Self funding for many employers is an awful idea

Self funding turns your business into an insurance company. Before making this move you must prepare an analysis without influence from the sales process. Beware of anyone who says you will save money. Call us, put our independence to work.

Self funding has become a popular recommendation.

Self funding is being recommended for groups down to 25 employees – don’t go out of business because you didn’t get a second opinion first.

Self funding is about risk, your company, or client, acts as the insurance company. Know before you recommend or choose self funding if your plan is predisposed to known risks. Risk factors used to predict rates by actuaries and underwriters can be used by our team to predict the suitability for self funding, consider these risk factors before making this recommendation to your client or in the case of an HR or finance executive, to your boss.

Did you know, according to Kaiser/HRET Survey of Employer-Sponsored Health Benefits, 2013, the difference between self funding and fully insured is less than 1%?

Our team of underwriters and actuaries were all former insurance insiders and made a living making money for insurance companies, they know group risk and fee dynamics and will provide valuable insight to you.

A second opinion is never a bad idea, you can’t go wrong recommending a trusted second opinion. Everyone involved will sleep better.

BCBSM, like many vendors are offering self funded plans to small employers. The question is, do you want to be an insurance company?
BCBSM Self funded for 25-49 size groups Reform October 2013

Before you decide, call.

Sticker Shock, Even for Boosters of Obamacare

A returning customer reacting to sticker shock said, “WOW, I am a supporter of providing insurance for more people, but this is awful.”

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Mike Rogers, before Congress 10/23/2013

I do enjoy watching and listening to first hand commentary. I just received a link to Mr Rogers opening remarks on Health care reform in Washington at the same time a returning customer was slugging through their new 1/1/2014 health care options.

A returning customer reacting to sticker shock said, WOW, I am a supporter of providing insurance for more people, but this is awful.”  This customer found premiums per person doubling for their small business.

The sentiments of the customer are consistent with so many who are having sticker shock along with confusion about the new rules.

Rogers, in his brief remarks mentions the trade-off the government is forcing on 85% of the population who have health care. One trade-off he explains is the, “National cancer intelligence center for the United Kingdom and the Canadian Cancer registry here’s the trade-off they picked by having government run health care. If you get prostate cancer you have a less chance of survivability than you do in the United States. And, that’s the same for skin cancer, breast cancer, bladder cancer…”

There are answers but they’re not republican or democrat. The answers lie in the details underpinning health care and its availability and affordability. The Economist just published an article, “How Science Goes Wrong“ where they outline a lack of rigor in research. Agenda driven research needs to be abolished, both to benefit individuals and lower cost for employers.

BenStaff is an analytic, detail loving firm. Everyone on my team is detail oriented and our work is focused on making the most of the employee benefit dollar spent.

 

ACA requires an actuary to “calculate appropriate adjustments to the AV”

Employer plan sponsors who use HRA accounts or wrapping programs must certify the plans actuarial value by using the IRS calculator, and in cases where the calculator doesn’t fit, an Actuary must certify.

Certify your plans actuarial value

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Some plan designs do not fit neatly into a predetermined AV, you will need an actuary to calculate an accurate actuarial value used to report to employees. The actuarial calculator for ACA does not take into account every unique plan design circumstance. In this case, hand calculated AV will bridge the gap. This is an affordable endeavor that permits plans to continue to be creative in plan design options.

For instance, plan design teams are focused on including a 60% AV to meet company cost objectives. Confirming, or working with us, will optimize plan designs for both the employer cost equation and employee value.