Michigan Health-Plan Funding Guide

Michigan 2026 funding analysis (archived)

Plan year 2026 · archived results View the Michigan 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

MI 10-employee health plan funding analysis · 2026

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

Choose another size ↑Blackwell underwriter reviewed and validated

Chance of beating Fully Insured over five years

PEO93%
Level-Funded79%
Taft-Hartley32%

Five-year median and percentile savings vs staying Fully Insured

PEO $120,311
Level-Funded $102,137
Taft-Hartley −$6,883

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

PEO 93% chance of beating Fully Insured
$120,311
median five-year savings
+19% expected savings
5th−$21,49125th$74,648 75th$150,37695th$177,497
Level-Funded 79% chance of beating Fully Insured
$102,137
median five-year savings
+10% expected savings
5th−$197,39125th$22,063 75th$135,03795th$155,434
With additional cost containment: $121K to $217K more potential savings; win rate rises to ~95%.
Taft-Hartley 32% chance of beating Fully Insured
−$6,883
median five-year savings
-1% expected savings
5th−$31,18625th−$16,338 75th$3,89395th$20,704
Fixed · nationwide · transparent pricing Get your Taft-Hartley rate →
Fully Insured today: ~$798 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 · $120,311

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

MI 30-employee health plan funding analysis · 2026

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

Choose another size ↑Blackwell underwriter reviewed and validated

Chance of beating Fully Insured over five years

PEO93%
Level-Funded90%
Self-Funded Captive93%
Taft-Hartley32%

Five-year median and percentile savings vs staying Fully Insured

PEO $360,933
Level-Funded $453,138
Self-Funded Captive $415,270
Taft-Hartley −$20,649

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

PEO 93% chance of beating Fully Insured
$360,933
median five-year savings
+19% expected savings
5th−$64,47225th$223,945 75th$451,12995th$532,492
Level-Funded 90% chance of beating Fully Insured
$453,138
median five-year savings
+22% expected savings
5th−$217,06625th$284,004 75th$527,48195th$588,038
With additional cost containment: $307K to $486K more potential savings; win rate rises to ~99%.
Self-Funded Captive 93% chance of beating Fully Insured
$415,270
median five-year savings
+21% expected savings
5th−$81,17625th$275,274 75th$497,20695th$574,183
With additional cost containment: $315K to $451K more potential savings; win rate rises to ~99%.
Taft-Hartley 32% chance of beating Fully Insured
−$20,649
median five-year savings
-1% expected savings
5th−$93,55925th−$49,015 75th$11,67995th$62,113
Fixed · nationwide · transparent pricing Get your Taft-Hartley rate →
Fully Insured today: ~$798 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 · $453,138

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

MI 70-employee health plan funding analysis · 2026

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

Choose another size ↑Blackwell underwriter reviewed and validated

Chance of beating Fully Insured over five years

PEO40%
Level-Funded92%
Self-Funded Captive100%
Taft-Hartley38%

Five-year median and percentile savings vs staying Fully Insured

PEO −$172,416
Level-Funded $343,885
Self-Funded Captive $488,739
Taft-Hartley −$165,846

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

PEO 40% chance of beating Fully Insured
−$172,416
median five-year savings
-6% expected savings
5th−$1,456,52725th−$594,662 75th$301,89095th$1,336,123
Level-Funded 92% chance of beating Fully Insured
$343,885
median five-year savings
+11% expected savings
5th−$116,64925th$208,400 75th$582,90495th$1,346,548
With additional cost containment: $834K to $1.23M more potential savings; win rate rises to ~100%.
Self-Funded Captive 100% chance of beating Fully Insured
$488,739
median five-year savings
+15% expected savings
5th$223,22125th$351,051 75th$730,02095th$1,501,172
With additional cost containment: $807K to $1.07M more potential savings; win rate rises to ~100%.
Taft-Hartley 38% chance of beating Fully Insured
−$165,846
median five-year savings
-2% expected savings
5th−$687,78525th−$438,043 75th$268,32695th$1,319,143
Fixed · nationwide · transparent pricing Get your Taft-Hartley rate →
Fully Insured today: ~$798 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 · $488,739

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

MI 150-employee health plan funding analysis · 2026

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

Choose another size ↑Blackwell underwriter reviewed and validated

Chance of beating Fully Insured over five years

PEO33%
Self-Funded96%
Self-Funded Captive100%
Taft-Hartley41%

Five-year median and percentile savings vs staying Fully Insured

PEO −$694,262
Self-Funded $1,125,107
Self-Funded Captive $1,166,016
Taft-Hartley −$274,870

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

PEO 33% chance of beating Fully Insured
−$694,262
median five-year savings
-10% expected savings
5th−$3,715,99225th−$1,739,844 75th$399,85195th$2,977,244
Self-Funded 96% chance of beating Fully Insured
$1,125,107
median five-year savings
+15% expected savings
5th$147,03225th$786,431 75th$1,585,69795th$2,980,248
With additional cost containment: $1.75M to $2.67M more potential savings; win rate rises to ~100%.
Self-Funded Captive 100% chance of beating Fully Insured
$1,166,016
median five-year savings
+16% expected savings
5th$609,70825th$867,587 75th$1,681,78295th$3,251,830
With additional cost containment: $1.75M to $2.32M more potential savings; win rate rises to ~100%.
Taft-Hartley 41% chance of beating Fully Insured
−$274,870
median five-year savings
-2% expected savings
5th−$1,658,19525th−$958,445 75th$770,01895th$3,176,376
Fixed · nationwide · transparent pricing Get your Taft-Hartley rate →
Fully Insured today: ~$798 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 · $1,166,016

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

MI 250-employee health plan funding analysis · 2026

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

Choose another size ↑Blackwell underwriter reviewed and validated

Chance of beating Fully Insured over five years

PEO27%
Self-Funded99%
Self-Funded Captive100%
Taft-Hartley43%

Five-year median and percentile savings vs staying Fully Insured

PEO −$1,784,836
Self-Funded $1,982,556
Self-Funded Captive $2,080,818
Taft-Hartley −$412,344

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

PEO 27% chance of beating Fully Insured
−$1,784,836
median five-year savings
-15% expected savings
5th−$7,149,26825th−$3,653,201 75th$215,53595th$4,570,058
Self-Funded 99% chance of beating Fully Insured
$1,982,556
median five-year savings
+16% expected savings
5th$842,23625th$1,496,999 75th$2,774,23495th$4,827,903
With additional cost containment: $2.90M to $4.37M more potential savings; win rate rises to ~100%.
Self-Funded Captive 100% chance of beating Fully Insured
$2,080,818
median five-year savings
+17% expected savings
5th$1,079,39625th$1,546,151 75th$3,002,81795th$5,484,908
With additional cost containment: $2.92M to $3.87M more potential savings; win rate rises to ~100%.
Taft-Hartley 43% chance of beating Fully Insured
−$412,344
median five-year savings
-1% expected savings
5th−$2,825,05625th−$1,624,942 75th$1,418,03595th$5,667,192
Fixed · nationwide · transparent pricing Get your Taft-Hartley rate →
Fully Insured today: ~$798 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 · $2,080,818

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

MI 500-employee health plan funding analysis · 2026

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

Choose another size ↑Blackwell underwriter reviewed and validated

Chance of beating Fully Insured over five years

PEO24%
Self-Funded100%
Self-Funded Captive100%
Taft-Hartley42%

Five-year median and percentile savings vs staying Fully Insured

PEO −$3,495,478
Self-Funded $3,833,649
Self-Funded Captive $3,955,022
Taft-Hartley −$719,060

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

PEO 24% chance of beating Fully Insured
−$3,495,478
median five-year savings
-16% expected savings
5th−$14,246,52725th−$6,901,745 75th−$233,42595th$6,033,962
Self-Funded 100% chance of beating Fully Insured
$3,833,649
median five-year savings
+16% expected savings
5th$1,858,45325th$2,886,753 75th$5,396,84695th$9,448,707
With additional cost containment: $5.85M to $7.61M more potential savings; win rate rises to ~100%.
Self-Funded Captive 100% chance of beating Fully Insured
$3,955,022
median five-year savings
+16% expected savings
5th$2,079,03725th$2,957,497 75th$5,548,38995th$9,880,782
With additional cost containment: $5.86M to $7.10M more potential savings; win rate rises to ~100%.
Taft-Hartley 42% chance of beating Fully Insured
−$719,060
median five-year savings
-2% expected savings
5th−$4,892,77125th−$2,847,021 75th$2,070,34895th$7,966,334
Fixed · nationwide · transparent pricing Get your Taft-Hartley rate →
Fully Insured today: ~$798 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 · $3,955,022

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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