08/27/2026
One of the biggest misconceptions I see among employers is believing there is only one way to fund a group health plan.
For many organizations, the conversation begins and ends with a traditional fully insured plan because that is what they have always had.
But depending on the size of the company, workforce demographics, claims history, and long-term goals, there may be other options worth exploring.
Some of the most common funding arrangements include:
• Fully Insured
• Level Funded
• Self Funded
• Captive Arrangements
Each comes with its own advantages, considerations, and level of risk.
And none of them is automatically the "best" choice.
The right approach depends on the employer, the workforce, and the overall business strategy.
That's one reason I believe benefits planning starts with education.
When employers understand the options available to them, they can make more informed decisions about cost management, employee experience, and long-term sustainability.
Have you explored different funding models for your health plan, or has your organization primarily stayed with a traditional fully insured approach?