Self-Funded Medical Insurance
For employers seeking a more sophisticated and cost-effective approach to employee health benefits, a self-funded medical plan offers a powerful alternative to traditional, fully-insured products. By funding your own claims, you can gain greater control over your healthcare spend, increase transparency, and design a plan that truly meets the needs of your employees. At HBG Insure, we specialize in helping businesses in Eastern Pennsylvania and New Jersey transition to and manage successful self-funded and level-funded medical plans.
Our process is designed to demystify self-funding and provide you with the data and analysis you need to make an informed decision. We start with a comprehensive feasibility analysis, evaluating your claims history, risk tolerance, and employee demographics to determine if a self-funded or level-funded model is the right fit. We then design a plan that includes stop-loss insurance to protect you from catastrophic claims, and we partner with best-in-class third-party administrators (TPAs) to ensure seamless claims processing and administration. With a self-funded medical plan from HBG Insure, you can escape the rigid constraints of the fully-insured market and unlock a new level of control and cost savings.
Benefits of Self-Funded Medical Insurance
Cost Control
Pay only for the claims your employees actually incur, not inflated premiums based on pooled risk
Transparency
Gain complete visibility into your healthcare spending and utilization patterns
Flexibility
Design a plan that meets the specific needs of your workforce without carrier restrictions
Cash Flow
Retain unused premium dollars rather than paying them to an insurance carrier
Regulatory Advantages
Self-funded plans are governed by federal ERISA law, providing more flexibility than state-regulated fully-insured plans
Our Self-Funded Solutions
Traditional Self-Funded
Full control and transparency with stop-loss insurance to protect against catastrophic claims
Level-Funded
Predictable monthly payments with the benefits of self-funding and potential for premium refunds
Captive Programs
Pooled self-funded arrangements that provide additional risk protection and cost savings
Is Self-Funding Right for Your Business?
Self-funding is typically most effective for businesses with 50 or more employees, though level-funded options can work for smaller groups. The key is having a stable workforce and the financial capacity to absorb monthly claims fluctuations. Our feasibility analysis will help you determine if self-funding is the right choice for your business and provide you with a clear roadmap for implementation.
Ready to Request a Plan Design Audit?
These satisfied clients started with a simple, no‑obligation Plan Design Audit...
$130,000
saved annually
“On our Blue Cross Plan, Chris provided identical Blue Cross coverage and we saved $130,000 annually.”