Vince was hired to help an employer with 105 employees over two locations and profit centers to transition to a self-funded plan with stop-loss insurance and other risk management. An independent pass-through PBM was selected along with a high-performing medical provider network. 10 years later:
- Each location contributes a monthly accrual payment “premium” to a centralized bank account. All plan expenses and revenue source flow in and out of this account.
- Benefits were improved 10 years ago. Some benefit enhancements have been implemented, while the per-member out-of-pocket limit has remained unchanged for 10 years.
The health plan bank account had a balance of $542,000 as of the beginning of 2026. Previous account balances exceeded $760,000 several years ago.
