PEO 93% chance of beating Fully Insured
$167,166
median five-year savings
+19% expected savings
5th−$28,05625th$104,222 75th$208,59295th$245,975
Hawaii Health-Plan Funding Guide
Hawaii 2027 funding analysis by employer size
Plan year 2027 Rates used: PY2027 requested (filed) rates, not yet final
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 Hawaii market rates.
Choose another size ↑Blackwell underwriter reviewed and validated
Chance of beating Fully Insured over 5 years
PEO93%
Level-Funded77%
Taft-Hartley96%
Five-year median savings versus staying Fully Insured
PEO $167,166
Level-Funded $130,733
Taft-Hartley $40,530
5th to 95th percentile 25th to 75th Median
Level-Funded 77% chance of beating Fully Insured
$130,733
median five-year savings
+9% expected savings
5th−$290,64225th$17,856 75th$177,19495th$205,953
With additional cost containment: $168K to $305K more potential savings; win rate rises to ~94%.
Taft-Hartley 96% chance of beating Fully Insured
$40,530
median five-year savings
+5% expected savings
5th$2,23925th$25,727 75th$56,50295th$80,001
Fixed · nationwide · transparent pricing Get your Taft-Hartley rate →
Fully Insured today: ~$1,098 per employee/month is the baseline. Every savings figure above is measured against it.Rates used: PY2027 requested (filed) rates, not yet final$0 saved
Day-one and five-year context
Lowest modeled day-one costPEO · ~28% cheaper
Highest modeled five-year medianPEO · $167,166
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 13.95% (proposed, not yet final). Fully-insured renewal expectation used here: 7% a year over five years (six-year filed average incl. 2027); next 1 to 3 years 10.5%.
30 Employees
30-employee funding analysis · 2027
Modeled with Benefitra's average client savings assumptions, 2,000 Monte Carlo runs, and 2027 Hawaii market rates.
Choose another size ↑Blackwell underwriter reviewed and validated
Chance of beating Fully Insured over 5 years
PEO93%
Level-Funded89%
Self-Funded Captive91%
Taft-Hartley96%
Five-year median savings versus staying Fully Insured
PEO $501,499
Level-Funded $598,163
Self-Funded Captive $521,271
Taft-Hartley $121,591
5th to 95th percentile 25th to 75th Median
PEO 93% chance of beating Fully Insured
$501,499
median five-year savings
+19% expected savings
5th−$84,16725th$312,667 75th$625,77795th$737,926
Level-Funded 89% chance of beating Fully Insured
$598,163
median five-year savings
+21% expected savings
5th−$345,14425th$358,561 75th$703,02795th$787,932
With additional cost containment: $430K to $682K more potential savings; win rate rises to ~99%.
Self-Funded Captive 91% chance of beating Fully Insured
$521,271
median five-year savings
+19% expected savings
5th−$171,80625th$325,590 75th$638,30295th$745,752
With additional cost containment: $447K to $637K more potential savings; win rate rises to ~99%.
Taft-Hartley 96% chance of beating Fully Insured
$121,591
median five-year savings
+5% expected savings
5th$6,71825th$77,182 75th$169,50795th$240,003
Fixed · nationwide · transparent pricing Get your Taft-Hartley rate →
Fully Insured today: ~$1,098 per employee/month is the baseline. Every savings figure above is measured against it.Rates used: PY2027 requested (filed) rates, not yet final$0 saved
Day-one and five-year context
Lowest modeled day-one costPEO · ~28% cheaper
Highest modeled five-year medianLevel-Funded · $598,163
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 13.95% (proposed, not yet final). Fully-insured renewal expectation used here: 7% a year over five years (six-year filed average incl. 2027); next 1 to 3 years 10.5%.
70 Employees
70-employee funding analysis · 2027
Modeled with conservative assumptions, 2,000 Monte Carlo runs, and 2027 Hawaii market rates.
Choose another size ↑Blackwell underwriter reviewed and validated
Chance of beating Fully Insured over 5 years
PEO44%
Level-Funded91%
Self-Funded Captive100%
Taft-Hartley62%
Five-year median savings versus staying Fully Insured
PEO −$162,544
Level-Funded $459,010
Self-Funded Captive $610,154
Taft-Hartley $189,000
5th to 95th percentile 25th to 75th Median
PEO 44% chance of beating Fully Insured
−$162,544
median five-year savings
-4% expected savings
5th−$1,934,50325th−$752,930 75th$533,79095th$2,135,090
Level-Funded 91% chance of beating Fully Insured
$459,010
median five-year savings
+11% expected savings
5th−$218,57725th$241,312 75th$846,75095th$2,092,644
With additional cost containment: $1.17M to $1.72M more potential savings; win rate rises to ~100%.
Self-Funded Captive 100% chance of beating Fully Insured
$610,154
median five-year savings
+14% expected savings
5th$191,45725th$389,784 75th$1,009,55795th$2,277,566
With additional cost containment: $1.15M to $1.52M more potential savings; win rate rises to ~100%.
Taft-Hartley 62% chance of beating Fully Insured
$189,000
median five-year savings
+6% expected savings
5th−$567,43225th−$218,509 75th$846,39495th$2,443,061
Fixed · nationwide · transparent pricing Get your Taft-Hartley rate →
Fully Insured today: ~$1,098 per employee/month is the baseline. Every savings figure above is measured against it.Rates used: PY2027 requested (filed) rates, not yet final$0 saved
Day-one and five-year context
Lowest modeled day-one costSelf-Funded Captive · ~11% cheaper
Highest modeled five-year medianSelf-Funded Captive · $610,154
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 13.95% (proposed, not yet final). Fully-insured renewal expectation used here: 7% a year over five years (six-year filed average incl. 2027); next 1 to 3 years 10.5%.
150 Employees
150-employee funding analysis · 2027
Modeled with conservative assumptions, 2,000 Monte Carlo runs, and 2027 Hawaii market rates.
Choose another size ↑Blackwell underwriter reviewed and validated
Chance of beating Fully Insured over 5 years
PEO37%
Self-Funded96%
Self-Funded Captive100%
Taft-Hartley64%
Five-year median savings versus staying Fully Insured
PEO −$766,198
Self-Funded $1,529,380
Self-Funded Captive $1,481,119
Taft-Hartley $531,913
5th to 95th percentile 25th to 75th Median
PEO 37% chance of beating Fully Insured
−$766,198
median five-year savings
-8% expected savings
5th−$4,955,65025th−$2,245,736 75th$821,46595th$4,651,744
Self-Funded 96% chance of beating Fully Insured
$1,529,380
median five-year savings
+15% expected savings
5th$57,38425th$1,000,253 75th$2,276,42095th$4,632,278
With additional cost containment: $2.45M to $3.76M more potential savings; win rate rises to ~100%.
Self-Funded Captive 100% chance of beating Fully Insured
$1,481,119
median five-year savings
+15% expected savings
5th$608,41625th$1,010,428 75th$2,309,35895th$4,885,227
With additional cost containment: $2.48M to $3.28M more potential savings; win rate rises to ~100%.
Taft-Hartley 64% chance of beating Fully Insured
$531,913
median five-year savings
+7% expected savings
5th−$1,492,29625th−$483,081 75th$2,099,39995th$5,716,225
Fixed · nationwide · transparent pricing Get your Taft-Hartley rate →
Fully Insured today: ~$1,098 per employee/month is the baseline. Every savings figure above is measured against it.Rates used: PY2027 requested (filed) rates, not yet final$0 saved
Day-one and five-year context
Lowest modeled day-one costSelf-Funded · ~12% cheaper
Highest modeled five-year medianSelf-Funded · $1,529,380
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 13.95% (proposed, not yet final). Fully-insured renewal expectation used here: 7% a year over five years (six-year filed average incl. 2027); next 1 to 3 years 10.5%.
250 Employees
250-employee funding analysis · 2027
Modeled with conservative assumptions, 2,000 Monte Carlo runs, and 2027 Hawaii market rates.
Choose another size ↑Blackwell underwriter reviewed and validated
Chance of beating Fully Insured over 5 years
PEO31%
Self-Funded99%
Self-Funded Captive100%
Taft-Hartley63%
Five-year median savings versus staying Fully Insured
PEO −$2,127,310
Self-Funded $2,710,788
Self-Funded Captive $2,681,366
Taft-Hartley $1,022,580
5th to 95th percentile 25th to 75th Median
PEO 31% chance of beating Fully Insured
−$2,127,310
median five-year savings
-13% expected savings
5th−$9,627,85025th−$4,719,198 75th$799,32495th$7,122,872
Self-Funded 99% chance of beating Fully Insured
$2,710,788
median five-year savings
+16% expected savings
5th$915,95725th$1,948,102 75th$4,008,84595th$7,466,253
With additional cost containment: $4.06M to $6.14M more potential savings; win rate rises to ~100%.
Self-Funded Captive 100% chance of beating Fully Insured
$2,681,366
median five-year savings
+16% expected savings
5th$1,111,24825th$1,857,567 75th$4,125,04695th$7,967,118
With additional cost containment: $4.15M to $5.48M more potential savings; win rate rises to ~100%.
Taft-Hartley 63% chance of beating Fully Insured
$1,022,580
median five-year savings
+7% expected savings
5th−$2,646,32125th−$817,409 75th$3,653,04895th$10,023,837
Fixed · nationwide · transparent pricing Get your Taft-Hartley rate →
Fully Insured today: ~$1,098 per employee/month is the baseline. Every savings figure above is measured against it.Rates used: PY2027 requested (filed) rates, not yet final$0 saved
Day-one and five-year context
Lowest modeled day-one costSelf-Funded · ~12% cheaper
Highest modeled five-year medianSelf-Funded · $2,710,788
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 13.95% (proposed, not yet final). Fully-insured renewal expectation used here: 7% a year over five years (six-year filed average incl. 2027); next 1 to 3 years 10.5%.
500 Employees
500-employee funding analysis · 2027
Modeled with conservative assumptions, 2,000 Monte Carlo runs, and 2027 Hawaii market rates.
Choose another size ↑Blackwell underwriter reviewed and validated
Chance of beating Fully Insured over 5 years
PEO27%
Self-Funded100%
Self-Funded Captive100%
Taft-Hartley66%
Five-year median savings versus staying Fully Insured
PEO −$4,212,349
Self-Funded $5,237,469
Self-Funded Captive $5,049,893
Taft-Hartley $2,029,756
5th to 95th percentile 25th to 75th Median
PEO 27% chance of beating Fully Insured
−$4,212,349
median five-year savings
-14% expected savings
5th−$19,118,23725th−$8,945,043 75th$620,58395th$10,207,408
Self-Funded 100% chance of beating Fully Insured
$5,237,469
median five-year savings
+16% expected savings
5th$2,139,24525th$3,715,709 75th$7,735,85695th$14,573,692
With additional cost containment: $8.21M to $10.70M more potential savings; win rate rises to ~100%.
Self-Funded Captive 100% chance of beating Fully Insured
$5,049,893
median five-year savings
+15% expected savings
5th$2,120,08225th$3,509,123 75th$7,615,12395th$14,571,405
With additional cost containment: $8.30M to $10.06M more potential savings; win rate rises to ~100%.
Taft-Hartley 66% chance of beating Fully Insured
$2,029,756
median five-year savings
+6% expected savings
5th−$4,235,80025th−$1,072,649 75th$6,264,34495th$14,989,915
Fixed · nationwide · transparent pricing Get your Taft-Hartley rate →
Fully Insured today: ~$1,098 per employee/month is the baseline. Every savings figure above is measured against it.Rates used: PY2027 requested (filed) rates, not yet final$0 saved
Day-one and five-year context
Lowest modeled day-one costSelf-Funded · ~12% cheaper
Highest modeled five-year medianSelf-Funded · $5,237,469
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 13.95% (proposed, not yet final). Fully-insured renewal expectation used here: 7% a year over five years (six-year filed average incl. 2027); next 1 to 3 years 10.5%.
2026 analysis vs 2027
For 70-employee groups in Hawaii, the modeled median five-year savings for Self-Funded Captive moved from $550,883 to $610,154, and its modeled chance of beating Fully Insured stayed at 100%.
| Employees | PEO | Level-Funded | Self-Funded | Self-Funded Captive |
|---|---|---|---|---|
| 10 | $105,423 → $167,16688% → 93% odds | $73,105 → $130,73370% → 77% odds | Not modeled | Not modeled |
| 30 | $316,270 → $501,49988% → 93% odds | $401,922 → $598,16386% → 89% odds | Not modeled | $340,706 → $521,27187% → 91% odds |
| 70 | −$142,645 → −$162,54444% → 44% odds | $402,817 → $459,01091% → 91% odds | Not modeled | $550,883 → $610,154100% → 100% odds |
| 150 | −$672,398 → −$766,19837% → 37% odds | Not modeled | $1,342,150 → $1,529,38096% → 96% odds | $1,332,851 → $1,481,119100% → 100% odds |
| 250 | −$1,866,880 → −$2,127,31031% → 31% odds | Not modeled | $2,378,927 → $2,710,78899% → 99% odds | $2,408,198 → $2,681,366100% → 100% odds |
| 500 | −$3,696,665 → −$4,212,34927% → 27% odds | Not modeled | $4,596,287 → $5,237,469100% → 100% odds | $4,541,855 → $5,049,893100% → 100% odds |
Fully Insured baseline used: $964 → $1,098 per employee per month (PY2026 rates → PY2027 requested (filed) rates, not yet final). 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 Hawaii 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 PY2027 requested (filed) rates can change before they are final.
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