Fully insured
Predictable monthly premiums. The carrier assumes most of the claims risk.
Fund Smarter
There’s no single right way to fund a health plan.
Understanding your options comes first.
The best approach depends on your company’s size, risk tolerance, goals, and appetite for control. Understanding the differences can help you make a more informed decision about what fits your business today — and where you may want to go next.
Understand your options. Choose what fits.
Explore funding options
Different approaches offer different levels of predictability, flexibility and control.
Level funded
Fixed monthly costs with potential savings when claims are lower than expected.
Captive
Employers share risk together for greater buying power, stability and potential long-term savings.
Self-funded
The employer assumes claims risk in exchange for greater flexibility, visibility and control.
Why your funding structure matters
How your health plan is funded affects more than your monthly premium. It can influence your access to claims data, flexibility in plan design, potential savings, cash flow, and the amount of risk your company assumes.
The right structure depends on your workforce, financial goals, claims experience, and comfort with risk. Our role is to help you understand the tradeoffs so you can make a decision that fits your organization.
Before choosing a funding approach, consider:
- How predictable do your monthly costs need to be?
- How much claims risk are you comfortable assuming?
- Do you want greater access to claims data?
- How much flexibility do you want in plan design?
- Are you willing to trade some predictability for potential long-term savings?
- How important is transparency into where your healthcare dollars are going?
Not sure which approach fits your company?
You don’t have to know the answer before we talk. We can help you compare your current plan with other funding options and understand the potential risks, opportunities, and tradeoffs.