- Eliminating carrier profit margins and risk charges
- Avoiding taxes and fees mandated by the Affordable Care Act – Roughly a 1-3% addition to premium costs.
- Avoidance of compliance with the essential benefits mandated by the ACA. Self-funded plan designs can be flexible and built specifically with your employee population in mind.
- Including health of the population used as a factor in underwriting, which can result in a favorable premium if the population is a young, healthy group with good claims experience.
- Claims and utilization transparency. Manage and reduce costs by utilizing transparent data, engaging/educating employees and customizing wellness programs.
Benefits Think How self-funding can work for smaller companies
Flores is the director of benefits at BCI Group, Inc. where he handles emerging employee benefits strategy, plan design, provider negotiation, employee education and federal compliance for businesses.