehensive compliance and HR software solutions offer crucial support in navigating these complexities.

Hamilton Insurance Group, Inc. demonstrated its service excellence by helping a manufacturing company with about 130 employees, struggling with health insurance issues. Despite being fully insured by a reputable provider, only 15 employees had enrolled in the plan, which was fragmented across seven different ancillary coverage options. Previous agencies have failed to address affordability, leading to compliance issues. After Hamilton Insurance Group, Inc. took over, they streamlined the plans to four carriers, which resulted in a 49 percent reduction in health insurance rates and boosted employee enrollment to 34. By addressing affordability and simplifying their coverage, Hamilton Insurance Group, Inc. not only resolved compliance issues but significantly increased enrollment and reduced costs for the employer.

Integrating innovative technologies, Hamilton Insurance Group, Inc. offers a unique advantage with captive insurance options, available exclusively to select brokers. These options allow clients to participate in the profits of the insurance company without significantly increasing financial risk. By leveraging these, Hamilton Insurance Group, Inc. can implement creative solutions to control costs effectively. Even in challenging years, clients stand to benefit from profit distributions if the captive insurance company performs well.

Hamilton Insurance Group, Inc. stands tall as a leader of trust and innovation in the insurance industry. With decades-long experience, promise to understand clients’ needs and devotion to providing world-class protection, Hamilton Insurance Group, Inc. simplifies insurance and ensures a brighter, more secure future for all.