How do self-funded health plans compare to fully insured plans for large corporations?

Direct answer

For large corporations, self-funded plans offer greater control over plan design and potential cost savings through the avoidance of state-mandated premium taxes and insurance company profit margins. However, the employer assumes full liability for all employee claims, making the financial stability of the company a key factor in the decision.

Comparative regulatory filings regarding ERISA-governed health plan structures versus state-regulated fully insured contracts.


What this means for you

For large corporations, self-funded plans offer greater control over plan design and potential cost savings through the avoidance of state-mandated premium taxes and insurance company profit margins. However, the employer assumes full liability for all employee claims, making the financial stability of the company a key factor in the decision.

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