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SOTABENEFITS
SOTA Benefits · Health plan architects · Houston, TX

Bring value back to health insurance.

For twenty years employers have been sold the same plan at a higher price every renewal. We stopped playing that game. SOTA engineers self-funded health plans that raise quality and service while lowering the real cost of care. Then we show you the math.

PremiumsDeductiblesOut-of-pocketValue
VALUE(QUALITY + SERVICE) ÷ COSTONE ACCOUNTABLE ARCHITECTURE$0 PRIMARY CARETIER 1 NETWORKCLINICAL PHARMACYNAVIGATIONCLAIMS INTELLIGENCERISK ARCHITECTURE · STOP-LOSSERISA PLAN DOCUMENT · COMPLIANCEBUILT, NOT BOUGHTONE TEAM · DESIGN → RISK → ADMIN → SERVICE
DWG A-101
Home · Plan elevation
VALUE=QUALITY + SERVICECOST

Most “cost containment” attacks the bottom of the equation by moving cost onto deductibles and paychecks. That isn't savings. It's relocation. We work all three variables at once, and if a change doesn't improve one without hurting another, we don't make it.

Built to fit

Your plan should be built for you, not pulled off a shelf.

Most employers are handed a prebuilt plan: someone else's network, someone else's pricing, and an architecture they never get to see. We start with your workforce, your claims and your budget, then design the plan around them.

Plan design

Designed around your people.

Benefits, network and pharmacy are built to fit your workforce and risk tolerance. We show you what has worked for other employers, and you choose how your plan is built.

Pricing

A plan that keeps working after it's priced.

We price around your needs, wants and budget, then watch the plan in real time. When a cost problem shows up, we solve it early. If the right fix doesn't exist, we build it.

Architecture

Nothing hidden in the build.

Every network, vendor, fee and claim pathway is laid out for you, with plan data every month. No black box.

Benefit design

$0 is a steering wheel.

The richest benefits sit where care is best and priced right. Employees follow the incentive, and the plan spends less.

Ownership

One team owns the whole build.

Design, pricing, risk, administration and member service under one roof, instead of a stack of vendors pointing at each other.

Renewals

Predictability is engineered.

Renewal season should be a checkpoint, not a gamble. We design plans to bend the cost curve year over year.

A glass engine with eight connected health plan components: quality, access, primary care, navigation, pharmacy, claims intelligence, reporting and risk
FIG. 01 · The value engineEight connected components. One accountable architecture.
Shift the curve

Same employer. Two cost trajectories.

A de-identified five-year case study: the conventional market alternative against a value-driven plan design. One line kept climbing. The other bent.

Conventional marketValue-driven plan
$0$5k$10k$15k$20k20–2121–2222–2323–2424–25$14,103$10,902$19,167$8,575

Annual total plan cost per covered unit, by renewal year. Computed from the case study's total cost and covered units.

$10.2MCumulative five-year cost difference versus the conventional market benchmark
55%Savings in year five, up from 23% in year one. The gap widened every year after year two.
1.8%Compounded annual cost growth on the value-driven plan, versus about 16.7% in the conventional market

De-identified case study from the SOTA Employer Health Plan Value Playbook, renewal years 2020–21 through 2024–25. Source analysis includes disclosed modeling assumptions. It demonstrates a cost-trajectory difference and does not, by itself, prove causation, clinical quality or service outcomes. Past results do not guarantee future results.

Bring us your renewal. We'll show you what's inside it.

A no-cost plan analysis for employers who want the math, not the pitch.

Request a plan analysis