He keeps building the same company in different industries. Doctors at home. Vets at home. Now insurance, finally, at home too.
Three companies. Three industries. One curiously consistent instinct: when something difficult arrives - sickness, aging, a sick Yorkie named Gobi - someone qualified should already be on the way.
Karan Aneja built a home healthcare giant in Asia before he could legally rent a car in some American states. He co-founded Portea Medical and watched it become Southeast Asia's largest provider of in-home medical visits. Then, because the idea of bringing professional service to your couch refused to leave him alone, he moved to Los Angeles and did it again - this time with veterinarians. Vetted PetCare raised $3.3 million in 2017 and turned house calls for dogs and cats into something a normal family could actually book.
Now he runs Reframe Financial, and the through-line finally announces itself. The first company sent nurses to grandparents. The second sent vets to dogs. The third sends financial planning to the exact moment families realize they should have started a decade ago.
The official story is that Reframe was born from helping plan care for his own grandparents. The unofficial story is more interesting. Aneja noticed something almost no one noticed: families around him were building elaborate plans for college and weddings and retirements, and almost no plans at all for the thirty years between sixty and ninety. They knew about 529 accounts. They had not heard of cash indemnity. They had heard of long-term care - and dismissed it.
So in 2020, with a team of insurance lifers and a few engineers from the consumer internet world, he started building. The first product, Reframe LifeStage, is a hybrid: Indexed Universal Life insurance with cash value on one side, long-term care benefits on the other. It is sold at the worksite. It is meant to be portable. And it is the kind of policy that, until recently, didn't really exist for millennials and Gen X workers who have neither the budget nor the patience for the old long-term-care playbook.
In March 2026, Continental General announced a partnership with Reframe to bring the next evolution of LifeStage to market. The press release used phrases like "operational excellence." The translation: a carrier with decades of claims experience just decided to put its name on something a Berkeley molecular biology grad and his small team in Los Angeles cooked up.
"The economics of aging are becoming more complex, challenging families with financial decisions that create more stress than is necessary." Karan Aneja / on launching LifeStage
Each company brings a specialist into the home. The category changes. The conviction doesn't.
Two of his three companies started with someone he loved getting sick.
Vetted PetCare came from Gobi. The family's Yorkie needed care and the existing model - drive across town, sit in a waiting room, hope - wasn't built for animals or owners under stress. So Aneja, who had already done this once for humans, built it for pets.
Reframe came from his grandparents. He helped plan their care. He looked around at his friends and realized the planning he was doing was not normal. It should have been.
If you wanted to assemble a thesis from the breadcrumbs, it would go like this: care is a logistics problem before it is a financial problem before it is a regulatory problem. Aneja keeps solving it in the same order.
Stage 1. Family member needs help.
Stage 2. Existing system fails them in a small, specific, infuriating way.
Stage 3. A company gets started.
Repeat across three industries. So far: humans, pets, families.
Co-founds a home healthcare company that grows into the largest in Southeast Asia. Doctors, nurses, physiotherapy - dispatched to your door.
House-call veterinary service for an industry that mostly does walk-ins. By 2017, $3.3M raised. By 2020, Aneja moves on.
An insurtech for families staring down the financial reality of aging. The team includes alumni of John Hancock, Genworth, and Continental General.
Reframe raises its seed round. The team starts building a proprietary tech platform for digital-first underwriting.
The flagship product hits the market: Indexed Universal Life with cash value, paired with long-term care benefits. Sold through worksites and associations.
Continental General signs on to bring the next evolution of LifeStage to market. A startup product, with a carrier's claims spine behind it.
"The economics of aging are becoming more complex, challenging families with financial decisions that create more stress than is necessary."
On why LifeStage exists"We developed LifeStage at a time when changing workforce dynamics demand a solution that is easily accessible, while providing innovative protection for millennials and Gen X workers."
On the audience"I am proud of our team of engineers and insurance industry veterans, who applied the expertise of their respective disciplines to develop our proprietary tech platform."
On the team"This partnership is a natural fit. Continental General brings deep industry expertise, financial strength and stability, along with a strong reputation for claims performance."
On the Continental General dealLifeStage is a hybrid insurance policy designed for the worksite and association market. In plain English: your employer, or an association you belong to, offers it as a voluntary benefit, and you can take it with you.
On one side, it's Indexed Universal Life - a life insurance policy that builds cash value tied to a market index. On the other side, it includes long-term care benefits - the kind of coverage that pays out if you need help with daily living later in life.
The reason this matters: until recently, you bought these as two separate products, from two separate carriers, with two separate underwriting processes. Reframe collapsed them into one, designed for a generation that lives on their phone.
Type: Hybrid IUL + LTC
Distribution: Worksite, associations
Portability: Yes
Underwriting: Digital, non-invasive
Carrier partner: Continental General (2026)
Audience: Millennials and Gen X
529 plans for college are boring. 401(k) contributions are boring. Both are boring because the financial industry made them feel normal. Aneja's bet is that the financial side of aging - long-term care, end-of-life finances, the long quiet decades after 65 - deserves the same treatment.
If LifeStage works, it will be because a generation that grew up signing up for things on a phone finally has an insurance product that meets them where they already are. Which, fittingly, is exactly the move Aneja has made twice before.