You're already paying for a broker, but what you may not have is clarity. Insurance is a smart and necessary investment. This page unpacks what drives cost and how to get more value from the dollars you’re already investing. Here’s how to think smarter about cost, risk, and return.
A common, though sometimes misguided, question is, “How do I lower my costs?” But the real goal isn’t to cut benefits or trim coverage.
True cost control starts by aligning spend with value. That means identifying the inefficiencies, missed opportunities, and hidden risks that drive up cost, and finding smarter ways to invest.
Premiums are only part of the equation. Cost also hides in inefficiencies, overlooked gaps, underutilized resources, and the time you spend reacting instead of planning.
Trimming coverage or increasing deductibles isn’t the only way to save. That’s lazy math. Identifying what’s driving costs and designing around behavior, it’s possible to preserve coverage, reduce spend, and improve employee satisfaction.
Not every lever delivers equal impact. Understand which decisions truly move the needle on cost, value, and satisfaction, and prioritize what’s worth your time.
No two businesses are alike, which means your insurance shouldn’t be either. Your pricing is shaped by what you do, how you operate, and the risks you’re exposed to. We look deeper to identify the levers you can pull to align coverage with reality, reduce volatility, and avoid surprises.
How your business and roles are classified can significantly impact premium calculation.
Past losses (frequency and severity) play a major role in how you're underwritten.
A strong track record in safety and training can lower your risk profile.
Higher E-Mods lead to higher premiums. This is where proactive loss control matters.
The structure of your policy, endorsements, and limits directly affects cost.
How you’re represented to carriers impacts pricing, appetite, and competitiveness.
Your footprint—geographic reach, contract types, or annual revenue—affects how underwriters assess your business.
External conditions like industry trends, economic shifts, natural disasters, and litigation environments can influence pricing.
The strength of connection between you, your advisor, and the carrier impacts trust, responsiveness, and long-term results.
Buying business insurance often feels like a black box. We believe in bringing clarity to the conversation, because informed decisions set you up for long-term success. Here's what other businesses are asking.
If this is a question you're asking yourself, you're not alone, and you're not wrong to wonder. Claims matter, but they’re only one part of the equation. Premiums are shaped by many factors, including payroll changes, job classifications, industry shifts, inflation, and how your business is represented to the market. If you don’t have visibility into these variables, cost feels random.
Your E-Mod is a rate that compares your business’s claim history to others in your industry. It’s a key multiplier in your premium and often a red flag or green light to carriers. A proactive safety and claims strategy can improve it over time.
Insurers evaluate unique risk factors like location, industry, past claims, and how well you manage risk. Even two companies in the same industry can receive very different quotes based on these details.
Changing your broker alone, without changing anything else, will likely change nothing. What matters is how your advisor represents your risk to the market and identifies ways to improve your cost structure. The right partner brings a smarter strategy, so you're not just hoping for better results—you’re positioned to get them.
It’s more than just your premiums. Total cost of risk includes both insurable and uninsurable costs, everything you pay for insurance, and everything you absorb when you can’t insure a risk. That includes claims, higher experience mods, gaps in coverage, lost productivity, time spent reacting instead of planning, and the resources tied up managing it all. No business can insure every risk, but every business can get smarter about how they manage them.
Control starts with clarity. When you understand what’s driving your premiums and work with a partner who actively manages risk, you can influence outcomes, not just react to renewals.
Employee benefits are one of your biggest investments, and one of the most visible to your team. Costs fluctuate widely depending on how you structure your plans, support employees, and approach long-term strategy. These are the key levers that impact what you pay and the value you deliver.
Market inflation, pharma trends, and new technologies continue to push healthcare costs up. Strategy, not hope, is the only defense.
It might seem odd to include this on a pricing page, but the #1 driver of ROI isn’t the benefits, it’s whether employees understand them.
Understanding beats awareness. Health-literate employees make more cost-effective decisions. It’s not what’s covered, it’s knowing what to do.
Not all stop-loss contracts are created equal. Most are one-sided, filled with provisions that quietly increase risk. Analyzing fine print avoids surprise costs and protects financial stability.
Historic claims data, existing conditions, high-cost diagnoses, and projected utilization shape future costs. Severity, frequency, and trajectory of claims directly influence what you'll pay.
Physical, mental, and financial health are all connected and directly influence costs. Healthier people spend less on healthcare, making holistic support a smart cost strategy.
Deductibles, copays, vendor, and network selection directly impact cost, employee behavior, and plan efficiency.
Number of employees, age, gender, location, enrollment percentage, and dependent mix all shape plan needs and carrier assumptions.
Self-funded, level-funded, or fully insured models each bring tradeoffs in flexibility, transparency, and cost control.
Employee benefits are complex, but understanding the right levers to pull doesn’t have to be. Here are a few of the questions we hear from employers trying to make the most of their benefits investment.
By shifting focus from cost-cutting to value optimization. A better experience—built on smarter plan design, access to care, and behavior-based strategies—can reduce long-term costs while improving employee satisfaction and outcomes. Cutting doesn’t bend the curve, rethinking the model does.
Plan design shapes behavior. We build plans that encourage smarter healthcare choices, because better access to care, paired with the right incentives, leads to better outcomes and smarter spending. When people understand and use their benefits well, cost control follows.
If you don’t know, that’s the problem. Too many employers are flying blind, renewal after renewal, without understanding what’s actually driving cost. It’s not just inflation. It’s design flaws, overlooked behaviors, bad contracts, and vendors who accept the status quo. Clarity isn’t optional anymore. You deserve to know exactly where your dollars are going and how to spend them better.
Always. Funding models come with different levels of control, risk, and decision-making, so the question is really what kind of control you want. Some employers thrive with more structure, others prefer more control. But switching models alone won’t save you money. Real savings happen when funding strategy aligns with plan design, claims strategy, and employee behavior.
Absolutely. Health-literate employees make better choices, navigating to higher-value care, avoiding unnecessary costs, and improving outcomes. That doesn’t just reduce their spend, it reduces yours. The data is clear: when employees understand how to use their benefits, the entire plan performs better.
Because it accounts for nearly 25% of your medical spend, but it doesn’t have to be. The pharmacy space is full of complexity, conflicts of interest, and fast-moving change, making it a prime area for hidden waste. With the right contract and strategy, it’s possible to regain control, reduce spend, and improve the employee experience at the same time.
Renewals aren’t a one-time event, they’re the result of everything that happens throughout the year. We continuously monitor data trends, adjust to changes in your business, and implement strategies early so you’re never caught off guard. By the time your renewal hits, the groundwork has already been laid for a stronger outcome.
There’s no one-size-fits-all when it comes to HR. What you pay is shaped by what you need: administrative support, strategic consulting, or a true partner that scales with you. These are the levers that determine cost, and the value behind it.
Variables like number of employees, number of states, multiple locations, job types, and pay structures all influence the level of support, customization, and strategy needed.
Are we behind the scenes or serving as your day-to-day HR team? The more direct interaction we have with your employees, the more responsibility we take on.
Costs are influenced by how complex your current systems are, what needs to be integrated, and how much time and labor it takes to get everything connected.
The number of payrolls, employee turnover, employee types, and overall payroll complexity directly affect cost. Whether we are fully managing payroll or providing behind-the-scenes support changes the scope.
There’s a big difference between processing paperwork and solving people challenges. Whether you're looking for tactical execution or strategic HR leadership, the depth of partnership shapes the investment.
Some businesses have urgent needs. Others operate in highly regulated, multi-state environments. The more urgent or intricate your needs, the more upfront work and ongoing attention to detail is required.
Whether you’re growing fast, wearing too many hats, or just want to know what you’re getting for your investment—these questions come up all the time.
With McClone, most clients spend less than 1% of payroll on McCloneHR. That 1% typically covers everything: payroll processing, HR technology (including implementation and maintenance), tax filings, benefits administration, compliance oversight, and a fully functional HR team.
Chances are, you’re already paying for pieces of this, whether it’s payroll software, an accounting partner, or an employee wearing multiple hats. We help you bring it all together, consolidating hard costs (like systems) and soft costs (like inefficiency and underutilized tech) into one smart, strategic investment.
It’s not just outsourcing. It’s building a real HR function, one that helps your business grow.
Yes, in most cases it’s more cost-effective than hiring a full-time HR professional, especially when you need strategic expertise and support across multiple areas. What’s unique about our approach is that we don’t aim to replace your internal people, we help leverage them more efficiently. By partnering with us, you keep the personal touch while gaining the structure, tools, and efficiencies of a full HR team.
Yes, you can outsource specific parts, but with some important considerations. While we offer flexibility in scope, true a la carte outsourcing isn’t always effective. For example, payroll and technology are foundational. Without them, the system breaks down.
Many companies try to outsource the bare minimum to save money, but that often leads to poor outcomes, rework, and ultimately higher costs. We’ll help you find the right balance, preserving what works internally while optimizing the areas that need support, so you get the results you’re actually looking for.
Honestly, it can make financial sense at any stage, but it depends on more than just cost. The real question is: How does HR outsourcing align with your goals, strategy, and the experience you want to create for your employees?
There are two sides to the equation: cost and value. From a cost perspective, outsourcing often becomes attractive when your team is stretched, compliance risks are growing, or internal resources cost more than a dedicated partner. But from a value perspective, it's about what you want your HR function to deliver: better systems, clearer processes, and a more intentional employee experience.
The right time to outsource isn’t just when something breaks, it’s when you're ready to build something better.
Our typical structure is monthly billing for ongoing support, because that’s where we can deliver the most long-term value: building systems, strengthening culture, and proactively reducing risk.
For McCloneHR clients, most project-based work is already included in the monthly fee. You’re not nickel-and-dimed for every ask, that’s part of the value of a true partnership.
For organizations that aren’t part of an ongoing engagement, we occasionally take on standalone projects and price those separately. That said, we’ve found that one-off projects often address symptoms rather than the root cause. We're happy to help with both, but we focus on solving the underlying issues that create lasting impact.
Company size absolutely influences pricing, but it’s not just about headcount. We look at the number of employees and the complexity that comes with them: multiple states, locations, employee types, and organizational structure all play a role.
If you’re a smaller company, you might be wondering, “Does this make financial sense yet?” And if you're larger, the question may be, “Will this scale?” In both cases, the answer is yes, just in different ways.
There are economies of scale as you grow, and for smaller companies, it’s often the fastest path to gaining structure and confidence.
True peace of mind comes from knowing you’re protected and understanding why you’re paying what you are. These are the biggest factors that shape your premium and your overall risk profile.
Higher limits mean more protection and higher premiums. Raising deductibles can lower costs but increases what you’ll pay if you file a claim.
Even one or two past claims, especially large ones, can raise a flag with carriers and influence pricing, especially in high-value markets.
From square footage to roof age to luxury car brands, the features of what you insure directly impact your risk profile and premium.
Smart home tech, water shut-off systems, security monitoring, driver tracking apps—all reduce risk and signal you're proactive.
Not all policies are created equal. The fine print, endorsements, exclusions, and coverage limits, can make or break how well you're protected.
Your credit profile continues to be a strong influence on premium. A strong score often opens doors to more competitive rates.
Geography matters. Weather, crime rates, and local construction costs can affect premiums, even if your situation hasn’t changed.
Do you own recreational vehicles? Employ domestic staff? Host large events? These create exposure that carriers price into your policies.
Rebuilding costs, reinsurance markets, and litigation trends affect premiums. These aren’t personal, but they're real and can change fast.
Whether you’re protecting a new home, a growing family, or everything you’ve worked hard to build, these are the questions we hear most. The more you know, the more confident you can feel
Even without claims, your rate can shift due to broader market forces like inflation, carrier losses, or changes in your region. Factors like credit, vehicle type, or recent violations may also play a role. What matters most is having clarity around what’s driving your cost and what you can do to influence it.
Market value reflects what your home would sell for. Replacement cost reflects what it would take to rebuild it in today's market with comparable materials, craftsmanship, and custom features. For many properties, that rebuild number is often significantly higher, and it’s where coverage must focus.
Bundling can simplify management and enhance claim coordination, especially when working with a carrier that understands complex risk. While it may provide cost advantages, the bigger value often lies in consistency of coverage, reduced gaps, and a more streamlined experience during a loss. For some, separating policies may still be the better move. The right approach depends on your portfolio.
There’s a difference between being uninsured and underinsured, and both can leave you exposed. Insurance is complex, and most people don’t realize where the gaps are until it’s too late. That’s why it’s critical to work with someone you trust. Someone who takes the time to understand your unique risks, what you are and aren’t covered for, and where you might need more protection.
Absolutely. Insurance is one piece of a broader financial picture. When your insurance strategy is aligned with your estate plan, tax planning, and investment goals, it helps ensure protection, preservation, and a smooth transfer of wealth. Collaboration between advisors minimizes gaps and ensures everything works together.
Your retirement plan is a strategic lever in your overall benefits package. It plays a key role in attracting and retaining talent, and several design choices directly influence cost.
Larger plans may unlock better pricing tiers, but only if positioned and negotiated effectively.
Choosing 3(21), 3(38), or other fiduciary support will impact your exposure and fees.
Provider platforms vary widely in pricing, structure, and transparency.
The structure, share classes, and lineup impact fees and fiduciary oversight.
Options like safe harbor, profit sharing, and eligibility rules shape cost and complexity.
Testing, loan features, eligibility timing, and plan documents can all drive admin costs.
The model (flat fee, basis points, or bundled), directly affects both your ongoing cost and the clarity of what you’re paying for.
The level of employee education you want impacts how involved your advisor needs to be, shaping the time commitment and overall cost.
Access to institutional-level investments and tools helps reduce hidden fees, improve pricing efficiency, and lower overall plan costs.
From fiduciary oversight to participant education, retirement plans are complex. These FAQs cover what we hear most from leaders who want transparency, simplicity, and a partner they can trust.
Advisor compensation can be structured as a flat fee, a percentage of plan assets, or through commissions. What matters most is transparency. You should know how your advisor is paid, and whether that payment is tied to objective guidance or product recommendations. A fiduciary standard means all advice should be in your best interest, and all fees should be clearly disclosed.
Advisors vary widely in what they include. A well-rounded service model should outline fiduciary support, plan benchmarking, employee education, investment monitoring, and compliance guidance. If your current arrangement feels vague or hard to define, that’s worth a closer look.
Benchmarking tools can compare your fees to plans of similar size and complexity using verified, backward-looking pricing data. It's one of the best ways to evaluate value. That said, it’s also smart to gather live-market pricing every few years to get a real-time pulse, because past data doesn’t always reflect current market conditions.
Fees are often layered, some embedded in investments, others tied to revenue sharing or provider contracts. If you don’t have a simple, plain-language explanation, ask your provider for a breakdown of all costs, including what’s in your 408(b)(2) disclosures and any indirect compensation.
Yes. Sub-transfer agency fees, wrap fees, and other indirect charges often fly under the radar. A transparent fee review brings those to the surface and helps assess whether they’re justified by the service and support you’re receiving.
An annual review is a smart baseline, especially if your plan grows or changes. Fee structures, market pricing, and service expectations all evolve. Regular check-ins help ensure you’re still aligned with best practices and not leaving value on the table.
Sometimes yes, but not always. Cost savings are only part of the equation. A new provider may offer better tools, stronger support, or a better employee experience. Fee comparisons should weigh both the hard numbers and the overall strategic value of the relationship.
Securities offered through LPL Financial, a Registered Broker Dealer, Member FINRA/SIPC. Investment advice offered through Gateway Wealth Partners, LLC, a registered investment advisor. Gateway Wealth Partners, LLC, McClone Retirement Advisors and LPL Financial are separate entities.
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