Self-Funding 101: Understanding the Benefits of Alternative Funding Options

 

July 09, 2024
11:00 AM - 1:00 PM
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Culinary Dropout
2543 E Grant Rdoad
Tucson, AZ 85716
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Gibson Insurance, in partnership with Pareto Health and Isolved Payroll Company is
launching an innovative program designed to empower organizations and HR teams through self-funding employee benefits. This approach is poised to revolutionize how companies manage their health programs, offering a more cost-effective and employee-centric solution compared to traditional insurance models.

Understanding Self-Funding
Self-funding, or self-insurance, is a financial strategy where employers assume direct responsibility for the costs of their employees' health care. Instead of paying premiums to a traditional insurance carrier, companies set aside funds to cover medical claims and administrative costs. This model provides greater flexibility and control over benefit plans, allowing for tailored solutions that align with the unique needs of their workforce.

Cost-Effectiveness of Self-Funded Programs
One of the most significant advantages of self-funding is cost savings. Traditional insurance carriers include a margin for profit and administrative costs within their premiums. In contrast, self-funded plans eliminate these additional costs, leading to potential savings for employers. Key cost benefits include:

1. **Avoidance of Premium Taxes**: Employers save on state premium taxes, which can range from 2% to 3% of the premium costs.
2. **Customization of Plans**: Organizations can design their health plans to cover what is most relevant to their employees, reducing unnecessary coverage and associated costs.
3. **Data Transparency**: Access to detailed claims data allows companies to identify cost drivers and implement targeted wellness programs, further reducing expenses.
4. **Reduced Risk Charges**: Self-funding removes the risk charge added by insurance carriers, often around 2% to 4% of the premium.

Enhanced Employee Experience
A critical component of the Gibson Insurance, Pareto Health, and Isolved Payroll initiative is enhancing the employee experience. Self-funded plans offer several advantages in this regard:

1. **Customized Benefit Plans**: Companies can tailor benefits to meet the specific needs of their workforce, leading to higher employee satisfaction and engagement. This customization can include options for mental health services, wellness programs, and flexible coverage choices.
2. **Better Claim Management**: With direct oversight of claims, employers can ensure quicker and more efficient processing, reducing frustration and improving the overall experience for employees.
3. **Transparency and Communication**: Enhanced communication regarding how benefits are managed and funded can foster trust and a sense of security among employees. They understand where their health benefits are coming from and how they are being managed.
4. **Wellness and Preventive Care**: Self-funded programs often invest more in preventive care and wellness initiatives, leading to healthier employees and, ultimately, lower healthcare costs. These programs can include health screenings, fitness incentives, and lifestyle coaching.

HRCI and SHRM recertification credits approved.

*Refunds must be requested 3 business days prior to an event in writing or by email.

 

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$0.00 SHRM-GT Member Registration (First 40 Complimentary)

$50.00 Guest Registration