Glossary · Benefits
Fully Insured Health Plan
A health plan in which the employer pays a fixed premium and the insurance carrier assumes all claim-cost risk.
All terms
Entravia Editorial
Fully-insured plans are simpler to administer and budget but offer less flexibility and typically higher long-term cost than self-insured alternatives for healthier groups. State-mandated benefits and small-group ACA rating rules apply.
PEO master plans are usually self-insured or level-funded; an employer evaluating a move into a PEO should compare current fully-insured economics to the projected PEO master-plan position carefully.
Related terms
- Self-Insured (Self-Funded) Health PlanA health plan in which the employer assumes the financial risk of providing benefits, typically with stop-loss insurance to cap exposure.
- Level-Funded Health PlanA self-funded plan structured with predictable monthly payments that cover expected claims, administration, and stop-loss premium.
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