Georgia Health-Plan Funding Guide

Georgia 2026 funding analysis (archived)

Plan year 2026 · archived results View the Georgia 2027 analysis

Compare your options based on what matters most: Year 1 cost, five-year savings, and the likelihood of outperforming Fully Insured.

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10 Employees

GA 10-employee health plan funding analysis · 2026

Modeled with Benefitra's average client savings assumptions, 2,000 Monte Carlo runs, and 2026 Georgia market rates.

Choose another size ↑Blackwell underwriter reviewed and validated

Chance of beating Fully Insured over five years

PEO94%
Level-Funded79%
Taft-Hartley2%

Five-year median and percentile savings vs staying Fully Insured

PEO $120,102
Level-Funded $99,153
Taft-Hartley −$33,979

5th to 95th percentile 25th to 75th Median

PEO 94% chance of beating Fully Insured
$120,102
median five-year savings
+20% expected savings
5th−$12,81725th$77,036 75th$148,22995th$173,955
Level-Funded 79% chance of beating Fully Insured
$99,153
median five-year savings
+11% expected savings
5th−$184,77925th$23,272 75th$130,41095th$149,852
With additional cost containment: $114K to $206K more potential savings; win rate rises to ~95%.
Taft-Hartley 2% chance of beating Fully Insured
−$33,979
median five-year savings
-6% expected savings
5th−$57,01525th−$42,970 75th−$23,55495th−$7,829
Fixed · nationwide · transparent pricing Get your Taft-Hartley rate →
Fully Insured today: ~$748 per employee/month is the baseline. Every savings figure above is measured against it.$0 saved
Day-one and five-year context
Lowest modeled day-one costPEO · ~28% cheaper
Highest modeled five-year medianPEO · $120,102

These are separate measures, not a recommendation or a single “best” pick. Probability, downside range, eligibility, administration, and risk tolerance also matter.

Cost containment: Reference-Based Pricing · Cash Pay · Centers of Excellence · Specialty Rx Management · Care Navigation · High-Cost Dialysis Carve-Out · Direct Primary Care. Most strategies do not affect employees’ provider access or care.

Illustrative profile: Average age (~42), average health, state-adjusted premium, and approximately 10 enrolled employees. Actual quotes and underwriting can materially change results.

30 Employees

GA 30-employee health plan funding analysis · 2026

Modeled with Benefitra's average client savings assumptions, 2,000 Monte Carlo runs, and 2026 Georgia market rates.

Choose another size ↑Blackwell underwriter reviewed and validated

Chance of beating Fully Insured over five years

PEO94%
Level-Funded90%
Self-Funded Captive93%
Taft-Hartley2%

Five-year median and percentile savings vs staying Fully Insured

PEO $360,307
Level-Funded $436,168
Self-Funded Captive $402,736
Taft-Hartley −$101,936

5th to 95th percentile 25th to 75th Median

PEO 94% chance of beating Fully Insured
$360,307
median five-year savings
+20% expected savings
5th−$38,45125th$231,108 75th$444,68695th$521,864
Level-Funded 90% chance of beating Fully Insured
$436,168
median five-year savings
+22% expected savings
5th−$198,61625th$275,891 75th$506,77595th$564,167
With additional cost containment: $290K to $460K more potential savings; win rate rises to ~99%.
Self-Funded Captive 93% chance of beating Fully Insured
$402,736
median five-year savings
+22% expected savings
5th−$66,97725th$270,395 75th$480,66495th$553,660
With additional cost containment: $297K to $425K more potential savings; win rate rises to ~99%.
Taft-Hartley 2% chance of beating Fully Insured
−$101,936
median five-year savings
-6% expected savings
5th−$171,04625th−$128,909 75th−$70,66295th−$23,488
Fixed · nationwide · transparent pricing Get your Taft-Hartley rate →
Fully Insured today: ~$748 per employee/month is the baseline. Every savings figure above is measured against it.$0 saved
Day-one and five-year context
Lowest modeled day-one costPEO · ~28% cheaper
Highest modeled five-year medianLevel-Funded · $436,168

These are separate measures, not a recommendation or a single “best” pick. Probability, downside range, eligibility, administration, and risk tolerance also matter.

Cost containment: Reference-Based Pricing · Cash Pay · Centers of Excellence · Specialty Rx Management · Care Navigation · High-Cost Dialysis Carve-Out · Direct Primary Care. Most strategies do not affect employees’ provider access or care.

Illustrative profile: Average age (~42), average health, state-adjusted premium, and approximately 30 enrolled employees. Actual quotes and underwriting can materially change results.

70 Employees

GA 70-employee health plan funding analysis · 2026

Modeled with conservative assumptions, 2,000 Monte Carlo runs, and 2026 Georgia market rates.

Choose another size ↑Blackwell underwriter reviewed and validated

Chance of beating Fully Insured over five years

PEO42%
Level-Funded92%
Self-Funded Captive100%
Taft-Hartley27%

Five-year median and percentile savings vs staying Fully Insured

PEO −$131,644
Level-Funded $319,925
Self-Funded Captive $462,517
Taft-Hartley −$367,182

5th to 95th percentile 25th to 75th Median

PEO 42% chance of beating Fully Insured
−$131,644
median five-year savings
-5% expected savings
5th−$1,342,73625th−$538,669 75th$323,26495th$1,355,246
Level-Funded 92% chance of beating Fully Insured
$319,925
median five-year savings
+11% expected savings
5th−$128,68925th$179,395 75th$560,78095th$1,334,394
With additional cost containment: $790K to $1.16M more potential savings; win rate rises to ~100%.
Self-Funded Captive 100% chance of beating Fully Insured
$462,517
median five-year savings
+15% expected savings
5th$192,80725th$321,912 75th$709,30595th$1,497,687
With additional cost containment: $763K to $1.01M more potential savings; win rate rises to ~100%.
Taft-Hartley 27% chance of beating Fully Insured
−$367,182
median five-year savings
-8% expected savings
5th−$878,27025th−$633,903 75th$59,30595th$1,057,841
Fixed · nationwide · transparent pricing Get your Taft-Hartley rate →
Fully Insured today: ~$748 per employee/month is the baseline. Every savings figure above is measured against it.$0 saved
Day-one and five-year context
Lowest modeled day-one costSelf-Funded Captive · ~11% cheaper
Highest modeled five-year medianSelf-Funded Captive · $462,517

These are separate measures, not a recommendation or a single “best” pick. Probability, downside range, eligibility, administration, and risk tolerance also matter.

Cost containment: Reference-Based Pricing · Cash Pay · Centers of Excellence · Specialty Rx Management · Care Navigation · High-Cost Dialysis Carve-Out · Direct Primary Care. Most strategies do not affect employees’ provider access or care.

Illustrative profile: Average age (~42), average health, state-adjusted premium, and approximately 70 enrolled employees. Actual quotes and underwriting can materially change results.

150 Employees

GA 150-employee health plan funding analysis · 2026

Modeled with conservative assumptions, 2,000 Monte Carlo runs, and 2026 Georgia market rates.

Choose another size ↑Blackwell underwriter reviewed and validated

Chance of beating Fully Insured over five years

PEO35%
Self-Funded96%
Self-Funded Captive100%
Taft-Hartley30%

Five-year median and percentile savings vs staying Fully Insured

PEO −$583,534
Self-Funded $1,047,234
Self-Funded Captive $1,101,411
Taft-Hartley −$705,484

5th to 95th percentile 25th to 75th Median

PEO 35% chance of beating Fully Insured
−$583,534
median five-year savings
-9% expected savings
5th−$3,432,47125th−$1,571,955 75th$466,18295th$2,937,934
Self-Funded 96% chance of beating Fully Insured
$1,047,234
median five-year savings
+15% expected savings
5th$86,13125th$708,178 75th$1,514,08295th$2,971,699
With additional cost containment: $1.65M to $2.53M more potential savings; win rate rises to ~100%.
Self-Funded Captive 100% chance of beating Fully Insured
$1,101,411
median five-year savings
+17% expected savings
5th$544,89025th$801,932 75th$1,618,67095th$3,225,083
With additional cost containment: $1.65M to $2.19M more potential savings; win rate rises to ~100%.
Taft-Hartley 30% chance of beating Fully Insured
−$705,484
median five-year savings
-7% expected savings
5th−$2,045,20825th−$1,372,608 75th$316,18795th$2,638,549
Fixed · nationwide · transparent pricing Get your Taft-Hartley rate →
Fully Insured today: ~$748 per employee/month is the baseline. Every savings figure above is measured against it.$0 saved
Day-one and five-year context
Lowest modeled day-one costSelf-Funded · ~12% cheaper
Highest modeled five-year medianSelf-Funded Captive · $1,101,411

These are separate measures, not a recommendation or a single “best” pick. Probability, downside range, eligibility, administration, and risk tolerance also matter.

Cost containment: Reference-Based Pricing · Cash Pay · Centers of Excellence · Specialty Rx Management · Care Navigation · High-Cost Dialysis Carve-Out · Direct Primary Care. Most strategies do not affect employees’ provider access or care.

Illustrative profile: Average age (~42), average health, state-adjusted premium, and approximately 150 enrolled employees. Actual quotes and underwriting can materially change results.

250 Employees

GA 250-employee health plan funding analysis · 2026

Modeled with conservative assumptions, 2,000 Monte Carlo runs, and 2026 Georgia market rates.

Choose another size ↑Blackwell underwriter reviewed and validated

Chance of beating Fully Insured over five years

PEO29%
Self-Funded99%
Self-Funded Captive100%
Taft-Hartley32%

Five-year median and percentile savings vs staying Fully Insured

PEO −$1,560,608
Self-Funded $1,851,411
Self-Funded Captive $1,977,236
Taft-Hartley −$1,126,691

5th to 95th percentile 25th to 75th Median

PEO 29% chance of beating Fully Insured
−$1,560,608
median five-year savings
-14% expected savings
5th−$6,647,85525th−$3,314,010 75th$374,61095th$4,537,735
Self-Funded 99% chance of beating Fully Insured
$1,851,411
median five-year savings
+16% expected savings
5th$710,55925th$1,360,958 75th$2,671,01495th$4,802,904
With additional cost containment: $2.74M to $4.14M more potential savings; win rate rises to ~100%.
Self-Funded Captive 100% chance of beating Fully Insured
$1,977,236
median five-year savings
+17% expected savings
5th$976,64525th$1,441,941 75th$2,890,15695th$5,386,006
With additional cost containment: $2.76M to $3.66M more potential savings; win rate rises to ~100%.
Taft-Hartley 32% chance of beating Fully Insured
−$1,126,691
median five-year savings
-7% expected savings
5th−$3,458,24425th−$2,307,329 75th$614,61895th$4,773,413
Fixed · nationwide · transparent pricing Get your Taft-Hartley rate →
Fully Insured today: ~$748 per employee/month is the baseline. Every savings figure above is measured against it.$0 saved
Day-one and five-year context
Lowest modeled day-one costSelf-Funded · ~12% cheaper
Highest modeled five-year medianSelf-Funded Captive · $1,977,236

These are separate measures, not a recommendation or a single “best” pick. Probability, downside range, eligibility, administration, and risk tolerance also matter.

Cost containment: Reference-Based Pricing · Cash Pay · Centers of Excellence · Specialty Rx Management · Care Navigation · High-Cost Dialysis Carve-Out · Direct Primary Care. Most strategies do not affect employees’ provider access or care.

Illustrative profile: Average age (~42), average health, state-adjusted premium, and approximately 250 enrolled employees. Actual quotes and underwriting can materially change results.

500 Employees

GA 500-employee health plan funding analysis · 2026

Modeled with conservative assumptions, 2,000 Monte Carlo runs, and 2026 Georgia market rates.

Choose another size ↑Blackwell underwriter reviewed and validated

Chance of beating Fully Insured over five years

PEO26%
Self-Funded100%
Self-Funded Captive100%
Taft-Hartley29%

Five-year median and percentile savings vs staying Fully Insured

PEO −$3,086,252
Self-Funded $3,572,753
Self-Funded Captive $3,746,635
Taft-Hartley −$2,194,377

5th to 95th percentile 25th to 75th Median

PEO 26% chance of beating Fully Insured
−$3,086,252
median five-year savings
-15% expected savings
5th−$13,205,53425th−$6,277,800 75th$120,46295th$6,184,368
Self-Funded 100% chance of beating Fully Insured
$3,572,753
median five-year savings
+16% expected savings
5th$1,602,40725th$2,616,799 75th$5,165,46195th$9,383,229
With additional cost containment: $5.54M to $7.21M more potential savings; win rate rises to ~100%.
Self-Funded Captive 100% chance of beating Fully Insured
$3,746,635
median five-year savings
+16% expected savings
5th$1,871,76425th$2,758,227 75th$5,378,93995th$9,754,388
With additional cost containment: $5.53M to $6.71M more potential savings; win rate rises to ~100%.
Taft-Hartley 29% chance of beating Fully Insured
−$2,194,377
median five-year savings
-7% expected savings
5th−$6,227,18425th−$4,252,708 75th$539,09195th$6,503,134
Fixed · nationwide · transparent pricing Get your Taft-Hartley rate →
Fully Insured today: ~$748 per employee/month is the baseline. Every savings figure above is measured against it.$0 saved
Day-one and five-year context
Lowest modeled day-one costSelf-Funded · ~12% cheaper
Highest modeled five-year medianSelf-Funded Captive · $3,746,635

These are separate measures, not a recommendation or a single “best” pick. Probability, downside range, eligibility, administration, and risk tolerance also matter.

Cost containment: Reference-Based Pricing · Cash Pay · Centers of Excellence · Specialty Rx Management · Care Navigation · High-Cost Dialysis Carve-Out · Direct Primary Care. Most strategies do not affect employees’ provider access or care.

Illustrative profile: Average age (~42), average health, state-adjusted premium, and approximately 500 enrolled employees. Actual quotes and underwriting can materially change results.

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