Crumdale Specialty
- Company typePrivate
- Founded2014
- HeadquartersPaoli, United States
- Headcount101–250
- GTM typeB2B
- OfferingServices
Crumdale Specialty firmographics
Firmographics- Name
- Crumdale Specialty
- Legal name
- Crumdale Specialty
- Website
- https://crumdalespecialty.com
- Company type
- Private
- Founded year
- 2014
- Operating status
- Operating
- Headcount range
- 101–250 employees
- Ownership category
- akta.pro rank
Where Crumdale Specialty is headquartered
LocationHeadquarters
- HQ city
- Paoli
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Crumdale Specialty business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Marketing or Sales
Revenue model
- Insurance Premium Revenue: Crumdale generates revenue through insurance premiums collected from self-funded and level-funded health plans offered to employer groups. The company acts as a diversified insurance firm providing custom solutions including stop loss, captives, pharmacy benefits, and health plan administration.
- Professional Services: Revenue from actuarial, compliance, and consulting services provided to brokers and employer groups for plan design, ACA compliance, and risk management.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Annual | Level-Funded Services - Entry point for employers transitioning from fully insured |
| Subscription | Multi-year contract | Self-Funded Services - For employers seeking more control and transparency |
| Subscription | Multi-year contract | High Performance Captive - Turnkey solution for employers moving to self-funding |
Go-to-market motion2 records
Distribution channels1 record
Marketing channels6 records
Crumdale Specialty product offering
Product offeringCore offering
Crumdale Specialty is a diversified insurance firm that provides integrated self-funded employee healthcare benefit solutions to employer groups through broker partners. Its portfolio spans level-funded, traditional self-funded, and high-performance captive health plans combined with medical stop loss, pharmacy benefit management, compliance and actuarial services, and third-party administration. The offering is designed to connect risk, care, pharmacy, and administration into one coordinated system that lowers cost and improves outcomes for employers and their employees.
Product overview
Crumdale Specialty is a diversified insurance firm offering an integrated platform of self-funded employee benefits solutions. The portfolio consists of six core products: Health Plan Services (level-funded and self-funded health plans), Captive Solutions (group captive programs for mid-market employers), Medical Stop Loss Solutions, Pharmacy Benefit Solutions (PBM), Compliance & Actuarial Services, and a TPA Solution. These products are designed to work together through their integrated model, connecting risk, care, pharmacy, and administration into one coordinated system. Network solutions including Reference-Based Pricing, Cigna PPO, Healthcare Highways, and Advanced Medical Pricing Solutions integrate as part of the health plan offerings. The company recently added HPS/PayMedix integration for Wisconsin market expansion.
Differentiator
Problem solved
Functional benefit
Products and services
- Health Plan Services Provides level-funded, traditional self-funded, and high-performance captive financing options with customized cost-savings approaches. Combines best-in-class components of an integrated health plan with dynamic and innovative solutions for employer groups seeking alternatives to fully insured coverage.
- Captive Solutions Group captive program allowing small to medium-sized businesses (size 25+ from level-funded or size 100+ from fully insured) to self-fund employee healthcare benefits through a structured shared-risk model with employer self-funded layer, captive layer, and reinsurance layer.
- Medical Stop Loss Solutions Strategic stop loss coverage working collaboratively with broker partners to ensure employers get appropriate coverage, including group purchasing stop loss and pharmacy benefits combined offerings.
- Pharmacy Benefit Solutions Innovative pharmacy solutions offering custom and specialty Rx solutions, including coalition-level contracts, specialty drug management, rebate procurement, and predictive analytics for pharmacy spend optimization.
- Compliance & Actuarial Services In-house compliance and actuarial division providing specialized services for plan design, ACA compliance, claims process insight, and integrated insurance offerings for employers and brokers.
- TPA Solution Intelligent third-party administrator solution built on real-time data, AI-driven navigation, and aligned incentives. Replaces passive administration with an integrated model connecting data, care, and decision-making for self-funded health plans.
Quantifiable outcome
- PBM Carve-Out Plan: Savings of Nearly $3 Million in a Year
- +2 more outcomes
Companies that use Crumdale Specialty
Customer profileNamed customers1 record
Segments3 records
Ideal customer profiles2 records
Crumdale Specialty technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration4 records
Feature3 records
Crumdale Specialty partnerships and signals
Strategic signalPartnerships
One partnership is on record.
- HPS/PayMedixcoreCrumdale Specialty partnered with HPS/PayMedix to expand healthcare network access and improve affordability in Wisconsin. This collaboration includes integrating HPS provider network and PayMedix's billing platform, offering broader hospital and provider access across Wisconsin and more transparent billing for members on level-funded plans.
Scale indicators3 records
Recent moves6 records
Expansion highlights5 records
Crumdale Specialty competitors and assessment
Company assessmentBroad incumbents
- CVS Health (Aetna): CVS Health's Aetna division offers self-funded employer plans, stop loss, and Caremark PBM, competing with Crumdale's integrated risk, pharmacy, and administration platform at significantly larger scale.
- Cigna Group: Cigna Healthcare offers stop loss, PBM (Express Scripts), and Evernorth care services that overlap with Crumdale's integrated model, and Crumdale's Network Solutions already includes the Cigna PPO as a network option for employer plans.
- Elevance Health: Elevance Health's Anthem Blue Cross Blue Shield plans and Carelon services offer self-funded ASO, stop loss, and care management capabilities that overlap Crumdale's full-stack offering for mid-market and large employers.
- UnitedHealth Group (UnitedHealthcare / Optum): UnitedHealthcare provides fully insured and self-funded employer plans, stop loss, and Optum Rx PBM, competing broadly against Crumdale's integrated stack with much greater scale and provider integration.
Emerging players
- Alliant Insurance Services: Alliant is a national insurance brokerage distributing self-funded health plans, stop loss, and captive solutions through employer benefit advisors, overlapping Crumdale's broker partner distribution channel and target customers.
- HealthEZ: HealthEZ provides level-funded and self-funded health plan administration, stop loss, and integrated vendor management for mid-market employers, targeting the same customer segment Crumdale serves through brokers.
- Maestro Health: Maestro Health is an integrated benefits administration platform offering self-funded plans, stop loss, PBM, and care management to mid-market employers, closely matching Crumdale's integrated stack positioning.
Direct peers
- Sun Life Financial: Sun Life's U.S. Stop Loss and Health Solutions business is one of the largest providers of medical stop loss coverage to self-funded employers and a direct competitor to Crumdale's Medical Stop Loss Solutions and integrated self-funded offering.
- HM Insurance Group: HM Insurance Group is a specialty stop loss carrier focused on employer self-funded health plans, directly competing with Crumdale's Medical Stop Loss Solutions for the same broker-distributed employer customers.
- Voya Financial: Voya's Employee Benefits business provides stop loss, group life, and disability products distributed through brokers to mid-market employers, directly competing with Crumdale's stop loss and integrated benefits offerings.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks7 records
Key highlights7 records
Customer concentration
Crumdale Specialty social profiles
Digital presenceCrumdale Specialty financial estimates
Financial estimateRevenue estimate
Valuation estimate
Crumdale Specialty leadership team
Management profileNumber of profiles
Profiles8 records
Crumdale Specialty funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Crumdale Specialty M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Crumdale Specialty
What does Crumdale Specialty do?
Crumdale Specialty is a diversified insurance firm that provides integrated self-funded employee healthcare benefit solutions to employer groups through broker partners. Its portfolio spans level-funded, traditional self-funded, and high-performance captive health plans combined with medical stop loss, pharmacy benefit management, compliance and actuarial services, and third-party administration. The offering is designed to connect risk, care, pharmacy, and administration into one coordinated system that lowers cost and improves outcomes for employers and their employees.
Is Crumdale Specialty a public or private company?
Crumdale Specialty is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was Crumdale Specialty founded?
Crumdale Specialty was founded in 2014. It employs 101 to 250 people.
Where is Crumdale Specialty based?
Crumdale Specialty is headquartered in Paoli, United States, in the North America region.
How does Crumdale Specialty make money?
Two revenue lines are on record. Insurance Premium Revenue is the primary driver. The others are professional Services.
Who are Crumdale Specialty's main competitors?
Broad incumbents on record are CVS Health (Aetna), Cigna Group, Elevance Health and UnitedHealth Group (UnitedHealthcare / Optum). Emerging players are Alliant Insurance Services, HealthEZ and Maestro Health. Direct peers are Sun Life Financial, HM Insurance Group and Voya Financial.
Does Crumdale Specialty have an API?
No public API is recorded for Crumdale Specialty.