Employers face an ongoing challenge to provide comprehensive health care benefits for employees while managing costs. Traditional fully insured health plans have long been the standard, but an increasing number of employers are turning to self-funded health plans as a strategic solution to take greater control of their health care spend. With fully insured employee benefit plans, employers pay a predetermined premium for each enrollee on a monthly basis. Premiums remain flat whether or not enrollees actually receive services. With self-funded plans, an employer applies a pay-as-you-go approach, paying claims expenses as they are incurred by members on an established schedule. Self-funding your health plan can have many advantages, but there are factors to consider when making a change to a self-insured arrangement. Let us help break it down for you. Read on to learn about the concerns and realities of self-funded plans.