You Don't Control Your Own Destiny with a Fully Insured Plan

You Don't Control Your Own Destiny with a Fully Insured Plan

The benefits game is rigged, and it's time employers faced the truth about what's really happening with their health insurance dollars.

Every single year, carriers operate under the same assumption: they're going to make money on your plan. Yet every single year, they're also raising your rates. Think about that for a moment. If they made money last year (and trust me, they did), why are they still hiking your premiums?

The Fully Insured Illusion

With fully insured health plans you're flying blind. You have no insight into where your money goes, no data about your actual claims, and zero control over your own destiny. You're essentially writing a check and hoping for the best while carriers profit year after year.

The truth is, carriers will make money on you this year, next year, and the year after that. It's a guaranteed win for them and a guaranteed loss of control for you.

Why Brokers Keep You in the Dark

Most benefits advisors won't tell you this because it's easier to push the easy button. They'll negotiate a "lower" increase and pat themselves on the back, but they're not addressing the fundamental problem: you're making the carriers rich while limiting your own options.

Here's what 95% of advisors won't do:

  • Question the status quo
  • Challenge carrier assumptions
  • Educate you on alternative funding options
  • Put their own fees at risk for better outcomes

They're either too lazy, too greedy, or simply don't understand the market well enough to guide you toward real solutions.

The Alternative Funding Reality

Is alternative funding more complicated than fully insured? Absolutely. But if you want to be a responsible fiduciary for your business, you need to take control and get educated.

With alternative funding strategies like self-funding, you gain:

  • Transparency into your actual claims data
  • Control over plan design and vendor selection
  • Potential savings from reduced carrier profit margins
  • Flexibility to adapt based on your workforce needs

If you're receiving consistently low increases in the fully insured world, that's actually a red flag. It likely means you're a profitable account that should be self-funding instead of enriching carrier bottom lines.

Your second or third largest business expenditure deserves more than a spreadsheet comparison and a pat on the head when rates only go up 8% instead of 12%.

Take Back Control

The healthcare market won't fix itself, and carriers won't suddenly start prioritizing your interests over their profits. You need a partner who's willing to roll up their sleeves, design a plan aligned with your objectives, and put their fees at risk for results.

Stop accepting the status quo. Stop letting others control your destiny.

DM me for more information about how alternative funding can put you back in the driver's seat of your benefits program.


The time for accepting "that's just how insurance works" is over. Your business deserves better, and your employees deserve a benefits strategy built for your success, not carrier profits.

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