Advantages of Self-Funding

Today, some form of self-funding covers two-thirds of the employees covered under an employer-sponsored health plan. The following are just a few reasons why a majority of employers select self-funding:

Increased Financial Control

Most employers with self-funded plans fund claims as they come due rather than funding them through advance premium payments, which means that you are investing your money instead of an insurance company. We provide you with clear reports and documentation of how every health plan dollar is spent.

Lower Costs

By funding claims directly, an employer avoids the costs of claim reserves, retention to cover the insurance company’s administrative costs, profit margin, risk charges, premium taxes, and a contingency margin, which are included in an insured premium on top of the costs of expected claims. Today, these reserves and retention charges can range from 10% to 30%.

Greater Flexibility

Self-funding allows employers to design a health benefit plan to address specific employee needs, as well as company objectives. Self-funded plans are also exempt from state insurance laws that typically mandate certain benefits for insured plans.

Cost Management

Plan design flexibility and on-going analysis of plan expenses allow self-funded employers to make the plan design changes needed to manage costs. Self-funded plan designs can include strategies to monitor utilization, steer care to discounted provider arrangements, and assure appropriateness of care, all of which encourage wellness and provide incentives for wise utilization of care.

Information Management

We provide convenient, secure access to all the information needed to manage a self-funded plan effectively. Authorized individuals of a self-funded employer receive confidential monthly reports, and everyone covered under the plan has secure online access to timely benefit-related information.

24/7 Access to Plan Information

Our website offers both our client employers and the covered members enrolled in their plans comprehensive access to their health plan information 24 hours a day, seven days a week. On our website you will find information on eligibility, claims payments, and much more.

For more information, or to request a quote, click to contact the ACS Sales Team.