I’m the CEO and founder of WorXsiteHR Insurance Solutions. We manage employee benefits, specifically focused on underserved groups—part-time, hourly, and seasonal workers. My role is strategic and operational. I oversee the structure of our benefit offerings, vendor partnerships, compliance, and long-term growth planning. I also spend time refining models with our nonprofit funding mechanism.
We use a hybrid model. Core functions like plan design, compliance, and client onboarding are handled in-house. Claims processing and clinical services are outsourced to trusted partners. We maintain operational control but scale through specialised vendors. Each vendor must meet defined performance criteria and reporting cadences.
We don’t offer traditional insurance. We offer a fixed-scope, no-cost benefits plan subsidised through a nonprofit model. Our target is workers who are often excluded from benefits—especially in high-turnover industries. We eliminate premiums, deductibles, and out-of-pocket costs by removing middlemen and funding care differently. That makes us operationally and financially different from brokers or carriers.
Our clients are in high-volume labour industries—janitorial, logistics, agriculture, security, and hospitality. These sectors rely heavily on low-wage, part-time, or seasonal employees. That focus has been consistent since we launched. The demand has grown as workforce models shift and companies can’t afford traditional coverage.
They want healthcare access that doesn’t cut into margins. Specifically: primary care, mental health, prescription access, and preventive screenings. Employers want to reduce turnover. Employees want basic coverage that actually works. We focus on the intersection of those needs.
I read regulatory filings and court rulings weekly. That shows me where enforcement is going, not where it’s been. I also talk directly to frontline workers when possible—they see issues before management does. Finally, I run stress tests on our models quarterly to anticipate risk exposure.
Yes. About 85% of our clients renew year over year. What keeps them is predictable cost, worker adoption, and low administrative overhead. We also don’t surprise them with midyear fees or coverage changes. Stability builds trust.
We track four metrics: plan utilisation rate, issue resolution time, support satisfaction scores, and renewal percentage. Our customer service team reports weekly. If call volumes spike, I get alerted. We also conduct anonymous employer surveys twice a year.
Clients get a dedicated rep with escalation access. We maintain a 24-hour service line and a secure client portal. We also issue quarterly reviews to ensure compliance and adjust for staffing changes.
It’s fixed per enrolled employee, billed monthly. No minimum headcount, but volume discounts apply at scale. Clients know their cost upfront and it doesn’t change mid-contract.
Clients pay between $50 to $90 per employee per month, depending on scope. We keep value high by limiting what we cover—only the care people actually use. No luxury benefits. Just primary care, prescriptions, and behavioural support.
Yes. If the employer wants full medical insurance or expects us to manage existing insurance plans, we refer them out. We focus on non-insurance, fixed-scope health support. Minimum engagement is 25 enrolled workers to meet sustainability targets.
Carrier pushback and regulatory scrutiny. Some insurers saw our model as competition. We responded by tightening our compliance documentation and aligning closer with nonprofit guidelines. We also hired more legal support and stayed transparent.
We audit performance quarterly and run internal reviews on plan design. We don’t rely on market trends—we look for failure points in current systems and reverse-engineer solutions. Innovation for us means simplification, not more complexity.
Culture is built on clarity and accountability. Every team member owns a metric. Every vendor reports to a real person, not a system. We hold weekly check-ins. No fluff. No motivational posters. Just outcomes and people doing the work.
We want to provide no-cost care access to one million workers. That requires scaling our nonprofit funding model and refining vendor operations. We’re building in steps—regional first, then national partnerships. We don’t grow for visibility. We grow where there’s need.
I started out reactive. After my false arrest, I shifted to proactive systems thinking. I now lead through process, not personality. I want the company to function well without me. That’s the benchmark I use.
We’re watching the shift away from fee-for-service toward value-based contracts. Also, pharmacy rebate reform is opening up new cost structures. We’re designing models to operate without traditional PBMs.
Document everything. Verbal promises won’t save you in a crisis. Also, build a business model that works when no one’s watching. If it only runs with you in the room, it’s not a system—it’s a bottleneck.