Solstice Benefits, Inc.

What Solstice Benefits, Inc. does

Solstice Benefits, Inc. is a Plantation, Florida-based insurance carrier founded in 1998 that provides ancillary dental, vision, life, and prescription discount products to individuals, families, employer groups, and brokers. The company operates across 14 U.S. states through a structure of 15 wholly-owned subsidiaries — each a state-licensed insurance or administration entity — and is branded as 'A UHC Company,' with UnitedHealthcare underwriting plans in multiple states. Product portfolio spans Dental PPO/Indemnity, Dental Pre-Paid/EPO, Dental Discount plans, Vision PPO and Discount plans, Basic and Voluntary Life, and a Free Discount Prescription Drug Plan delivered in partnership with CVS Caremark.

The underlying technology is an insurance benefits administration platform: a member self-service portal (MySolstice.Net) for benefits access and ID cards, a broker portal (Solstice Marketplace) for quoting and client management, an online provider search tool, and claims processing operations based in Eagan, Minnesota. The company holds URAC health utilization management accreditation and SSAE 16 SOC compliance, with provider networks (including a specialized Solstice Implant Network and Davis Vision) supporting in-network care delivery.

Solstice's business model is subscription-based, recurring premium revenue across individual and group dental and vision plans, supplemented by voluntary life premiums, third-party administration fees for self-funded employer plans, and merchant/transaction economics embedded in the CVS Caremark discount Rx arrangement. Distribution is hybrid: direct-to-consumer via the website for individual plans, and broker-led (via Solstice Marketplace and a Broker Bonus Program) for employer/group business, with provider-network recruitment feeding the supply side of the two-sided market.

Name

Solstice Benefits, Inc.

Legal name

Solstice Benefits, Inc.

Website

https://solsticebenefits.com

Company type

Private

Founded year

1998

Operating status

Operating

Headcount range

101–250 employees

Short description

Solstice Benefits is a Plantation, Florida-based ancillary insurance carrier founded in 1998, providing dental, vision, life, and prescription discount plans to individuals, employer groups, and brokers across 14 U.S. states as part of the UnitedHealthcare family.

Ownership category

akta.pro rank

Product category

Dental and Vision Insurance (Ancillary Benefits)

NAICS

Direct Life, Health, and Medical Insurance Carriers (52411)

SIC

Accident & Health Insurance (6321), Life Insurance (6311)

akta.pro primary industry

Dental Insurance (FSAIAHAA)

akta.pro secondary industries

Employer-Sponsored Dental & Vision (Group) (FSAIAHAH), Stand-Alone Dental Plans (Individual/Family) (HLAEAIAF), Medicare Advantage Dental Benefit Plans (MA-PD Dental) (HLAEAIAH), Combined Dental & Vision Insurance (FSAIAHAC)

Keywords

• Dental insurance plans
• Vision insurance coverage
• Ancillary employee benefits
• Prescription discount program
• Third party administration

Headquarters

HQ city

Plantation

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2B and B2C

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales, Technology or R&D, Infrastructure

Revenue model

1. Dental Insurance Plans: Individual and group dental insurance plans including PPO, EPO, and prepaid options. Revenue generated through premium payments from members and employer groups.
2. Vision Insurance Plans: Vision PPO and discount plans offered to individuals and groups, generating recurring premium revenue.
3. Life Insurance: Basic and voluntary life insurance products as ancillary benefits.
4. Third Party Administration: Administrative services for self-funded employer plans.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels7 records

Core offering

Solstice Benefits, Inc. underwrites and administers dental, vision, and life insurance plans for individuals, families, and employer groups across 14 U.S. states. Core offerings include Dental PPO/Indemnity, Pre-Paid/EPO, and Discount plans; Vision PPO and Discount plans; Basic and Voluntary Life insurance; and a free discount prescription drug program delivered through CVS Caremark. The company also performs Third Party Administration for self-funded employer dental and vision programs and offers Medicare Advantage dental plans through partner networks.

Product overview

Solstice Benefits, Inc. is a dental, vision, and life insurance plan provider offering a comprehensive ancillary benefits portfolio. The company provides core dental insurance products including Dental PPO/Indemnity, Dental Pre-Paid/EPO, and Dental Discount plans, alongside vision coverage through Vision PPO and Vision Discount options. Life insurance offerings include Basic Life and Voluntary Life policies. Key plan brands include EssentialSmile Total Care (available in 13 states), Smile Now PPO (with no waiting period options), Solstice PPO, and Solstice Implant Network. The portfolio includes value-add services such as Dental Implant Coverage across nearly 30 procedure codes, a Free Discount Prescription Drug Plan powered by CVS Caremark, and Third Party Administration services. Plans are distributed through employers (group), individuals and families, and brokers using the Solstice Marketplace platform. The company operates across multiple states with plans underwritten by Solstice entities and UnitedHealthcare. The MySolstice member portal provides self-service access to benefits and ID cards.

Differentiator

Problem solved

Functional benefit

Products and services

• Dental Insurance Plans Insurance plans providing dental coverage through Preferred Provider Organization/Indemnity, Pre-Paid/Exclusive Provider Organization, and Discount plan types, with in-network and out-of-network benefits. Sold to individuals, families, and employer groups across 14 U.S. states, with select variants (e.g., Smile Now PPO) offering no waiting period for major services and EssentialSmile Total Care available in Arizona, Colorado, Florida, Georgia, Illinois, Michigan, New Jersey, Ohio, Pennsylvania, Tennessee, Texas, Utah, and Virginia.
• Vision Insurance Plans Vision coverage plans including Vision PPO and Vision Discount options, with tiered benefit levels (Clear 10, 20, 50, 60, 70, 80, 90 and Clear Vision 100, 200) covering eye exams, frames, lenses, and contact lenses through the Davis Vision network. Offered to individuals, families, and employer groups as ancillary benefits.
• Life Insurance Plans Ancillary life insurance products offered as employer-sponsored group coverage, including Basic Life (employer-paid) and Voluntary Life (employee-paid, customizable benefit amounts) coverage for employees.
• Third Party Administration Services Administrative services for self-funded employer dental and vision benefit programs, including Administrative Services Only (ASO) arrangement for vision plans. Sold to employers seeking to self-fund ancillary benefits while outsourcing plan administration, claims, and provider network access to Solstice.
• Medicare Advantage Dental Plans Dental coverage for Medicare beneficiaries sold as Medicare Advantage dental plans through the Preferred Care Network and Preferred Care Partners Medicare Plan networks, providing dental benefits to enrollees of partner Medicare Advantage products.

Quantifiable outcome

• 20-50% savings on prescription medications through free discount plan
• +1 more outcomes

Named customers3 records

Segments4 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration1 record

Feature2 records

Partnerships

Two partnerships are on record, tiered core and flagship.

• CVS CaremarkcoreTechnology or IntegrationSolstice offers a free discount prescription drug plan through CVS Caremark, providing members access to prescription savings at participating pharmacies with 20-50% savings on medications. Members can check prices, compare costs, and review dosage options through the Solstice + CVS Caremark site.
• UnitedHealthcareflagshipStrategic or Co-development PartnerSolstice is branded as 'A UHC Company' and operates as part of the UnitedHealthcare family. UnitedHealthcare underwrites plans in multiple states including New Jersey, Pennsylvania, Virginia, Michigan, Tennessee, Utah, Georgia, and others. This relationship provides financial backing, brand credibility, and coordinated distribution through UHC channels.

Scale indicators3 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• Delta Dental: Largest US dental insurance carrier operating the dominant dental provider network. Directly comparable as a dental benefits carrier serving individuals, families, and employer groups across all 50 states.
• MetLife Dental: Major dental, vision, and life insurance carrier. Directly comparable as it offers the same bundled ancillary benefits (dental PPO/EPO, vision, basic/voluntary life) to employer groups and individuals.
• Cigna Dental: Global health services company with a sizable dental benefits business. Directly comparable offering dental PPO, HMO, and vision plans to employer groups and individuals through broker distribution.
• Guardian Life Insurance: Mutual insurer with a large dental and vision benefits business. Directly comparable as a carrier offering dental PPO, dental HMO, and vision plans primarily through employer/worksite channels.
• Ameritas: Mutual insurance company with significant dental and vision carrier operations. Directly comparable offering group and individual dental PPO plans plus vision benefits through broker distribution.
• Sun Life Financial (U.S. Dental): Major dental and vision benefits carrier in the U.S. Directly comparable offering group dental, vision, and life insurance products through employer and broker channels.
• Lincoln Financial Group: Insurance and investment company offering group dental, vision, and life benefits. Directly comparable as an ancillary benefits carrier primarily serving employer-sponsored plans.

Broad incumbents

• Aetna Dental (CVS Health): Major health insurer offering dental, vision, and life benefits as part of a broader medical insurance portfolio. Comparable product mix; sibling company to Solstice's CVS Caremark Rx partner.
• Humana Dental: Major health insurer with a sizable dental and vision benefits business. Comparable as a Medicare Advantage dental provider and employer dental carrier, similar to Solstice's Medicare Advantage plans.
• UnitedHealthcare (UnitedHealthOne): Parent-affiliated carrier of Solstice under UnitedHealth Group. Overlap in dental, vision, and individual supplemental health products; relevant as both an upstream partner and competitive benchmark.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat5 records

Key risks5 records

Key highlights6 records

Customer concentration

• Xx.com/solsticedental
• YouTubeyoutube.com/SolsticeInsurance
• Facebookfacebook.com/solsticehealth
• LinkedInlinkedin.com/company/solstice-benefits-inc.
• Instagraminstagram.com/solsticeinsurance
• Pinterestpinterest.com/solsticedental

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Subsidiaries15 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Solstice Benefits, Inc.