HR Solutions & Brokerage  /  Workshop Sheet Licensed in 21 states and D.C. 1-877-237-7654
Plate 01 · Employer health funding

We engineer benefits.
Then we show you the drawings.

Most employers are shown two funding structures and told the renewal is the market. There are five. We measure all five against your census and your budget, then show the working: where the money goes, who carries the risk, and why one fits your group better than the others.

Paid by insurance carriers on what you choose to buy. No fee for the review.

Plate A · Five structures, one axis Read left to right: who carries the claims risk
Plate A — Five funding structures, one axis An axis of who carries the claims risk, from carrier on the left to employer on the right. Fully insured, level funded and self-funded ASO sit on the axis; most renewals only compare the first two. ICHRA and PEO sit below the axis because they are not points on it: ICHRA is an allowance rather than a group plan, and a PEO is someone else's plan and master contract. PLATE A · FIVE FUNDING STRUCTURES, ONE AXIS Ø NOT TO SCALE Carrier keeps the premium and the claims risk. L1 FULLY INSURED Fixed monthly cost, a stop-loss corridor, and a possible year-end refund. L2 LEVEL FUNDED Employer pays claims as incurred. Carrier administers; stop-loss sits behind it. L3 SELF-FUNDED ASO WHERE MOST RENEWALS STOP ← CARRIER CARRIES THE CLAIMS RISK EMPLOYER CARRIES THE CLAIMS RISK → OFF-AXIS · NOT A POINT ON THE RISK LINE L4 ICHRA Not a group plan. An allowance, and employees buy individual coverage. L5 PEO Not a funding lane. Someone else's plan and someone else's master contract. THREE LANES ON THE AXIS · TWO OFF IT · ONE FINDING FUNDINGIQ → FIVE QUESTIONS · FOUR MINUTES

Three lanes sit on the risk axis. Two sit off it.

Fully insured, level funded and self-funded are three different answers to the same question: who carries the claims risk, and who keeps a good year. ICHRA and a PEO are not stops on that axis at all. One is an allowance instead of a group plan; the other is someone else's plan and someone else's master contract.

Most renewals compare two points on the left of that axis. The working usually starts when a group sees the right half of the drawing.

How the finding is made
  • Five questions, about four minutes.
  • The output is a lane, the signals that put you there, and the questions to ask next.
  • No premium is quoted inside the tool. Quoting is a person-led step on your census.
Run the diagnostic
Detail A  ·  The three bills

The company pays three of them. None appears as a line item on a renewal.

The renewal is only one of the three bills.

A renewal quotes one number and implies it is the whole cost. It is not. Two other bills arrive on the employer's side of the desk, and neither one gets argued about with numbers.

Bill one

The renewal

The premium increase that arrives whether or not your claims earned it. It gets quoted as a percentage and argued as a feeling. Which of the five lanes you sit in decides who absorbs a bad year and who keeps a good one.

Compare the five lanes →
Bill two

The compliance bill

The one with a due date and a penalty behind it: COBRA notices, plan documents, filing and testing deadlines. The paperwork was never the cost. The failure is.

What we own, and when →
Bill three

The exit bill

Two exits most employers eventually pay for: unwinding a PEO or co-employment arrangement, and the Medicare handoff for a long-tenured employee. Both get planned, or both get paid for.

How the handoff works →
Detail B  ·  Instruments

What is live, what is in build, and what stays inside our process.

Tools, each built around one question.

InstrumentStatusThe question it answers
FundingIQLiveWhich of the five funding lanes does this plan resemble, and what would a different one change?
BenchmarkIQIn buildHow does this plan design compare against published small-group benchmarks?
Form 5500 and Schedule A reviewInternalWhat do the filings say about the plan, and where does the money actually go?
Plan document critiqueInternalWhere does the fine print differ from what the group thinks it bought?
Census-based quoting and renewal modelingInternalWhat does each lane cost on your actual population, not an average?
What is not on this site

No form here collects a census, claims data or health information. The diagnostic runs on five questions; quoting is a separate, person-led step that starts with your census file.

We also do not sell a lane. If the finding says you are already in the right structure, that is the finding, and the next step is usually nothing.

Get the census template
Detail C  ·  Sequence

Three steps. The first two cost nothing and do not require your census.

How this usually goes.

Step 01

The diagnostic

Five questions, four minutes, one lane finding. You see the signals that put you there before anyone talks to you.

Step 02

The fit check

A short call to confirm the finding and the goal. If the answer is that nothing should change this year, we say so on that call.

Step 03

The review

Your census and current plan documents, all five lanes priced against your population, and the working shown in writing.

Before you sign this year's renewal, see what the other four lanes would do.

The diagnostic is free and takes four minutes. If the finding is worth acting on, the next step is a short call. If it is not, you have lost four minutes and no one calls you.

Run FundingIQ 1-877-237-7654

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