{"id":50660,"date":"2024-09-10T00:00:11","date_gmt":"2024-09-10T04:00:11","guid":{"rendered":"https:\/\/roundstoneinsurance.com\/?p=50660"},"modified":"2024-09-11T13:02:07","modified_gmt":"2024-09-11T17:02:07","slug":"self-insured-vs-fully-insured","status":"publish","type":"post","link":"https:\/\/roundstoneinsurance.com\/excelsior\/blog\/self-insured-vs-fully-insured\/","title":{"rendered":"Self-Insured vs. Fully Insured Employee Health Benefits: How Do They Differ?"},"content":{"rendered":"<p><strong>Highlights\u00a0<\/strong><\/p>\n<ul>\n<li><strong>Cost containment in healthcare is a significant concern for small and midsized companies.<\/strong><\/li>\n<li><strong>Many SMBs are discovering the advantages of transitioning from a fully funded to a self-funded insurance plan.<\/strong><\/li>\n<li><strong>Self-insured (or self-funded) insurance provides financial control, data transparency, flexible plan designs, and stop-loss insurance against high-cost claims.<\/strong><\/li>\n<li><strong>With up to 85% in variable vs fixed costs, self-funded insurance can offer substantial savings compared to fully insured plans.<\/strong><\/li>\n<li><strong>While fully insured carriers bear all financial risk, self-funded employers can reduce risk by using a group captive.<\/strong><\/li>\n<li><strong>Self-funding allows you to customize health coverage to meet your employees\u2019 needs, providing greater flexibility and personalization than fully insured plans.<\/strong><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<hr \/>\n<p>Most small to midsize businesses (SMBs) feel the pressure of skyrocketing healthcare costs. Over the past 11 years, premiums for fully insured plans have <a href=\"https:\/\/www.kff.org\/report-section\/ehbs-2023-section-1-cost-of-health-insurance\/\">surged by 47%<\/a>, resulting in higher out-of-pocket expenses and diminishing company health benefits.<\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: center;\"><strong>Annual Premium Increases for a Family Healthcare Plan<\/strong><\/p>\n<p style=\"text-align: center;\"><strong>2012-2023<\/strong><\/p>\n<p>&nbsp;<\/p>\n<div id=\"attachment_55824\" style=\"width: 1240px\" class=\"wp-caption aligncenter\"><img fetchpriority=\"high\" decoding=\"async\" aria-describedby=\"caption-attachment-55824\" class=\"wp-image-55824 size-full\" style=\"width: 100%;\" src=\"https:\/\/roundstoneinsurance.com\/excelsior\/wp-content\/uploads\/2024\/09\/annual-premium-increases-2012-2023-4.png\" alt=\"annual premium increases 2012-2023\" width=\"1230\" height=\"871\" \/><p id=\"caption-attachment-55824\" class=\"wp-caption-text\"><a href=\"https:\/\/www.kff.org\/report-section\/ehbs-2023-section-1-cost-of-health-insurance\/\"><i><span style=\"font-weight: 400;\">Source: KFF 2023 Employer Health Benefits Survey<\/span><\/i><\/a><\/p><\/div>\n<p>&nbsp;<\/p>\n<p>As traditional employee health insurance premiums become <a href=\"https:\/\/www.statnews.com\/2022\/04\/14\/small-employers-brace-health-insurance-price-hikes\/\">unsustainable<\/a>, business owners are looking for alternatives to fully funded insurance. Self-funding through a group captive is emerging as a more affordable option that provides significant opportunity for cost containment through data transparency and plan flexibility.<\/p>\n<p>&nbsp;<\/p>\n<p>Let\u2019s take a look at the major differences between the two options.<\/p>\n<p>&nbsp;<\/p>\n<h2>Fully Insured vs. Self-Insured Employee Health Plans<\/h2>\n<p>In fully funded employee health insurance plans, the insurer controls cost containment. These fully insured options lack claims data transparency, restricting SMBs\u2019 ability to manage costs. As a result, premiums continue to rise, out-of-pocket expenses increase, and employee health and your business\u2019s bottom line are adversely affected.<\/p>\n<p>&nbsp;<\/p>\n<p><a href=\"https:\/\/roundstoneinsurance.com\/excelsior\/blog\/the-benefits-of-self-funded-health-insurance\/\">Self-funded health insurance<\/a> provides SMBs with a more tailored, data-driven way to manage healthcare costs, offering an alternative to traditional plans. Choosing between self-insured and fully insured health plans can impact your healthcare cost control and overall cost containment strategy.<\/p>\n<p>&nbsp;<\/p>\n<p>Learn how self-insurance impacts cost containment in healthcare, helping you reduce spending and provide better coverage for your employees.<\/p>\n<p>&nbsp;<\/p>\n<p><a href=\"https:\/\/roundstoneinsurance.com\/excelsior\/wp-content\/uploads\/2021\/09\/Is-Your-Company-a-Good-Candidate-for-Group-Captive-Insurance-Checklist.pdf\"><img decoding=\"async\" class=\"aligncenter wp-image-30713 size-full\" style=\"width: 100%;\" src=\"https:\/\/roundstoneinsurance.com\/excelsior\/wp-content\/uploads\/2022\/04\/cta-How-Much-Can-You-Save-with-Captive-Insurance_1800x.jpeg\" alt=\"How-Much-Can-You-Save-with-Captive-Insurance_1800x\" width=\"1800\" height=\"514\" srcset=\"https:\/\/roundstoneinsurance.com\/excelsior\/wp-content\/uploads\/2022\/04\/cta-How-Much-Can-You-Save-with-Captive-Insurance_1800x.jpeg 1800w, https:\/\/roundstoneinsurance.com\/excelsior\/wp-content\/uploads\/2022\/04\/cta-How-Much-Can-You-Save-with-Captive-Insurance_1800x-300x86.jpeg 300w, https:\/\/roundstoneinsurance.com\/excelsior\/wp-content\/uploads\/2022\/04\/cta-How-Much-Can-You-Save-with-Captive-Insurance_1800x-1024x292.jpeg 1024w, https:\/\/roundstoneinsurance.com\/excelsior\/wp-content\/uploads\/2022\/04\/cta-How-Much-Can-You-Save-with-Captive-Insurance_1800x-768x219.jpeg 768w, https:\/\/roundstoneinsurance.com\/excelsior\/wp-content\/uploads\/2022\/04\/cta-How-Much-Can-You-Save-with-Captive-Insurance_1800x-1536x439.jpeg 1536w\" sizes=\"(max-width: 1800px) 100vw, 1800px\" \/><\/a><\/p>\n<p>&nbsp;<\/p>\n<h2>The Challenges of Fully Insured Health Plans<\/h2>\n<p><a href=\"https:\/\/www.kff.org\/health-policy-101-the-regulation-of-private-health-insurance\/?entry=table-of-contents-what-is-private-health-insurance\">Fully insured health plans<\/a> are the traditional approach to buying health insurance. Here\u2019s how they work: your business pays a fixed monthly premium to an insurance carrier covering your employees\u2019 healthcare costs. These premiums stay the same no matter how much or how little your employees use healthcare services.<\/p>\n<p>&nbsp;<\/p>\n<p>It is a \u201cset it and forget it\u201d approach that sounds good on paper but can become unmanageable over time.<\/p>\n<p>&nbsp;<\/p>\n<p>Fully insured company health plans often result in the following challenges for your management team:<\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li aria-level=\"1\"><strong>Fixed costs<\/strong>. You\u2019re locked into fixed premiums, making adjusting spending based on actual healthcare usage difficult. Are your employees taking advantage of benefits like preventive services or well-being programs? With a fully funded plan, you pay for these features even if none of your employees use them.<\/li>\n<li aria-level=\"1\"><strong>Limited flexibility<\/strong>. These employee health benefits plans often don\u2019t allow for customization, leaving you with a one-size-fits-all approach that may not align with your employees\u2019 needs.<\/li>\n<li aria-level=\"1\"><strong>Lack of transparency<\/strong>. Without clear insight into where your money is going, medical cost management can feel like a guessing game. Worse, regardless of the coverage your employees actually use, you will receive price increases every year with no explanation as to why.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h2>The Advantages of Self-Insured Health Plans<\/h2>\n<p>Self-insured health plans redefine traditional healthcare coverage by putting control back in your hands. Instead of paying fixed premiums to an insurance carrier, you only pay for the healthcare services your employees actually use.<\/p>\n<p>&nbsp;<\/p>\n<p>You also benefit from <a href=\"https:\/\/roundstoneinsurance.com\/excelsior\/roundstone-csi-dashboard\/\">health plan transparency<\/a>, which gives you claims data access for action-based insights.<\/p>\n<p>&nbsp;<\/p>\n<p>This approach can save money since you no longer pay for unused services. It\u2019s becoming a popular strategy for cost containment in healthcare; <a href=\"https:\/\/www.kff.org\/report-section\/ehbs-2023-section-10-plan-funding\/\">65% of covered workers<\/a> in 2023 enrolled in a self-funded plan.<\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: center;\"><strong>Percentage of Covered Workers Enrolled in a Self-Funded Plan, by Firm Size, 2023<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p><img decoding=\"async\" class=\"aligncenter size-full wp-image-55825\" style=\"width: 100%;\" src=\"https:\/\/roundstoneinsurance.com\/excelsior\/wp-content\/uploads\/2024\/09\/percentage-of-covered-workers-enrolled-in-a-self-funded-plan-chart-93-percent-5k-or-more-workers-4.png\" alt=\"percentage of covered workers enrolled in a self-funded plan chart 93 percent 5k or more workers\" width=\"1216\" height=\"824\" \/><\/p>\n<p>&nbsp;<\/p>\n<p>Additional advantages of self-insured plans include:<\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li aria-level=\"1\"><strong>Cost savings<\/strong>. You pay only for the services your employees use, avoiding the extra costs associated with unused benefits in traditional plans. Notice an unutilized benefit? Remove it from your plan immediately or replace with more cost-effective options.<\/li>\n<li aria-level=\"1\"><strong>Data transparency<\/strong>. With self-insurance, you have complete access to claims data. Healthcare price transparency allows you to see exactly where your money is going, making it easier to identify trends, manage expenses, and make data-driven decisions about your healthcare strategy.<\/li>\n<li aria-level=\"1\"><strong>Flexibility<\/strong>. Self-insured plans allow you to tailor coverage to the specific needs of your workforce. <a href=\"https:\/\/roundstoneinsurance.com\/excelsior\/blog\/designing-your-group-captive-plan-to-cut-costs-your-way\/\">Design a plan<\/a> that aligns perfectly with your employees\u2019 needs, whether providing specialized <a href=\"https:\/\/roundstoneinsurance.com\/excelsior\/blog\/behavioral-and-mental-health-trends\/\">mental health services<\/a> or better <a href=\"https:\/\/roundstoneinsurance.com\/excelsior\/strategies-to-contain-the-rising-costs-of-pharmacy\/\">prescription coverage<\/a>.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-50661 size-full\" style=\"width: 100%;\" src=\"https:\/\/roundstoneinsurance.com\/excelsior\/wp-content\/uploads\/2023\/11\/employer-and-employee-discussing-self-funded-vs-full-insured-jpg.webp\" alt=\"employer-and-employee-discussing-self-funded-vs-full-insured_Roundstone-Insurance\" width=\"600\" height=\"400\" srcset=\"https:\/\/roundstoneinsurance.com\/excelsior\/wp-content\/uploads\/2023\/11\/employer-and-employee-discussing-self-funded-vs-full-insured-jpg.webp 600w, https:\/\/roundstoneinsurance.com\/excelsior\/wp-content\/uploads\/2023\/11\/employer-and-employee-discussing-self-funded-vs-full-insured-300x200.webp 300w\" sizes=\"(max-width: 600px) 100vw, 600px\" \/><\/p>\n<p>&nbsp;<\/p>\n<h2>How Self-Insurance Supports Healthcare Cost Control<\/h2>\n<p>With self-insurance, you can take a proactive role in <a href=\"https:\/\/roundstoneinsurance.com\/excelsior\/blog\/captive-vs-self-insurance\/\">healthcare cost control<\/a>. In the Roundstone Captive, about <a href=\"https:\/\/roundstoneinsurance.com\/excelsior\/blog\/fixed-vs-variable-group-captive-health-insurance-costs\/\">85% of self-funded insurance costs are variable<\/a>, allowing you to use cost containment strategies to lower expenses as soon as you identify an issue.<\/p>\n<p>&nbsp;<\/p>\n<p>Here are areas where you can make a difference in the cost of your plan with self-funding.<\/p>\n<p>&nbsp;<\/p>\n<table width=\"100%\">\n<thead>\n<tr style=\"background-color: #dd8a61; color: white;\">\n<td>Plan Area<\/td>\n<td>Explanation<\/td>\n<td>Action<\/td>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"background-color: #c6c8c8;\">\n<td><strong>Claims Management<\/strong><\/td>\n<td>Monitor claims data in real-time to identify and address cost drivers, preventing small issues from becoming major expenses.<\/td>\n<td>\n<ul>\n<li>Negotiate directly with providers<\/li>\n<li>Implement wellness programs<\/li>\n<li>Identify high-cost claimants<\/li>\n<li>Adjust coverage based on usage<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td><strong>Plan Design Flexibility<\/strong><\/td>\n<td>Customize your plan to ensure you only pay for what your employees need, reducing waste and cutting unnecessary costs.<\/td>\n<td>\n<ul>\n<li>Remove unused benefits<\/li>\n<li>Focus on preventive care<\/li>\n<li>Add tailored coverage<\/li>\n<li>Offer tiered options<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr style=\"background-color: #c6c8c8;\">\n<td><strong>Plan Partners<\/strong><\/td>\n<td><a href=\"https:\/\/roundstoneinsurance.com\/excelsior\/blog\/what-is-a-tpa\/\">Choose the right Third-Party Administrator (TPA)<\/a> and <a href=\"https:\/\/roundstoneinsurance.com\/excelsior\/blog\/pharmacy-benefit-managers-your-self-funded-plans-secret-weapon\/\">Pharmacy Benefits Manager (PBM)<\/a> to get the best value for your healthcare dollars.<\/td>\n<td>\n<ul>\n<li>Select a TPA with cost-containment expertise<\/li>\n<li>Partner with a PBM that offers competitive pricing<\/li>\n<li>Ensure partners provide actionable data<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td><strong>Vendors and Providers<\/strong><\/td>\n<td>Partner with high-quality vendors and providers to access cost-effective care and innovative tools.<\/td>\n<td>\n<ul>\n<li>Establish Centers of Excellence for specialized care<\/li>\n<li>Use health apps for chronic disease management<\/li>\n<li>Negotiate bundled pricing<\/li>\n<li>Implement <a href=\"https:\/\/roundstoneinsurance.com\/excelsior\/blog\/telehealth-coverage-inspires-trust-in-health-insurance-plans\/\">telehealth services<\/a><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr style=\"background-color: #c6c8c8;\">\n<td><strong>Employee Engagement<\/strong><\/td>\n<td>Involve employees in their healthcare choices to encourage smarter decisions, leading to better health outcomes and lower costs.<\/td>\n<td>\n<ul>\n<li>Offer incentives for using lower-cost services<\/li>\n<li>Educate employees on cost-effective care options<\/li>\n<li>Promote preventive care initiatives<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<h2>How Self-Funding Prioritizes Price Transparency for Cost Containment<\/h2>\n<p>Healthcare price transparency allows employers to manage costs by showing where their money is spent. With clear visibility into spending, companies can identify wasteful expenses and create data-driven strategies to reduce unnecessary costs.<\/p>\n<p>&nbsp;<\/p>\n<p>At Roundstone, our <a href=\"https:\/\/roundstoneinsurance.com\/excelsior\/blog\/roundstone-csi-dashboard-data-analytics-and-healthcare\/\">CSI Dashboard<\/a> provides detailed insights into claims data. You can break down costs by category, provider, and service for a clear understanding of your spending. You can then make changes that lower costs or enhance coverage where needed.<\/p>\n<p>&nbsp;<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-55826\" style=\"width: 100%;\" src=\"https:\/\/roundstoneinsurance.com\/excelsior\/wp-content\/uploads\/2023\/11\/demo-user-CSI-Dashboard.jpg\" alt=\"demo user CSI Dashboard\" width=\"850\" height=\"408\" srcset=\"https:\/\/roundstoneinsurance.com\/excelsior\/wp-content\/uploads\/2023\/11\/demo-user-CSI-Dashboard.jpg 850w, https:\/\/roundstoneinsurance.com\/excelsior\/wp-content\/uploads\/2023\/11\/demo-user-CSI-Dashboard-300x144.jpg 300w, https:\/\/roundstoneinsurance.com\/excelsior\/wp-content\/uploads\/2023\/11\/demo-user-CSI-Dashboard-768x369.jpg 768w\" sizes=\"(max-width: 850px) 100vw, 850px\" \/><\/p>\n<p>&nbsp;<\/p>\n<p>For instance, you can monitor <a href=\"https:\/\/roundstoneinsurance.com\/excelsior\/blog\/prescription-drug-prices\/\">prescription drug spending<\/a> by specific medications or pharmacies or analyze data on high-cost services like urgent care and emergency room visits. Use these insights to negotiate better rates, refine plan designs, and guide employees toward smarter, more cost-effective healthcare decisions.<\/p>\n<p>&nbsp;<\/p>\n<h2>Why Switch to a Roundstone Group Captive Plan?<\/h2>\n<p>Wondering how Roundstone\u2019s self-funded insurance can help you save on healthcare costs? Our self-insured plans give you the tools to manage healthcare expenses with transparency and flexibility. You get real-time access to claims data, so you can make smarter decisions and keep spending in check.<\/p>\n<p>&nbsp;<\/p>\n<p>But what sets Roundstone apart from other group-captive companies? We walk the walk. Our customers, like Totem Solutions, have seen benefits like <a href=\"https:\/\/roundstoneinsurance.com\/excelsior\/blog\/benefits-consultant-totem-solutions\/\">$6,000 in savings the first year<\/a> and zero-dollar deductibles. As an SMB, we joined our own group captive <a href=\"https:\/\/roundstoneinsurance.com\/excelsior\/blog\/roundstones-how-we-avoided-increasing-employee-contributions-for-8-years\/\">eight years ago<\/a>, leading to stable premiums and better benefits for our employees.<\/p>\n<p>&nbsp;<\/p>\n<p>Since 2003, <a href=\"https:\/\/roundstoneinsurance.com\/excelsior\/the-distribution-explained-webinar\/\">we\u2019ve given back $91.8 million<\/a> to participating businesses, with 100% of unspent funds going straight back to clients at the end of the year. On average, members save 20% annually compared to fully insured plans, and many save enough in four years to cover their fifth year of claims. <a href=\"https:\/\/roundstoneinsurance.com\/excelsior\/wp-content\/uploads\/2023\/05\/The-Roundstone-Guarantee-Handout_may2024-1.pdf\">We guarantee<\/a> you\u2019ll save money, full stop.<\/p>\n<p>&nbsp;<\/p>\n<p><em>Want to learn more about fully funded vs self-funded health insurance? <a href=\"https:\/\/roundstoneinsurance.com\/excelsior\/what-your-fully-insured-insurance-carrier-doesnt-want-you-to-know\/?__mscta=3083_92678_13181\">Download the eBook<\/a> that will open your eyes about the disadvantages of traditional employee health insurance. It\u2019s free!<\/em><\/p>\n<p>&nbsp;<\/p>\n<h2>Explore Self-Insured Plans With Roundstone for Better Medical Cost Management<\/h2>\n<p>ROUNDSTONE is an innovative employee health benefits company. We help small and midsize organizations offer competitive benefits at a lower cost by self-funding health insurance through our group medical captive.<\/p>\n<p>&nbsp;<\/p>\n<p>The Roundstone stop-loss captive enables companies to self-insure safely by pooling hundreds of employers together to share risk and save money. With easy onboarding and personalized support every step of the way, the Captive offers control, flexibility, transparency, and returns all savings back to employers where they belong.<\/p>\n<p>&nbsp;<\/p>\n<p>We believe in always aligning with the employers\u2019 best interests and remain committed to our mission \u2014 quality, affordable healthcare benefits and a better life for all.<\/p>\n<p>&nbsp;<\/p>\n<p>Healthcare cost control is essential for businesses looking to maximize their benefits while minimizing expenses.<\/p>\n<p>&nbsp;<\/p>\n<p><a href=\"https:\/\/roundstoneinsurance.com\/excelsior\/contact-us\/\">Speak with Roundstone<\/a> today to learn more about how to make the switch and start saving.<\/p>\n<p>&nbsp;<\/p>\n<p><a href=\"https:\/\/roundstoneinsurance.com\/excelsior\/what-your-fully-insured-insurance-carrier-doesnt-want-you-to-know\/?__mscta=3083_97796_13181\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-28836 size-full\" style=\"width: 100%;\" src=\"https:\/\/roundstoneinsurance.com\/excelsior\/wp-content\/uploads\/2022\/03\/The-guide-that-could-save-you-thousands.jpeg\" alt=\"The-guide-that-could-save-you-thousands\" width=\"1800\" height=\"942\" srcset=\"https:\/\/roundstoneinsurance.com\/excelsior\/wp-content\/uploads\/2022\/03\/The-guide-that-could-save-you-thousands.jpeg 1800w, https:\/\/roundstoneinsurance.com\/excelsior\/wp-content\/uploads\/2022\/03\/The-guide-that-could-save-you-thousands-300x157.jpeg 300w, https:\/\/roundstoneinsurance.com\/excelsior\/wp-content\/uploads\/2022\/03\/The-guide-that-could-save-you-thousands-1024x536.jpeg 1024w, https:\/\/roundstoneinsurance.com\/excelsior\/wp-content\/uploads\/2022\/03\/The-guide-that-could-save-you-thousands-768x402.jpeg 768w, https:\/\/roundstoneinsurance.com\/excelsior\/wp-content\/uploads\/2022\/03\/The-guide-that-could-save-you-thousands-1536x804.jpeg 1536w\" sizes=\"(max-width: 1800px) 100vw, 1800px\" \/><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p class=\"excerpt\">Highlights\u00a0 Cost containment in healthcare is a significant concern for small and midsized companies. Many SMBs are discovering the advantages of transitioning from a fully funded to a self-funded insurance plan. Self-insured (or self-funded) insurance provides financial control, data transparency, flexible plan designs, and stop-loss insurance against high-cost claims. With up to 85% in variable [&hellip;]<\/p>\n","protected":false},"author":27,"featured_media":50663,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1827],"tags":[],"class_list":["post-50660","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-employers"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v22.8 (Yoast SEO v25.6) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Self-Insured vs. Fully Insured Employee Health Benefits: How Do They Differ? | Roundstone Insurance<\/title>\n<meta name=\"description\" content=\"Learn how self-insurance offers opportunities for cost containment in healthcare compared to fully insured plans.\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Self-Insured vs. Fully Insured Employee Health Benefits: How Do They Differ?\" \/>\n<meta property=\"og:description\" content=\"Learn how self-insurance offers opportunities for cost containment in healthcare compared to fully insured plans.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/roundstoneinsurance.com\/excelsior\/blog\/self-insured-vs-fully-insured\/\" \/>\n<meta property=\"og:site_name\" content=\"Roundstone Insurance\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/RoundstoneInsurance\" \/>\n<meta property=\"article:published_time\" content=\"2024-09-10T04:00:11+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-09-11T17:02:07+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/roundstoneinsurance.com\/excelsior\/wp-content\/uploads\/2023\/11\/self-insured-vs-fully-insured-social-graphic.webp\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"628\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/webp\" \/>\n<meta name=\"author\" content=\"Roundstone Team\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:description\" content=\"Discover the differences between self-insured vs fully insured to find out which type of coverage is best for your small to midsize business.\" \/>\n<meta name=\"twitter:image\" content=\"https:\/\/roundstoneinsurance.com\/excelsior\/wp-content\/uploads\/2023\/11\/self-insured-vs-fully-insured-social-graphic.webp\" \/>\n<meta name=\"twitter:creator\" content=\"@CaptiveInsurer\" \/>\n<meta name=\"twitter:site\" content=\"@CaptiveInsurer\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Roundstone Team\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"8 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/roundstoneinsurance.com\/excelsior\/blog\/self-insured-vs-fully-insured\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/roundstoneinsurance.com\/excelsior\/blog\/self-insured-vs-fully-insured\/\"},\"author\":{\"name\":\"Roundstone Team\",\"@id\":\"https:\/\/roundstoneinsurance.com\/excelsior\/#\/schema\/person\/28d7b1c151e45ae842e7bcf599d09a53\"},\"headline\":\"Self-Insured vs. Fully Insured Employee Health Benefits: How Do They Differ?\",\"datePublished\":\"2024-09-10T04:00:11+00:00\",\"dateModified\":\"2024-09-11T17:02:07+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/roundstoneinsurance.com\/excelsior\/blog\/self-insured-vs-fully-insured\/\"},\"wordCount\":1527,\"publisher\":{\"@id\":\"https:\/\/roundstoneinsurance.com\/excelsior\/#organization\"},\"image\":{\"@id\":\"https:\/\/roundstoneinsurance.com\/excelsior\/blog\/self-insured-vs-fully-insured\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/roundstoneinsurance.com\/excelsior\/wp-content\/uploads\/2023\/11\/self-insured-vs-fully-insured-shown-visually-with-coin-stacks-jpg.webp\",\"articleSection\":[\"Employers\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/roundstoneinsurance.com\/excelsior\/blog\/self-insured-vs-fully-insured\/\",\"url\":\"https:\/\/roundstoneinsurance.com\/excelsior\/blog\/self-insured-vs-fully-insured\/\",\"name\":\"Self-Insured vs. Fully Insured Employee Health Benefits: How Do They Differ? | Roundstone Insurance\",\"isPartOf\":{\"@id\":\"https:\/\/roundstoneinsurance.com\/excelsior\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/roundstoneinsurance.com\/excelsior\/blog\/self-insured-vs-fully-insured\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/roundstoneinsurance.com\/excelsior\/blog\/self-insured-vs-fully-insured\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/roundstoneinsurance.com\/excelsior\/wp-content\/uploads\/2023\/11\/self-insured-vs-fully-insured-shown-visually-with-coin-stacks-jpg.webp\",\"datePublished\":\"2024-09-10T04:00:11+00:00\",\"dateModified\":\"2024-09-11T17:02:07+00:00\",\"description\":\"Learn how self-insurance offers opportunities for cost containment in healthcare compared to fully insured plans.\",\"breadcrumb\":{\"@id\":\"https:\/\/roundstoneinsurance.com\/excelsior\/blog\/self-insured-vs-fully-insured\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/roundstoneinsurance.com\/excelsior\/blog\/self-insured-vs-fully-insured\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/roundstoneinsurance.com\/excelsior\/blog\/self-insured-vs-fully-insured\/#primaryimage\",\"url\":\"https:\/\/roundstoneinsurance.com\/excelsior\/wp-content\/uploads\/2023\/11\/self-insured-vs-fully-insured-shown-visually-with-coin-stacks-jpg.webp\",\"contentUrl\":\"https:\/\/roundstoneinsurance.com\/excelsior\/wp-content\/uploads\/2023\/11\/self-insured-vs-fully-insured-shown-visually-with-coin-stacks-jpg.webp\",\"width\":1800,\"height\":1200,\"caption\":\"self-insured vs fully insured shown visually with coin stacks\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/roundstoneinsurance.com\/excelsior\/blog\/self-insured-vs-fully-insured\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/roundstoneinsurance.com\/excelsior\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Self-Insured vs. Fully Insured Employee Health Benefits: How Do They Differ?\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/roundstoneinsurance.com\/excelsior\/#website\",\"url\":\"https:\/\/roundstoneinsurance.com\/excelsior\/\",\"name\":\"Roundstone Insurance\",\"description\":\"Better Benefits. Better Life.\",\"publisher\":{\"@id\":\"https:\/\/roundstoneinsurance.com\/excelsior\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/roundstoneinsurance.com\/excelsior\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/roundstoneinsurance.com\/excelsior\/#organization\",\"name\":\"Roundstone Insurance\",\"url\":\"https:\/\/roundstoneinsurance.com\/excelsior\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/roundstoneinsurance.com\/excelsior\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/i0.wp.com\/roundstoneinsurance.com\/wp-content\/uploads\/2020\/01\/NEW-Roundstone-Primary-Logo_Navy.jpg?fit=600%2C104&ssl=1\",\"contentUrl\":\"https:\/\/i0.wp.com\/roundstoneinsurance.com\/wp-content\/uploads\/2020\/01\/NEW-Roundstone-Primary-Logo_Navy.jpg?fit=600%2C104&ssl=1\",\"width\":\"600\",\"height\":\"104\",\"caption\":\"Roundstone Insurance\"},\"image\":{\"@id\":\"https:\/\/roundstoneinsurance.com\/excelsior\/#\/schema\/logo\/image\/\"},\"sameAs\":[\"https:\/\/www.facebook.com\/RoundstoneInsurance\",\"https:\/\/x.com\/CaptiveInsurer\",\"https:\/\/www.linkedin.com\/company\/roundstone\/\"]},{\"@type\":\"Person\",\"@id\":\"https:\/\/roundstoneinsurance.com\/excelsior\/#\/schema\/person\/28d7b1c151e45ae842e7bcf599d09a53\",\"name\":\"Roundstone Team\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/roundstoneinsurance.com\/excelsior\/#\/schema\/person\/image\/\",\"url\":\"https:\/\/roundstoneinsurance.com\/excelsior\/wp-content\/uploads\/2020\/11\/cropped-NEW-Roundstone-Partial-Logo_Navy.png\",\"contentUrl\":\"https:\/\/roundstoneinsurance.com\/excelsior\/wp-content\/uploads\/2020\/11\/cropped-NEW-Roundstone-Partial-Logo_Navy.png\",\"caption\":\"Roundstone Team\"},\"description\":\"Founded in 2003, Roundstone came together because of a shared belief that they could help employers adopt a different approach and positively impact bottom-line results.\"}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"Self-Insured vs. Fully Insured Employee Health Benefits: How Do They Differ? | Roundstone Insurance","description":"Learn how self-insurance offers opportunities for cost containment in healthcare compared to fully insured plans.","robots":{"index":"noindex","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"og_locale":"en_US","og_type":"article","og_title":"Self-Insured vs. Fully Insured Employee Health Benefits: How Do They Differ?","og_description":"Learn how self-insurance offers opportunities for cost containment in healthcare compared to fully insured plans.","og_url":"https:\/\/roundstoneinsurance.com\/excelsior\/blog\/self-insured-vs-fully-insured\/","og_site_name":"Roundstone Insurance","article_publisher":"https:\/\/www.facebook.com\/RoundstoneInsurance","article_published_time":"2024-09-10T04:00:11+00:00","article_modified_time":"2024-09-11T17:02:07+00:00","og_image":[{"width":1200,"height":628,"url":"https:\/\/roundstoneinsurance.com\/excelsior\/wp-content\/uploads\/2023\/11\/self-insured-vs-fully-insured-social-graphic.webp","type":"image\/webp"}],"author":"Roundstone Team","twitter_card":"summary_large_image","twitter_description":"Discover the differences between self-insured vs fully insured to find out which type of coverage is best for your small to midsize business.","twitter_image":"https:\/\/roundstoneinsurance.com\/excelsior\/wp-content\/uploads\/2023\/11\/self-insured-vs-fully-insured-social-graphic.webp","twitter_creator":"@CaptiveInsurer","twitter_site":"@CaptiveInsurer","twitter_misc":{"Written by":"Roundstone Team","Est. reading time":"8 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/roundstoneinsurance.com\/excelsior\/blog\/self-insured-vs-fully-insured\/#article","isPartOf":{"@id":"https:\/\/roundstoneinsurance.com\/excelsior\/blog\/self-insured-vs-fully-insured\/"},"author":{"name":"Roundstone Team","@id":"https:\/\/roundstoneinsurance.com\/excelsior\/#\/schema\/person\/28d7b1c151e45ae842e7bcf599d09a53"},"headline":"Self-Insured vs. Fully Insured Employee Health Benefits: How Do They Differ?","datePublished":"2024-09-10T04:00:11+00:00","dateModified":"2024-09-11T17:02:07+00:00","mainEntityOfPage":{"@id":"https:\/\/roundstoneinsurance.com\/excelsior\/blog\/self-insured-vs-fully-insured\/"},"wordCount":1527,"publisher":{"@id":"https:\/\/roundstoneinsurance.com\/excelsior\/#organization"},"image":{"@id":"https:\/\/roundstoneinsurance.com\/excelsior\/blog\/self-insured-vs-fully-insured\/#primaryimage"},"thumbnailUrl":"https:\/\/roundstoneinsurance.com\/excelsior\/wp-content\/uploads\/2023\/11\/self-insured-vs-fully-insured-shown-visually-with-coin-stacks-jpg.webp","articleSection":["Employers"],"inLanguage":"en-US"},{"@type":"WebPage","@id":"https:\/\/roundstoneinsurance.com\/excelsior\/blog\/self-insured-vs-fully-insured\/","url":"https:\/\/roundstoneinsurance.com\/excelsior\/blog\/self-insured-vs-fully-insured\/","name":"Self-Insured vs. Fully Insured Employee Health Benefits: How Do They Differ? | Roundstone Insurance","isPartOf":{"@id":"https:\/\/roundstoneinsurance.com\/excelsior\/#website"},"primaryImageOfPage":{"@id":"https:\/\/roundstoneinsurance.com\/excelsior\/blog\/self-insured-vs-fully-insured\/#primaryimage"},"image":{"@id":"https:\/\/roundstoneinsurance.com\/excelsior\/blog\/self-insured-vs-fully-insured\/#primaryimage"},"thumbnailUrl":"https:\/\/roundstoneinsurance.com\/excelsior\/wp-content\/uploads\/2023\/11\/self-insured-vs-fully-insured-shown-visually-with-coin-stacks-jpg.webp","datePublished":"2024-09-10T04:00:11+00:00","dateModified":"2024-09-11T17:02:07+00:00","description":"Learn how self-insurance offers opportunities for cost containment in healthcare compared to fully insured plans.","breadcrumb":{"@id":"https:\/\/roundstoneinsurance.com\/excelsior\/blog\/self-insured-vs-fully-insured\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/roundstoneinsurance.com\/excelsior\/blog\/self-insured-vs-fully-insured\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/roundstoneinsurance.com\/excelsior\/blog\/self-insured-vs-fully-insured\/#primaryimage","url":"https:\/\/roundstoneinsurance.com\/excelsior\/wp-content\/uploads\/2023\/11\/self-insured-vs-fully-insured-shown-visually-with-coin-stacks-jpg.webp","contentUrl":"https:\/\/roundstoneinsurance.com\/excelsior\/wp-content\/uploads\/2023\/11\/self-insured-vs-fully-insured-shown-visually-with-coin-stacks-jpg.webp","width":1800,"height":1200,"caption":"self-insured vs fully insured shown visually with coin stacks"},{"@type":"BreadcrumbList","@id":"https:\/\/roundstoneinsurance.com\/excelsior\/blog\/self-insured-vs-fully-insured\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/roundstoneinsurance.com\/excelsior\/"},{"@type":"ListItem","position":2,"name":"Self-Insured vs. Fully Insured Employee Health Benefits: How Do They Differ?"}]},{"@type":"WebSite","@id":"https:\/\/roundstoneinsurance.com\/excelsior\/#website","url":"https:\/\/roundstoneinsurance.com\/excelsior\/","name":"Roundstone Insurance","description":"Better Benefits. Better Life.","publisher":{"@id":"https:\/\/roundstoneinsurance.com\/excelsior\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/roundstoneinsurance.com\/excelsior\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/roundstoneinsurance.com\/excelsior\/#organization","name":"Roundstone Insurance","url":"https:\/\/roundstoneinsurance.com\/excelsior\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/roundstoneinsurance.com\/excelsior\/#\/schema\/logo\/image\/","url":"https:\/\/i0.wp.com\/roundstoneinsurance.com\/wp-content\/uploads\/2020\/01\/NEW-Roundstone-Primary-Logo_Navy.jpg?fit=600%2C104&ssl=1","contentUrl":"https:\/\/i0.wp.com\/roundstoneinsurance.com\/wp-content\/uploads\/2020\/01\/NEW-Roundstone-Primary-Logo_Navy.jpg?fit=600%2C104&ssl=1","width":"600","height":"104","caption":"Roundstone Insurance"},"image":{"@id":"https:\/\/roundstoneinsurance.com\/excelsior\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/RoundstoneInsurance","https:\/\/x.com\/CaptiveInsurer","https:\/\/www.linkedin.com\/company\/roundstone\/"]},{"@type":"Person","@id":"https:\/\/roundstoneinsurance.com\/excelsior\/#\/schema\/person\/28d7b1c151e45ae842e7bcf599d09a53","name":"Roundstone Team","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/roundstoneinsurance.com\/excelsior\/#\/schema\/person\/image\/","url":"https:\/\/roundstoneinsurance.com\/excelsior\/wp-content\/uploads\/2020\/11\/cropped-NEW-Roundstone-Partial-Logo_Navy.png","contentUrl":"https:\/\/roundstoneinsurance.com\/excelsior\/wp-content\/uploads\/2020\/11\/cropped-NEW-Roundstone-Partial-Logo_Navy.png","caption":"Roundstone Team"},"description":"Founded in 2003, Roundstone came together because of a shared belief that they could help employers adopt a different approach and positively impact bottom-line results."}]}},"jetpack_featured_media_url":"https:\/\/roundstoneinsurance.com\/excelsior\/wp-content\/uploads\/2023\/11\/self-insured-vs-fully-insured-shown-visually-with-coin-stacks-jpg.webp","_links":{"self":[{"href":"https:\/\/roundstoneinsurance.com\/excelsior\/wp-json\/wp\/v2\/posts\/50660"}],"collection":[{"href":"https:\/\/roundstoneinsurance.com\/excelsior\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/roundstoneinsurance.com\/excelsior\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/roundstoneinsurance.com\/excelsior\/wp-json\/wp\/v2\/users\/27"}],"replies":[{"embeddable":true,"href":"https:\/\/roundstoneinsurance.com\/excelsior\/wp-json\/wp\/v2\/comments?post=50660"}],"version-history":[{"count":10,"href":"https:\/\/roundstoneinsurance.com\/excelsior\/wp-json\/wp\/v2\/posts\/50660\/revisions"}],"predecessor-version":[{"id":55857,"href":"https:\/\/roundstoneinsurance.com\/excelsior\/wp-json\/wp\/v2\/posts\/50660\/revisions\/55857"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/roundstoneinsurance.com\/excelsior\/wp-json\/wp\/v2\/media\/50663"}],"wp:attachment":[{"href":"https:\/\/roundstoneinsurance.com\/excelsior\/wp-json\/wp\/v2\/media?parent=50660"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/roundstoneinsurance.com\/excelsior\/wp-json\/wp\/v2\/categories?post=50660"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/roundstoneinsurance.com\/excelsior\/wp-json\/wp\/v2\/tags?post=50660"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}