Should You Move from Fully Insured to Self-Funded?

Why Self-Funding Isn’t as Risky as You Think

For many employers, the hesitation around self-funding comes from fear. Fear of volatility, big claims, and the unknown.

But the truth is you’re already paying for risk, you’re just giving the profits to your carrier.

Fully insured plans bundle your costs with other companies and bake in extra margins to cover risk that might not even apply to you. Meanwhile, you lose visibility into where your money is going.

With self-funding you pay for what your employees actually use, and when you manage it well, you control the outcomes.

The key phrase there is when you manage it well.Without the right data and oversight, self-funding can feel like another black box.

The Sympl Self-Funded Process

You deserve facts, not hypotheticals. That’s why we built the Sympl Self-Funded Process, a way to use your company’s actual claims data to run a detailed lookback and see exactly how self-funding would have performed for your business.

We start with your real numbers, not estimates, not industry averages.Our team runs a comprehensive lookback analysis that shows:

• What your costs would have been under a self-funded model.

• How much volatility you would have faced.

• Where your biggest cost drivers actually are.

• And whether self-funding would save (or cost) you money.

  
  

It’s a financial analysis. Once you see the data, the decision becomes obvious.

Transparency is the New Advantage

Think about how you manage every other major business expense. You have monthly reporting, dashboards, performance tracking, and metrics that guide your decisions.

Why should your health plan, one of your top three budget items, be any different?

Self-funding gives you the data you need to manage costs proactively. With our monthly reporting and claims analytics, you’ll know exactly where your dollars are going and how to control them before renewal season ever hits.

Know Before You Move

If you’ve been wondering whether self-funding is right for your company, stop guessing.Let’s look at your data and find out.

The Sympl Self-Funded Process will show you in black and white whether the move makes sense for your budget, your employees, and your long-term strategy.