CAP
Custom Assurance Placements (CAP) is a Columbia, SC wholesale insurance brokerage that places niche, unusual-risk coverage through Lloyd's of London and other carriers. Its Global Protective Solutions product covers medical tourists and clinical trial participants, including pre-existing conditions.
- Company typePrivate
- Founded2000
- HeadquartersColumbia, United States
- Headcount1–10
- GTM typeB2B
- OfferingServices
What CAP does
Custom Assurance Placements, Ltd. (CAP) is a privately held wholesale insurance brokerage founded in 2000 in Columbia, South Carolina, by Harold H. Adams, Jr. and Tracy Simons. The firm specializes in placing specialty insurance coverage for unusual or hazardous risks that standard brokers decline, operating as a wholesale intermediary between retail insurance agents and direct insureds on one side and a network of domestic and international carriers including Lloyd's of London on the other. Its product portfolio centers on Global Protective Solutions (GPS), a medical tourism insurance program launched in 2008 that provides travel accident, illness, and medical complication coverage for up to 180 days past the procedure date, alongside Clinical Trial Medical Insurance that uniquely covers pre-existing conditions for international trial participants. CAP also offers commercial auto coverage (dump trucks, fleets, livery, non-emergency medical transport), trip cancellation and travel insurance, small business admitted PL/E&O, GL and BOP coverage across more than 180 professions, and occupational accident and contingent liability insurance.
The firm generates revenue primarily through commissions earned from insurance carriers on each placement, with commercial auto placements reportedly carrying a 10% commission structure and small business coverage offered on a monthly subscription basis. Go-to-market combines a wholesale broker channel serving retail agents, direct-to-insured sales for specialty risks, dedicated self-serve portals for medical tourism (medicaltourisminsurance.com) and GPS (globalprotectivesolutions.com), distribution through International Medical Group's producer portal, and a March 2024 strategic partnership with PlacidWay providing access to a global medical tourism provider network. Customer segments span hospitals and healthcare providers, employers sending staff for medical treatment, medical tourism facilitators, pharmaceutical companies and CROs, retail insurance agents, commercial auto operators, and SMBs across diverse professions.
CAP is founder-owned and founder-operated with no external investors, funding rounds, or parent company disclosed. The firm is tribunalized at Lloyd's of London, holds contracts with domestic and international carriers, and maintains low loss ratios that support long-standing carrier relationships. The company is small by design — its stated positioning is 'small enough to give personal service, large enough to tap into the global market' — and operates with 1-10 employees, with leadership experience in international travel and health insurance extending back to 1980.
CAP firmographics
Firmographics- Name
- CAP
- Legal name
- Custom Assurance Placements, Ltd.
- Website
- https://customassurance.com
- Company type
- Private
- Founded year
- 2000
- Operating status
- Operating
- Headcount range
- 1–10 employees
- Short description
- Custom Assurance Placements (CAP) is a Columbia, SC wholesale insurance brokerage that places niche, unusual-risk coverage through Lloyd's of London and other carriers. Its Global Protective Solutions product covers medical tourists and clinical trial participants, including pre-existing conditions.
- Ownership category
- akta.pro rank
CAP industry classification
Industry- Product category
- Specialty Insurance Brokerage
- NAICS
- Insurance Agencies and Brokerages (524210)
- SIC
- Insurance Agents, Brokers & Service (6411)
- akta.pro primary industry
- Wholesale Insurance Brokerage (Excess & Surplus Lines) (FSAEADAD)
- akta.pro secondary industry
- Commercial Auto for Specialty Vehicles (Tow Trucks, Limousines, Dump Trucks, etc.) (FSAJABAG)
Keywords
Where CAP is headquartered
LocationHeadquarters
- HQ city
- Columbia
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
CAP business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Operations, Marketing or Sales, Technology or R&D, Infrastructure
Revenue model
- Wholesale Insurance Brokerage Commissions: CAP operates as a wholesale insurance broker earning commissions from insurance carriers for placing coverage. They work with Lloyd's of London and domestic and international insurance carriers to facilitate successful placements for retail insurance agents and direct insureds.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Transaction based/ take rate | Pay-as-you-go | Commercial Auto Insurance - Commission-based |
| Subscription | Monthly | Small Business Insurance - Admitted PL/E&O, GL, and BOP coverage |
Go-to-market motion2 records
Distribution channels5 records
Marketing channels5 records
CAP product offering
Product offeringCore offering
Custom Assurance Placements (CAP) operates as a wholesale insurance brokerage that places specialty and niche insurance coverage for unusual or hazardous risks. The firm works with local, regional, national, and international retail insurance agents as well as direct insureds, accessing markets such as Lloyd's of London and domestic/international carriers to develop custom insurance programs spanning medical tourism, commercial auto, clinical trials, small business, and occupational accident lines.
Product overview
Custom Assurance Placements (CAP) is a wholesale specialty insurance broker offering a portfolio of niche insurance products for unusual or hazardous risks. The company operates as a broker that places coverage one risk at a time or develops entire insurance programs. The core product is Global Protective Solutions (GPS), a specialized medical tourism insurance program. The product portfolio includes Medical Tourism Insurance and Travel Insurance, Commercial Auto Insurance (Truck & Car), Trip Cancellation/Travel/Baggage Insurance, Clinical Trial Medical Insurance, Small Business Insurance, and Occupational Accident and Contingent Liability Insurance. CAP works with Lloyd's of London and domestic/international carriers to facilitate placements.
Differentiator
Problem solved
Functional benefit
Brands
- Global Protective Solutions (GPS): Insurance programs provided by Custom Assurance Placements for medical tourism, including travel accident and complication benefits for medical tourists. Coverage designed specifically for people traveling for medical care outside their home country.
Products and services
- Global Protective Solutions (GPS) Specialized insurance program for medical tourists providing travel accident, illness, and medical complication coverage for up to 180 days past the procedure date, including coverage for pre-existing conditions. Designed for hospitals, employers, patients, and facilitators involved in medical tourism.
- Medical Tourism Insurance and Travel Insurance International medical and travel insurance products for groups or individuals, including specialized coverage for medical tourists.
- Commercial Auto Insurance: Truck and Car Commercial auto insurance covering dump trucks, commercial fleets, moving trucks, and various vehicle classes including contractors, food services, landscaping, livery, and non-emergency medical transport. Offers 10% commission on placements.
- Trip Cancellation, Travel and Baggage Insurance Insurance coverage for trip cancellation, travel delay, and baggage losses incurred while traveling.
- Clinical Trial Medical Insurance Specialty coverage for foreign clinical trials including pre-existing conditions, providing travel medical insurance and medical complication coverage for trial participants traveling overseas. Demonstrated $600,000 savings on a single $1 million claim.
- Small Business Insurance Small business insurance offering admitted Professional Liability/E&O, General Liability, and Business Owner Policy coverage for over 180 professions. Available with same-day effective dates and monthly billing.
- Occupational Accident and Contingent Liability Insurance Occupational accident coverage including accidental death, dismemberment, paralysis, survivor benefits, medical expenses, disability, and contingent liability coverage equivalent to workers' compensation.
Quantifiable outcome
- Medical complication coverage for up to 180 days past the procedure date for medical tourists
- +3 more outcomes
Companies that use CAP
Customer profileNamed customers6 records
Segments5 records
Ideal customer profiles5 records
CAP technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature2 records
CAP partnerships and signals
Strategic signalPartnerships
Three partnerships are on record, tiered core.
- PlacidWaycoreCustom Assurance Placements and PlacidWay partnered to revolutionize medical tourism insurance. The collaboration provides comprehensive insurance packages for medical tourists including coverage for medical procedures, travel and accommodation benefits, emergency medical evacuation and repatriation, 24/7 customer support, and post-treatment follow-up care. PlacidWay provides access to their extensive network of accredited healthcare providers globally, while CAP provides specialized insurance products.
- International Medical Group (IMG)corePartnership with IMG for international travel and medical insurance products. CAP offers IMG products including major medical, life, dental, and disability plans for vacationers, those working or living abroad, frequent travelers, and those maintaining multiple country residences. Products are available through IMG's producer portal with enrollment links provided on CAP's website.
- Lloyd's of LondoncoreCAP is tribunalized at Lloyd's of London to place insurance coverage. This relationship provides access to Lloyd's global insurance markets and established credibility as a wholesale broker capable of placing specialty and niche risks through Lloyd's carriers.
Scale indicators4 records
Recent moves6 records
Expansion highlights6 records
CAP competitors and assessment
Company assessmentDirect peers
- CRC Insurance Group: CRC is a large US wholesale insurance broker placing specialty and E&S risks for retail agents, working across commercial auto, professional liability, and niche programs. Directly comparable to CAP's role as a wholesale broker focused on unusual or hazardous risks, though at materially greater scale.
- RPS Group (Risk Placement Services): RPS is one of the largest US wholesale specialty brokers operating across E&S lines for retail agents. Highly comparable to CAP in business model (wholesale placement, custom programs) and customer base (retail agencies serving unusual risks).
- Burns & Wilcox: Burns & Wilcox is a wholesale insurance brokerage specializing in excess & surplus lines and specialty commercial risks for retail agents. Directly comparable to CAP's wholesale placement model and concentration on specialty/hazardous risks.
- Amwins Group: Amwins is a major US specialty insurance distributor combining wholesale brokerage, MGA, and program administration. Comparable to CAP on wholesale specialty placement but operates at much larger scale and broader product breadth.
- Brown & Riding Insurance Services: Brown & Riding is a wholesale insurance broker focused on specialty and excess lines for retail producers. Closely comparable in business model (wholesale placement, niche programs) and target customer (retail agents seeking capacity for unusual risks).
Emerging players
- International Medical Group (IMG): IMG underwrites and administers international travel and medical insurance products and partners with CAP for distribution. Comparable niche overlap on travel/medical insurance but functions as a carrier/MGA rather than a pure broker.
- Seven Corners: Seven Corners is a niche travel medical insurance administrator/MGA offering travel medical, trip cancellation, and specialty international plans. Overlaps with CAP's medical tourism and travel accident/trip products, particularly as an IMG competitor in adjacent geographies.
- World Trips: World Trips administers international travel medical insurance plans (patron/major medical) for travelers worldwide, sold largely through brokers. Direct partial overlap with CAP's travel medical and medical tourism coverage.
- GeoBlue: GeoBlue provides international travel medical and health insurance products for travelers, expatriates, and globally mobile individuals. Comparable niche (international travel medical coverage), though it serves as a carrier/administrator rather than broker.
- Travel Insured International: Travel Insured International is a US travel insurance provider offering trip cancellation, travel medical, and baggage coverage through agency distribution. Direct product overlap with CAP's Trip Cancellation, Travel and Baggage Insurance line.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks6 records
Key highlights6 records
Customer concentration
CAP social profiles
Digital presenceCAP financial estimates
Financial estimateRevenue estimate
Valuation estimate
CAP leadership team
Management profileNumber of profiles
Profiles4 records
CAP funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
CAP 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 CAP
What does CAP do?
Custom Assurance Placements (CAP) operates as a wholesale insurance brokerage that places specialty and niche insurance coverage for unusual or hazardous risks. The firm works with local, regional, national, and international retail insurance agents as well as direct insureds, accessing markets such as Lloyd's of London and domestic/international carriers to develop custom insurance programs spanning medical tourism, commercial auto, clinical trials, small business, and occupational accident lines.
Is CAP a public or private company?
CAP is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was CAP founded?
CAP was founded in 2000. It employs 1 to 10 people.
Where is CAP based?
CAP is headquartered in Columbia, United States, in the North America region.
How does CAP make money?
One revenue line is on record: wholesale Insurance Brokerage Commissions.
Who are CAP's main competitors?
Direct peers on record are CRC Insurance Group, RPS Group (Risk Placement Services), Burns & Wilcox, Amwins Group and Brown & Riding Insurance Services. Emerging players are International Medical Group (IMG), Seven Corners, World Trips, GeoBlue and Travel Insured International.
Does CAP have an API?
No public API is recorded for CAP.
What industry is CAP in?
CAP's product category is Specialty Insurance Brokerage. Its primary akta.pro industry code is FSAEADAD, Wholesale Insurance Brokerage (Excess & Surplus Lines), with a secondary code of FSAJABAG, Commercial Auto for Specialty Vehicles (Tow Trucks, Limousines, Dump Trucks, etc.). Its NAICS code is 524210 and its SIC code is 6411.