08/21/2026
Your health insurance renewal went up 20 percent again.
You called and asked why.
And nobody could actually tell you.
That is not a glitch. That is the product working as designed.
On a fully insured plan you hand the carrier your premium and get almost nothing back in the way of information. No claims report. No utilization. Just a bill that climbs every year and a shrug.
Here is what is happening behind the curtain.
The big carriers are running loss ratios in the 90s and higher. Some over 100. They are paying out more than they take in, so they raise everyone's rates to catch up. You are covering their bad math.
Move to a level funded or self funded plan and two things change.
You finally get real reporting, so somebody can answer the why question with actual data.
And if your group is healthy, you stop subsidizing everyone else's claims.
Fully insured is a comfort zone. I get it. For a lot of small groups it is also the most expensive way to buy healthcare.
Twenty years in, the pattern is clear. The owners who take a little control are the ones who stop getting steamrolled at renewal.
Curious what your group actually looks like under the hood? That is a conversation worth having.