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Small employers are fleeing from fully insured market, analyst tells regulators

State insurance commissioners see “level-funded” plans – hybrid self-insured plans – pulling covered lives away.

By Allison Bell | December 02, 2024 at 08:52 AM
Credit: ra2studio/Shutterstock

Roughly 40% of employers with three to 99 employees are escaping from the fully insured small-group health insurance market by using level-funded plans, an analyst told state insurance regulators earlier this month in Denver.

In 2018, fewer than 10% of small firms had level-funded health plans, according to Kelly Edmiston, policy research manager at the National Association of Insurance Commissioners’ Center for Insurance Policy and Research.

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