Colorado Health-Plan Funding Guide
Colorado 2027 funding analysis by employer size
Plan year 2027 Rates used: PY2027 final approved rates
Compare your options based on what matters most: Year 1 cost, five-year savings, and the likelihood of outperforming Fully Insured.
10 Employees
10-employee funding analysis · 2027
Modeled with Benefitra's average client savings assumptions, 2,000 Monte Carlo runs, and 2027 Colorado market rates.
Chance of beating Fully Insured over 5 years
Five-year median savings versus staying Fully Insured
5th to 95th percentile 25th to 75th Median
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.
2027 renewal assumption: 2027 small-group filed rate 14.0% (final, approved by the Colorado Division of Insurance). Fully-insured renewal expectation used here: 9.1% a year over five years (six-year filed average incl. 2027); next 1 to 3 years 11.9%.
30 Employees
30-employee funding analysis · 2027
Modeled with Benefitra's average client savings assumptions, 2,000 Monte Carlo runs, and 2027 Colorado market rates.
Chance of beating Fully Insured over 5 years
Five-year median savings versus staying Fully Insured
5th to 95th percentile 25th to 75th Median
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.
2027 renewal assumption: 2027 small-group filed rate 14.0% (final, approved by the Colorado Division of Insurance). Fully-insured renewal expectation used here: 9.1% a year over five years (six-year filed average incl. 2027); next 1 to 3 years 11.9%.
70 Employees
70-employee funding analysis · 2027
Modeled with conservative assumptions, 2,000 Monte Carlo runs, and 2027 Colorado market rates.
Chance of beating Fully Insured over 5 years
Five-year median savings versus staying Fully Insured
5th to 95th percentile 25th to 75th Median
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.
2027 renewal assumption: 2027 small-group filed rate 14.0% (final, approved by the Colorado Division of Insurance). Fully-insured renewal expectation used here: 9.1% a year over five years (six-year filed average incl. 2027); next 1 to 3 years 11.9%.
150 Employees
150-employee funding analysis · 2027
Modeled with conservative assumptions, 2,000 Monte Carlo runs, and 2027 Colorado market rates.
Chance of beating Fully Insured over 5 years
Five-year median savings versus staying Fully Insured
5th to 95th percentile 25th to 75th Median
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.
2027 renewal assumption: 2027 small-group filed rate 14.0% (final, approved by the Colorado Division of Insurance). Fully-insured renewal expectation used here: 9.1% a year over five years (six-year filed average incl. 2027); next 1 to 3 years 11.9%.
250 Employees
250-employee funding analysis · 2027
Modeled with conservative assumptions, 2,000 Monte Carlo runs, and 2027 Colorado market rates.
Chance of beating Fully Insured over 5 years
Five-year median savings versus staying Fully Insured
5th to 95th percentile 25th to 75th Median
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.
2027 renewal assumption: 2027 small-group filed rate 14.0% (final, approved by the Colorado Division of Insurance). Fully-insured renewal expectation used here: 9.1% a year over five years (six-year filed average incl. 2027); next 1 to 3 years 11.9%.
500 Employees
500-employee funding analysis · 2027
Modeled with conservative assumptions, 2,000 Monte Carlo runs, and 2027 Colorado market rates.
Chance of beating Fully Insured over 5 years
Five-year median savings versus staying Fully Insured
5th to 95th percentile 25th to 75th Median
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.
2027 renewal assumption: 2027 small-group filed rate 14.0% (final, approved by the Colorado Division of Insurance). Fully-insured renewal expectation used here: 9.1% a year over five years (six-year filed average incl. 2027); next 1 to 3 years 11.9%.
2026 analysis vs 2027
For 70-employee groups in Colorado, the modeled median five-year savings for Self-Funded Captive moved from $514,255 to $568,611, and its modeled chance of beating Fully Insured stayed at 100%.
| Employees | PEO | Level-Funded | Self-Funded | Self-Funded Captive |
|---|---|---|---|---|
| 10 | $136,485 → $182,55993% → 95% odds | $107,328 → $149,09878% → 81% odds | Not modeled | Not modeled |
| 30 | $409,454 → $547,67693% → 95% odds | $486,903 → $635,43089% → 91% odds | Not modeled | $436,116 → $570,86392% → 93% odds |
| 70 | −$130,348 → −$148,59644% → 44% odds | $368,092 → $419,62491% → 91% odds | Not modeled | $514,255 → $568,611100% → 100% odds |
| 150 | −$614,433 → −$700,45437% → 37% odds | Not modeled | $1,226,447 → $1,398,15096% → 96% odds | $1,241,226 → $1,377,198100% → 100% odds |
| 250 | −$1,705,942 → −$1,944,77431% → 31% odds | Not modeled | $2,173,847 → $2,478,18699% → 99% odds | $2,239,387 → $2,489,902100% → 100% odds |
| 500 | −$3,377,987 → −$3,850,90527% → 27% odds | Not modeled | $4,200,055 → $4,788,063100% → 100% odds | $4,227,902 → $4,693,808100% → 100% odds |
Fully Insured baseline used: $881 → $1,004 per employee per month (PY2026 rates → PY2027 final approved rates). Taft-Hartley is priced as a fixed nationwide rate rather than a state-rate model, so it is not compared here.
View the archived 2026 Colorado analysis (last year's model results, not current advice).
Illustrative model results, not a quote, a forecast or insurance, tax or legal advice. Actual premiums, claims, eligibility and underwriting vary by employer, and the rates used here may differ from the rates an employer is quoted.
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