SIIA publishes sixth annual captive report

The Self-Insurance Institute of America (SIIA) has published its sixth annual Captive Industry Survey & Trend Report.

The report is meant to help member companies and individuals understand the current state of the captive industry and serve the needs of current and potential business. 

The SIIA said that its 2026 survey describes an industry with strong forward momentum and a more demanding definition of value. Respondents see captive insurance gaining share, but they also point to the work required to make that growth durable: clearer education, disciplined underwriting, better claims execution, and practical use of data and technology. 

The Central Finding Captives are moving from an alternative financing conversation toward a broader risk-management platform. Demand is strongest in medical stop-loss, while the value case is increasingly built on predictability, transparency, claims control and ownership.

Key findings include: 

• 90.6% of brokers expect demand to grow over the next five years 

• 67.6% see increased interest in gap or medical stop-loss 

• 91.3% rate captive renewal pricing at least moderately predictable 

The SIIA said that medical stop-loss is the clearest growth engine. MSL providers were four times as likely to name employee benefits and medical stop loss as their strongest growth area as any other listed category. 

Brokers emphasize pricing stability and risk management. MSL providers identify claims management as the most valuable captive resource. 

Among brokers without captive clients, 15 of 16 want more education and all 15 who answered the follow-up question said they would be highly likely to recommend a captive with better understanding. 

Respondents cite education, collateralization, self-funding readiness, competitive commercial capacity and underwriting discipline as barriers to MSL adoption.

For more information contact the SIIA.

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