The Benefits of Self-Funding Healthcare


August 31st, 2017

Self-Insured healthcare plans are increasing in popularity because self-insured employers can pay for claims out-of-pocket as they are presented, instead of paying a predetermined premium to an insurance carrier for a Fully Insured plan. Businesses are able to better negotiate administrative services and reinsurance as effectively as that of a larger, single employer. 

 

Facts about Fully-Insured Plans:

  • Lack of transparency

 

  • Retrospective rating

 

  • Volatile rate cycle

 

  • Carrier shopping (switching different carriers every year, new cards, etc.)

 

  • No direct savings from wellness initiatives 

 

 

Facts about Self-Insured Plans:

  • Now available to small employers. Companies must have a minimum of 20 employees covered on their medical plan. 

 

  • Full transparency 
    • Monthly reports detail where every dollar is spent for claims, administration and insurance protection.
    • You are fully aware of rate development for their next renewal cycle. 

 

  • Total Control
    • You have collective purchase power of stop-loss insurance.
    • Specific claim utilization history allows you to make design changes to benefits both employees and your business. 

 

  • Stability
    • You have real-time data throughout the plan year, which creates a more predictable healthcare line item. 
    • It allows a safety net for protection in both good and bad claim years. 

 

 

Learn more about our Genesis Healthcare Consortium, one of our self-funding consortium’s. We would love to set up a meeting to talk about if your company would benefit from a self-insured market. 

 

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Jamie Mowery Lewis

Marketing Executive

Jamie joined the Gunn-Mowery team as their marketing executive in 2016, after previously working as an event coordinator for the Central Penn Business Journal and the Pennsylvania Credit Union Association. As the Marketing Executive, she is the main point of contact for external communications, community relations and media inquiries. She takes pride in enhancing the Gunn-Mowery brand, including the website, social media platforms, design and marketing campaigns. Jamie is a member of the Leadership Harrisburg Area Community Leadership Series Class of 2019 and is the Chair of the Gunn-Mowery Upside of Giving committee. She attended West Chester University of Pennsylvania where she graduated Magna Cum Laude with a Bachelor’s degree in Communications



When she’s not in the office, you can find Jamie spending time with family, friends and her beagle, Lexie. She loves being outdoors, whether it’s on her farm, playing golf, relaxing on the beach, or cheering on the Nittany Lions in Happy Valley.

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