The Value of Self Funding

SIEF Read the The Value of Self Funding PDF created by the Self-Insurance Educational Foundation, Inc. (SIEF), a 501(c)(3) non-profit organization affiliated with the Self-Insurance Institute of America, Inc. (SIIA). The foundation’s mission is to raise the awareness and understanding of self-insurance among the business community, policy-makers, consumers, the media and other interested parties.

This PDF addresses topics such as:

The Challenge of Affordable Health Coverage
The Facts of Self-Funding
Self-Funding, The Solution
The Step-by-Step Process for Self-Funding

Posted In Considering Self Funding, Cost Saving Ideas

In 2011, the top 5 most expensive medical conditions treated in US hospitals were: Septicemia, Osteoarthritis, Complication of device, implant or graft, Liveborn, and Acute myocardial infarction Reference: Click here close

From 2010 to 2013, the number of claims that were individually $1 million or above rose by 1,000% Reference: Click here close

In 2017 approximately 18% of the American public will purchase insurance through exchanges, radically transforming the health insurance landscape. Reference: Click here close

In 2014, 98% of large firms (= 200 Workers) offer 1+ wellness programs to their employees. Reference: Click here close

The most costly 1% of patients account for 20% of national health expenditures – accruing average annual expenses of nearly $90,000 per person. Reference: Click here close

6% of firms offering fully-insured plans report they intend to self-insure because of Obamacare. Reference: “2013 Employer Health Benefits Survey”. The Henry J. Kaiser Family Foundation.close

In 2014, PPO plans remained the most common plan type, enrolling 58% of covered workers. Reference:Click here close

In 2012, 93% of businesses with 5,000+ employees and 80% of companies with 1,000-4,999 employees were self-funded

Massachusetts has the third-highest prevalence of self-funded insurance in the small-group market (Fewer than 50 employees). Reference: “Self-Insured Health Plans: State Variation and Recent Trends by Firm Size”. Employee Benefit Research Institute, Nov 2012, Vol. 33, No. 11.close

In 2013, the average deductible was $2,906 for individuals selecting plans from marketplaces. This compares with average deductibles of $1,135 for an individual with employer coverage. Reference:Click here close

In 2013, the average annual premiums for employer-sponsored health insurance are $5,884 for single coverage and $16,351 for family coverage, up 5% and 4% respectively from 2012. Reference:Click here close

From 2010 – 2013, cancer followed by chronic/end stage renal disease and leukemia accounted for the top 3 costliest illnesses. Reference:Click here close