Self-Funded vs. Fully-Insured Health Plans
November 1, 2023
Group medical benefit plans typically fall into one of two categories: self-funded or fully-insured. The choice of one over the other should not be made
Group medical benefit plans typically fall into one of two categories: self-funded or fully-insured. The choice of one over the other should not be made
Level-funded health plans can help employers lower their healthcare expenses while providing employees comprehensive health coverage and a robust provider network. These plans combine the
The American Academy of Actuaries (the Academy) published a public policy issue brief outlining a convergence of multiple factors, including inflation and the aftermath of
Open enrollment provides an opportunity to educate the workforce about attractive benefits offerings that can help boost employee retention, satisfaction, and engagement. However, with members
In the wake of the Great Reshuffle—the mass movement of workers to jobs that prioritize their needs—and macro trends like the tight labor market, attracting
The Kaiser Family Foundation reported that nearly half of Americans struggle to afford health care, with about 4 in 10 saying they’ve delayed or gone
Open enrollment can be an overwhelming time for both employers and employees. Each year, employers must choose a benefits package that balances cost to the
The Pregnant Workers Fairness Act (PWFA) became effective on June 27, 2023. Under the PWFA, covered employers must provide qualified employees with reasonable accommodations for
Currently, healthcare costs in the United States are high and rising, outpacing inflation and wage increases. While many employers had relatively lower claim costs during
An annual report by pharmacy benefit consulting company Pharmaceutical Strategies Group (PSG) found that 43% of employers currently cover FDA-approved weight loss drugs, while an
