Wincline

Fully Insured vS. Self Funded Health Plans

It’s the difference between paying rent and investing in a mortgage.

Many employers are understandably confused about the difference between having a fully insured health plan and a self-funded one. This Industry Insight compares the two models of financing one’s health plan, explaining how self-funding is superior to being fully insured in all cases with the right guidance. In fact, becoming self-funded is the first step toward genuine and continual improvement in the quality and cost of any company’s health plan. In this Industry Insight, you’ll learn about:

  • Your health plan’s components
  • What fixed and variable costs are
  • Why your “Max Liability” is important
  • How you can get insight into claims data
  • How to project your future costs
  • Two client case studies where self-funding triumphed
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