Case Study #1.

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An employer with 125 employees and 385 total members decided in 2006 to transition to a self-funded plan with stop-loss insurance and other risk management. 20 years later:

  • The plan sponsored saved $7.1 million in what they would have paid the same insurance company in fully insured premiums.
  • The plan sponsored received $947,332 in prescription rebates.
  • Employee payroll deductions have remained stable for the past 10 years.
  • Plan design has remained the same, except for one minor change, and the per-member out-of-pocket limit has not changed in 20 years.