Understanding Self-Insured Plans Self-insured plans give employers greater control over healthcare costs by directly funding employee benefits instead of paying fixed premiums to an insurance carrier. This approach allows for more flexibility, cost savings, and customization based on employee needs. With self-insurance, businesses take on the financial responsibility for claims while using stop-loss insurance to protect against high-cost expenses. This model provides transparency, better cash flow management, and the ability to design a plan that aligns with company goals. Learn More 1. Fund Set Up – Employer sets aside money for claims. 2. Claims Processed – Employees use benefits, and claims are submitted. 3. Employer Pays – Approved claims are paid from the fund. 4. Stop-Loss Kicks In – Protection against high-cost claims. 5. Optimize & Adjust – Track data and refine benefits.