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Nonstop Wellness Blog

High-quality benefits for nonprofits.

The ABCs of Self-Funding Health Plans - CFO.com

Eric Gulko writes for CFO.com about the trend of more employers moving to self-funding, and tells you what you need to know to make the switch.

Read the full article at: ww2.cfo.com

Small to midsize employers struggling to manage the increasing cost of health plans are shifting a large portion of those costs onto employees - increasing the average family's premiums 61% over the past 11 years.

CFOs of these smaller and midsized companies looking to create new best practices to control health care spend should consider partially or fully self-funding their health plans. Although there is risk to the employer of a member having a large claim under the self-funded model, risk can be mitigated by purchasing stop-loss insurance.

Self-funding is not a new or cutting-edge idea. Among those companies with 200-999 workers, 56% self-fund. It’s far less common where there are fewer than 200 workers, with 17% of such employers self-funding, but that’s up from 12% in 2008. These organizations enjoy benefits such as reduced taxes and fees, plan design flexibility and control, and increased cost transparency. While there are challenges that accompany these benefits, self-funding and partial self-funding are becoming desirable options for many employers, especially small to midsize nonprofits.

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The information and materials herein are provided for general information purposes only and are not intended to constitute legal or other advice or opinions on any specific matters and are not intended to replace the advice of a qualified attorney, plan provider or other professional advisor. This information has been taken from sources believed to be reliable, but there is no guarantee as to its accuracy. In accordance with IRS Circular 230, this communication is not intended or written to be used, and cannot be used as or considered a ‘covered opinion’ or other written tax advice and should not be relied upon for any purpose other than its intended purpose