Roundstone

Roundstone Based in Rocky River, Ohio, Roundstone offers affordable health benefits for small to mid-size business Roundstone Management, Ltd.

(“Roundstone”) is an insurance organization focused on the development, underwriting and servicing of alternative risk products, including captives and specialty insurance programs. Roundstone offers intermediaries and buyers an expertise in the captive marketplace coupled with turnkey insurance management services. Roundstone’s medical expense stop loss program allows mid-sized companies (20-1,000 employees) to control their health insurance costs through self-funding methods historically used by larger companies. In the standard health insurance market, all profits are retained by the insurance carrier, no matter how few claims are submitted. Our program works differently, by minimizing cost variability through shared risk in a group captive with other similar sized companies, letting employers retain any cost savings at the end of the year. The healthier the employees and the fewer claims submitted, the more potential savings for the employer. It is Roundstone’s mission to limit the annual increase in employer’s health benefit cost to a level below inflation.

Most employers don’t realize how much their healthcare experience is shaped by one decision: Their provider network. A “...
04/10/2026

Most employers don’t realize how much their healthcare experience is shaped by one decision: Their provider network.

A “good” provider is not just about who’s in-network.

It’s about:
• What care costs
• Which doctors employees can see
• How stressful the experience becomes

The right network impacts access, cost, and the quality-of-care employees receive every day.

With our self-funded plan, employers can evaluate networks based on what matters:
✔️ Cost transparency
✔️ Provider quality and access
✔️ Fit for their population.
✔️ Integration with their overall cost strategy

Because behind every network decision is a real person:
An employee trying to afford a prescription
A parent scheduling a specialist visit
Someone navigating a diagnosis they didn’t expect

If you’re exploring self-funding, this could be one of the most important decisions you’ll make.

Learn what you need to know in our latest blog: “How to Choose a Provider Network for a Self-Funded Plan” https://roundstoneinsurance.com/blog/how-to-choose-a-self-funded-provider-network/
Or connect with a Regional Practice Leader to learn more about Roundstone’s Preferred Bundle as a proven starting point.

Proud to see the impact of the Roundstone Pavilion on Re:Source Cleveland, an organization we're honored to support. Thi...
03/25/2026

Proud to see the impact of the Roundstone Pavilion on Re:Source Cleveland, an organization we're honored to support.

This expansion means more than added space. It creates year-round jobs and expands access to fresh, healthy food, helping more people live well.

It’s a powerful example of what’s possible when you invest in people, health, and local infrastructure.

https://www.ideastream.org/community/2026-03-23/ohio-city-farm-expansion-means-year-round-jobs-and-access-to-fresh-food

Today is Diabetes Alert Day,  a national “wake-up call” to understand your risk and take action. Observed every year on ...
03/24/2026

Today is Diabetes Alert Day, a national “wake-up call” to understand your risk and take action.

Observed every year on the fourth Tuesday in March, this day was created by the American Diabetes Association to raise awareness about the seriousness of diabetes and the importance of early detection.

Why it matters:
Nearly 1 in 2 Americans has diabetes or prediabetes, and many don’t even know it.
Left unmanaged, diabetes can lead to serious complications including heart, kidney, and eye disease.

As a health partner, we believe awareness is only the first step. Action is what changes outcomes.

Today is a reminder to:
• Know your risk factors
• Recognize early symptoms
• Take advantage of preventive screenings
• Make small, sustainable lifestyle changes

Because better health doesn’t start with treatment, it starts with understanding.

Encourage your employees, clients, and communities to take a minute today to check their risk. It could change everything.

Share to help spread awareness!

🍀 A little St. Patrick’s Day story behind the name Roundstone… We were founded in 2003 with a mission to create a better...
03/17/2026

🍀 A little St. Patrick’s Day story behind the name Roundstone…

We were founded in 2003 with a mission to create a better way for small and midsize businesses to manage their health benefits. But our name? That started a little differently.

It comes from Roundstone, Ireland, where founder Michael Schroeder first had the idea that would shape the company.

What followed was more than just a business. It was a new model.

The idea evolved from a stop-loss reinsurer into the first medical group captive of its kind, giving employers with 25 to 1,000 employees access to the same advantages once reserved for large organizations:
• more control
• greater transparency
• the opportunity to share in savings

By bringing businesses together in a shared-risk community, Michael helped redefine what was possible in self-funded healthcare.

Today, that idea has grown into a company supporting more than 1,000 employers nationwide, all grounded in one belief: there’s a better way to do health benefits.

Happy St. Patrick’s Day 🍀

# RoundstoneCulture

Thinking about self-funding, but worried about large claims? That hesitation usually comes down to one thing: Risk. Stop...
03/10/2026

Thinking about self-funding, but worried about large claims?
That hesitation usually comes down to one thing:
Risk.

Stop-loss insurance is what makes self-funding attainable for small- and mid-sized business. It protects employers from large claims while still allowing them to maintain control over their health plan.

In our blog “Understanding Stop-Loss Insurance,” we simplify:
• What stop-loss insurance actually covers
• What the key terms mean in plain English
• How stop-loss protects financial stability

Self-funding is not about taking on unlimited risk.

It is about taking structured risks with protection in place.

Confused by stop-loss terminology? This article breaks it down.

👉 Read more: roundstoneinsurance.com/blog/understanding-stop-loss-insurance/

Stop renting your health plan. Join us on March 19 at 2:00 PM EST for Self-Funding 101: A Path to Lower Healthcare Costs...
03/09/2026

Stop renting your health plan.

Join us on March 19 at 2:00 PM EST for Self-Funding 101: A Path to Lower Healthcare Costs.

In this 45-minute session, we’ll break down:

• Why traditional funding keeps costs unpredictable
• How a self-funded plan actually works
• Why group captives are gaining momentum

If you are exploring better long-term cost control for yourself or your clients, this is the place to start.

👉 Register and join us:https://roundstoneinsurance.com/self-funding-101-a-path-to-lower-healthcare-costs/?utm_source=linkedin&utm_medium=social+organic&utm_campaign=march_webinar1

The best advisors are not selling products. They are delivering strategy. Captives, when positioned correctly, can drive...
03/03/2026

The best advisors are not selling products. They are delivering strategy.

Captives, when positioned correctly, can drive transparency, control, and long-term stability, often delivering 20%+ savings.

We’re proud to be the featured partner on BenefitsPROs upcoming webinar “How Client-First Advisors Are Winning with Captives,” with our Regional Practice Leaders Steve Sullivan and Jack Schroeder sharing how to:

• Position captives the right way
• Benchmark performance using PEPY
• Overcome common objections
• Differentiate your practice

If you are ready to shift the conversation from price to value, this session is for you: https://www.benefitspro.com/2026/02/19/how-client-first-advisors-are-winning-with-captives/?pc=Roundstone2

Top advisors are solving problems better, not just selling harder. Learn how captives deliver transparency, control, and stability.

02/27/2026

AI in healthcare is everywhere.

But very little of the conversation focuses on what’s actually working inside hospitals today.

As we kickoff Season 2 of Healthcare Forward, Michael Schroeder sat down with Brandon Cornuke, Senior Director of Innovation at University Hospitals, for part 1 of our University Hospitals AI series to talk about how AI is being deployed right now to improve care, operations, and cost management.

This conversation goes beyond the buzzwords.

We dig into real applications already producing measurable impact:

• AI-powered Connected Care reducing patient falls and supporting nursing teams
• AI-driven patient follow-up improving post-discharge engagement

Check out the full episode Leveraging AI for Innovation in Healthcare to hear more about the impact and AI progress happening with University Hospitals Ventures: https://www.youtube.com/watch?v=nkIutbHAeg4&utm_source=Facebook&utm_campaign=S2E1&utm_id=HealthcareForward

We rolled up our sleeves yesterday 💪  We hosted our very first blood drive with the American Red Cross, and our team sho...
02/25/2026

We rolled up our sleeves yesterday 💪

We hosted our very first blood drive with the American Red Cross, and our team showed up in a big way. Together we collected enough blood to impact 105 lives!

What started as a Wellness Committee idea turned into a day full of generosity, high-fives, snacks… and a lot of bandaged arms.

A great reminder that living our values isn’t just something we talk about — it’s something we do.

The new federal Pharmacy Benefit Manager (PBM) reform does not affect every employer the same way. Fully insured groups ...
02/24/2026

The new federal Pharmacy Benefit Manager (PBM) reform does not affect every employer the same way.

Fully insured groups will mostly experience changes through carrier pricing. However, self-funded employers gain direct access to rebate disclosures, compensation transparency, and audit rights that can drive meaningful savings.

For mid-sized employers, moving to a self-funded or captive structure can turn regulatory change into an advantage with greater transparency, shared risk, and more predictable healthcare spend.

The article "Congress Passes Landmark PBM Reform in 2026 Spending Bill" from Mintz outlines several important takeaways from the Consolidated Appropriations Act:

1️⃣PBMs must show how they get paid.
They are required to disclose all compensation and financial arrangements to self-funded plans, helping employers evaluate whether the agreement is fair and aligned.

2️⃣ Rebates must be fully passed through.
PBMs must pass through 100% of manufacturer rebates to ERISA group health plans and clearly report those amounts. Employers can use those dollars to lower costs or enhance benefits.

3️⃣ Employers must monitor PBMs more closely.
Self-funded employers are expected to review reports, ask questions, and update contracts when necessary. Those who actively manage these relationships can strengthen long-term cost control.

Read the Mintz article to learn more: https://www.mintz.com/insights-center/viewpoints/2146/2026-02-06-congress-passes-landmark-pbm-reform-2026-spending-bill

RoundstoneInsights

On February 3, 2026, Congress passed – and the President signed – the Consolidated Appropriations Act, 2026 (2026 CAA). The legislation includes a long‑anticipated and far‑reaching package of PBM reforms. These reforms draw from the PBM Reform Act of 2025 and other legislative proposals and ...

Pharmacy Benefit Managers, or PBMs, play a big role in how much a health plan spends on prescriptions. But many employer...
02/23/2026

Pharmacy Benefit Managers, or PBMs, play a big role in how much a health plan spends on prescriptions. But many employers don’t fully understand how they work.

In our recent webinar, we shared how to choose the right PBM without getting distracted by big brand names or marketing promises.

Here are 3 simple takeaways:

1️⃣ Understand how they get paid.
Do they make money through spread pricing, pass-through fees, or admin fees? How they get paid affects how they make decisions.

2️⃣ Look at total cost, not just discounts.
Big discount numbers can sound great. What really matters is the final cost after rebates and fees.

3️⃣ Ask for clear reports.
You should be able to easily see where money is being spent and what trends are happening. If you can’t see the data, you can’t manage the cost.

Choosing the right PBM can make a big difference in controlling pharmacy costs.

🎥 Missed the live session? The webinar is now available on demand. Watch it anytime to learn how to better evaluate your PBM options: https://roundstoneinsurance.com/no-more-guessing-how-to-pick-the-right-pharmacy-benefit-manager/?utm_source=Facebook&utm_campaign=Feb&utm_id=OnDemand

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19621 Lake Road
Lakewood, OH
44116

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Monday 9am - 5pm
Tuesday 9am - 5pm
Wednesday 8:30am - 5pm
Thursday 8:30am - 5pm
Friday 8:30am - 5pm

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Our Story

Based in Lakewood, Ohio, Roundstone offers affordable health benefits for small to mid-size businesses across the country.

Founded in 2003, Roundstone came together because of a shared belief that we could help employers adopt a different approach and positively impact bottom-line results.

Today, Roundstone is an Inc. 5000 Fastest Growing Company and Top Northeast Ohio Workplace. We are a team of insurance experts, registered nurses and specialists with backgrounds in accounting, regulatory, healthcare, actuarial, claims, risk management, underwriting and reinsurance, all under one roof.