Caprock Healthplans

What Caprock Healthplans does

Caprock Healthplans, as represented in the aggregated input data, is described as a national third-party administrator (TPA) specializing in self-funded and level-funded health plan solutions for employers, though the firmographics (San Antonio headquarters, caprockhp.com domain, 51–100 employees, founded 2000) show material discrepancies with the embedded scale commentary attributing 700,000+ lives and 23+ U.S. offices to a "90 Degree Benefits" brand — suggesting the source material merges two related or overlapping entities. The product platform centers on core health plan administration (Self-Funded and Level-Funded plans, Reference-Based Pricing, Minimum Essential Coverage, Consumer Driven Health Plans, plus FSA/HSA/ICHRA account administration) layered with proprietary cost-containment programs — RightTurnRx for pharmacy oversight and CareConnect for member advocacy and provider rate negotiation — and supported by Population Health Management, Integrated Wellness, and a network stack spanning National PPO, EPO, High-Performance, and Regional/Narrow networks.

The firm operates a broker-centered go-to-market model, with more than 23 local offices providing regional expertise while maintaining national scale; it maintains four dedicated portals (broker, employer, member, provider) and markets through LinkedIn, YouTube, a Resource Center, webinars, and case studies. Revenue is generated through recurring per-employee-per-month third-party administration fees (subscription/recurring stream) plus managed-services revenue from cost-containment programs; pricing is quote-based, tailored to employer group size, industry, location, and plan design, and is not publicly disclosed. Customer segments are primarily regional to multi-state employers reached through benefits brokers, with secondary specialized-industry segments including prisons, non-profits, religious organizations, and state departments of health. The input data contains no funding history, leadership roster, M&A activity, or strategic-move dates, which limits forward-looking analytical precision.

Name

Caprock Healthplans

Legal name

90 Degree Benefits

Website

https://caprockhp.com

Company type

Private

Founded year

2000

Operating status

Operating

Headcount range

51–100 employees

Short description

Caprock Healthplans (aggregated source data conflates with the "90 Degree Benefits" brand) is a third-party administrator of self-funded and level-funded employer health plans, offering cost-containment programs (RightTurnRx, CareConnect), reference-based pricing, and account-based benefit administration through a broker-centered distribution model serving regional and multi-state employers.

Ownership category

akta.pro rank

Product category

Third-Party Health Plan Administration

NAICS

Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292), Health and Welfare Funds (52512), Health and Welfare Funds (525120)

SIC

Hospital & Medical Service Plans (6324)

akta.pro primary industry

Self-Funded Employer Plan TPA (ASO Administration) (HLAEALAA)

akta.pro secondary industries

Flexible Benefits Administration (FSA/HSA/HRA) (HLAEALAK), Level-Funded Group Health Plans (FSAIAFAC), Ancillary Benefits TPA (Dental/Vision/Life/Accident/Critical Illness) (HLAEALAN)

Keywords

• Third-party administration
• Self-funded health plans
• Health plan administration
• Cost containment programs
• Benefits broker services

Headquarters

HQ city

San Antonio

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Third-Party Administration Services: Revenue generated from administering self-funded and level-funded health plans for employers, including claims processing, plan administration, and member services
2. Cost Containment Programs: Additional revenue from proprietary cost containment programs including pharmacy oversight, member advocacy, and network solutions

Go-to-market motion1 record

Distribution channels5 records

Marketing channels6 records

Core offering

Caprock Healthplans administers self-funded and level-funded health plans for employers through a third-party administrator (TPA) model, supported by proprietary cost containment programs (RightTurnRx pharmacy oversight and CareConnect member advocacy and rate negotiation). The company provides plan design, claims processing, FSA/HSA/ICHRA administration, reference-based pricing, national and regional provider networks, population health management, and integrated wellness, serving employer clients primarily through benefits brokers across 23+ U.S. offices.

Product overview

90 Degree Benefits is a national third-party administrator (TPA) offering a comprehensive suite of health plan solutions centered on self-funding and level-funding administration. The core platform provides traditional health plan administration including Self-Funded & Level-Funded Health Plans, Reference-Based Pricing (RBP), Minimum Essential Coverage (MEC), Consumer Driven Health Plans, and FSA/HSA/ICHRA Administration. Cost containment is driven by proprietary programs RightTurnRx (pharmacy optimization) and CareConnect (member advocacy and navigation), complemented by Population Health Management and Integrated Wellness services. Network capabilities include National PPO Networks, EPO Networks, High-Performance Networks, and Regional/Narrow Networks.

Differentiator

Problem solved

Functional benefit

Brands

• RightTurnRx: Pharmacy oversight and optimization program for cost containment
• CareConnect
• Make the Right Turn

Products and services

• Self-Funded & Level-Funded Health Plans

Quantifiable outcome

• 700,000+ lives touched annually through diverse portfolio of products and services
• +4 more outcomes

Named customers2 records

Segments4 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Scale indicators6 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• Meritain Health: Independent third-party administrator offering self-funded plan administration, PBM, and cost containment to mid-market and national employers. Closely aligned product mix and broker GTM motion.
• Trustmark Companies: Employee benefits provider offering self-funded health plan administration, stop-loss, and ancillary benefits through broker distribution to mid-market employers. Directly comparable product breadth and channel.
• UMR (UnitedHealthcare): UnitedHealth Group's dedicated TPA subsidiary, administering self-funded health plans for employers nationwide. Directly comparable TPA services model, large scale, and broker distribution.
• Allied Benefit Systems: Independent TPA providing self-funded and level-funded health plan administration to mid-market employers and public-sector entities (including schools and government units), with broker distribution.
• HealthSCOPE Benefits: TPA focused on self-funded employer health plans with regional COE networks and reference-based pricing capabilities. Direct competitor in cost-containment-driven self-funding.

Broad incumbents

• CoreSource: TPA/administrative services arm of Highmark, offering self-funded plan administration to employers across multiple states. Larger scale and carrier affiliation make it a broad incumbent peer rather than a like-sized direct competitor.
• Benefitfocus (Voya): Benefits administration platform serving employers, brokers, and carriers with defined-benefit, voluntary, and consumer-directed health offerings. Adjacent in benefits admin but software-oriented rather than a pure-play TPA.
• HealthEquity: Largest HSA/FSA/ICHRA administrator in the US, overlapping with 90 Degree Benefits' CDHP and FSA/HSA/ICHRA administration products while operating at national scale as a broader incumbent.

Emerging players

• Lucet Health: Behavioral health-focused TPA offering care navigation, utilization management, and provider network management for self-funded health plans. Comparable TPA-for-self-funded-plans model in a narrower behavioral-health niche.

Regional players

• PacificSource Administrators: TPA arm of PacificSource Health Plans, administering self-funded plans primarily across the Pacific Northwest and Mountain West. Comparable self-funded TPA offering but with a regional footprint.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks5 records

Key highlights7 records

Customer concentration

• YouTubeyoutube.com/@90DegreeBenefits
• LinkedInlinkedin.com/company/90-degree-benefits

Revenue estimate

Valuation estimate

Number of profiles

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 Caprock Healthplans