Ambulance Company Slashes Insurance Costs 50% | CBIZ
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  • Case Study
October 30, 2025

Ambulance Company Slashes Insurance Costs 50%

Table of Contents

Issue

A NYC-based ambulance company had unusually high premiums despite minimal claims activity. Leadership suspected they were overpaying and wanted a solution to better reflect
their actual risk performance.

Key challenges included:

  • Excessive premium costs. The company was paying $7.2 million annually, despite a low claims history.
  • Low loss frequency. Actual claims activity didn’t justify the carrier’s high risk rating.
  • Out-of-pocket expenses. Unreported losses were being handled outside the insurance policy.
  • Limited flexibility in traditional coverage. Standard plans didn’t allow the company to benefit from their favorable loss profile.
  • Need for a custom risk strategy. The company lacked a structured insurance solution tailored to their operations and financial goals.

Solution

We identified two key areas to address the ambulance company’s concerns:

  • Data analytics. Using our proprietary analytics, we conducted a five-year review of the company’s actual claims history. This revealed a notable discrepancy between the carrier’s risk estimation and the company’s actual losses.
  • Alternative risk financing. By leveraging our extensive carrier network, we designed a structured captive program tailored to the company’s unique needs. This included a combination of a custom captive structure and a profit-sharing arrangement to create a cost-effective and strategic solution.

As a result, the company cut its insurance premiums nearly in half within one year, dropping from $7.2 million to approximately $3.6 million. The savings freed up significant resources for reinvestment into operations and growth.

Company Information
Industry Healthcare – Transportation
Entity Type LLC
Ownership Structure Privately-Held
Geographic Footprint Regional
Number of Employees 1,023
Annual Revenue $65.5 Million

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