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Self-funded health plans were traditionally something only large employers considered – those with at least 500 employees. But that's no longer the case. Advancements in underwriting and risk management technologies and metrics mean that smaller businesses can now realize the cost savings and improved employee satisfaction previously reserved for larger organizations.

With self-funding, unlike fully insured plans, the employer pays providers directly for employee health care claims via a third-party administrator (TPA), with what is called stop-loss insurance to protect itself from runaway costs, rather than paying a premium to an insurance company to both underwrite and administer their plan.

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