PEO 96% chance of beating Fully Insured
$191,725
median five-year savings
+23% expected savings
5th$11,27725th$133,086 75th$229,95095th$265,006
Illinois Health-Plan Funding Guide
Illinois 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 Illinois market rates.
Choose another size ↑Blackwell underwriter reviewed and validated
Chance of beating Fully Insured over 5 years
PEO96%
Level-Funded81%
Taft-Hartley81%
Five-year median savings versus staying Fully Insured
PEO $191,725
Level-Funded $157,921
Taft-Hartley $19,734
5th to 95th percentile 25th to 75th Median
Level-Funded 81% chance of beating Fully Insured
$157,921
median five-year savings
+14% expected savings
5th−$231,54025th$54,415 75th$200,79395th$228,066
With additional cost containment: $156K to $282K more potential savings; win rate rises to ~96%.
Taft-Hartley 81% chance of beating Fully Insured
$19,734
median five-year savings
+3% expected savings
5th−$17,69625th$5,294 75th$35,37195th$58,296
Fixed · nationwide · transparent pricing Get your Taft-Hartley rate →
Fully Insured today: ~$1,014 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 · $191,725
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 17.38% (proposed, not yet final). Fully-insured renewal expectation used here: 9.6% a year over five years (six-year filed average incl. 2027); next 1 to 3 years 14%.
30 Employees
30-employee funding analysis · 2027
Modeled with Benefitra's average client savings assumptions, 2,000 Monte Carlo runs, and 2027 Illinois market rates.
Choose another size ↑Blackwell underwriter reviewed and validated
Chance of beating Fully Insured over 5 years
PEO96%
Level-Funded91%
Self-Funded Captive94%
Taft-Hartley81%
Five-year median savings versus staying Fully Insured
PEO $575,176
Level-Funded $663,922
Self-Funded Captive $597,760
Taft-Hartley $59,203
5th to 95th percentile 25th to 75th Median
PEO 96% chance of beating Fully Insured
$575,176
median five-year savings
+23% expected savings
5th$33,83025th$399,258 75th$689,84995th$795,019
Level-Funded 91% chance of beating Fully Insured
$663,922
median five-year savings
+25% expected savings
5th−$204,98525th$444,297 75th$761,50395th$838,789
With additional cost containment: $397K to $630K more potential savings; win rate rises to ~100%.
Self-Funded Captive 94% chance of beating Fully Insured
$597,760
median five-year savings
+23% expected savings
5th−$43,35725th$417,057 75th$705,89895th$804,528
With additional cost containment: $411K to $588K more potential savings; win rate rises to ~100%.
Taft-Hartley 81% chance of beating Fully Insured
$59,203
median five-year savings
+3% expected savings
5th−$53,08825th$15,881 75th$106,11495th$174,889
Fixed · nationwide · transparent pricing Get your Taft-Hartley rate →
Fully Insured today: ~$1,014 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 · $663,922
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 17.38% (proposed, not yet final). Fully-insured renewal expectation used here: 9.6% a year over five years (six-year filed average incl. 2027); next 1 to 3 years 14%.
70 Employees
70-employee funding analysis · 2027
Modeled with conservative assumptions, 2,000 Monte Carlo runs, and 2027 Illinois 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-Hartley39%
Five-year median savings versus staying Fully Insured
PEO −$150,115
Level-Funded $423,914
Self-Funded Captive $573,135
Taft-Hartley −$208,066
5th to 95th percentile 25th to 75th Median
PEO 44% chance of beating Fully Insured
−$150,115
median five-year savings
-4% expected savings
5th−$1,786,58825th−$695,360 75th$492,97595th$1,971,838
Level-Funded 91% chance of beating Fully Insured
$423,914
median five-year savings
+11% expected savings
5th−$201,86525th$222,861 75th$782,00695th$1,932,638
With additional cost containment: $1.08M to $1.59M more potential savings; win rate rises to ~100%.
Self-Funded Captive 100% chance of beating Fully Insured
$573,135
median five-year savings
+14% expected savings
5th$186,45225th$369,614 75th$942,00095th$2,113,054
With additional cost containment: $1.06M to $1.40M more potential savings; win rate rises to ~100%.
Taft-Hartley 39% chance of beating Fully Insured
−$208,066
median five-year savings
-2% expected savings
5th−$912,65725th−$586,903 75th$397,20395th$1,872,389
Fixed · nationwide · transparent pricing Get your Taft-Hartley rate →
Fully Insured today: ~$1,014 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 · $573,135
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 17.38% (proposed, not yet final). Fully-insured renewal expectation used here: 9.6% a year over five years (six-year filed average incl. 2027); next 1 to 3 years 14%.
150 Employees
150-employee funding analysis · 2027
Modeled with conservative assumptions, 2,000 Monte Carlo runs, and 2027 Illinois 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-Hartley42%
Five-year median savings versus staying Fully Insured
PEO −$707,614
Self-Funded $1,412,441
Self-Funded Captive $1,388,515
Taft-Hartley −$327,261
5th to 95th percentile 25th to 75th Median
PEO 37% chance of beating Fully Insured
−$707,614
median five-year savings
-8% expected savings
5th−$4,576,73525th−$2,074,025 75th$758,65595th$4,296,066
Self-Funded 96% chance of beating Fully Insured
$1,412,441
median five-year savings
+15% expected savings
5th$52,99625th$923,772 75th$2,102,36295th$4,278,088
With additional cost containment: $2.27M to $3.47M more potential savings; win rate rises to ~100%.
Self-Funded Captive 100% chance of beating Fully Insured
$1,388,515
median five-year savings
+16% expected savings
5th$582,54025th$953,814 75th$2,153,42695th$4,532,341
With additional cost containment: $2.29M to $3.02M more potential savings; win rate rises to ~100%.
Taft-Hartley 42% chance of beating Fully Insured
−$327,261
median five-year savings
-1% expected savings
5th−$2,200,05625th−$1,269,718 75th$1,133,85395th$4,442,962
Fixed · nationwide · transparent pricing Get your Taft-Hartley rate →
Fully Insured today: ~$1,014 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 · $1,412,441
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 17.38% (proposed, not yet final). Fully-insured renewal expectation used here: 9.6% a year over five years (six-year filed average incl. 2027); next 1 to 3 years 14%.
250 Employees
250-employee funding analysis · 2027
Modeled with conservative assumptions, 2,000 Monte Carlo runs, and 2027 Illinois 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-Hartley45%
Five-year median savings versus staying Fully Insured
PEO −$1,964,653
Self-Funded $2,503,518
Self-Funded Captive $2,510,753
Taft-Hartley −$431,960
5th to 95th percentile 25th to 75th Median
PEO 31% chance of beating Fully Insured
−$1,964,653
median five-year savings
-13% expected savings
5th−$8,891,69225th−$4,358,362 75th$738,20695th$6,578,248
Self-Funded 99% chance of beating Fully Insured
$2,503,518
median five-year savings
+16% expected savings
5th$845,92225th$1,799,148 75th$3,702,32495th$6,895,374
With additional cost containment: $3.75M to $5.67M more potential savings; win rate rises to ~100%.
Self-Funded Captive 100% chance of beating Fully Insured
$2,510,753
median five-year savings
+16% expected savings
5th$1,060,68825th$1,749,942 75th$3,844,04895th$7,392,349
With additional cost containment: $3.82M to $5.06M more potential savings; win rate rises to ~100%.
Taft-Hartley 45% chance of beating Fully Insured
−$431,960
median five-year savings
-1% expected savings
5th−$3,837,79025th−$2,114,587 75th$2,011,16095th$7,868,555
Fixed · nationwide · transparent pricing Get your Taft-Hartley rate →
Fully Insured today: ~$1,014 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 Captive · $2,510,753
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 17.38% (proposed, not yet final). Fully-insured renewal expectation used here: 9.6% a year over five years (six-year filed average incl. 2027); next 1 to 3 years 14%.
500 Employees
500-employee funding analysis · 2027
Modeled with conservative assumptions, 2,000 Monte Carlo runs, and 2027 Illinois 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-Hartley44%
Five-year median savings versus staying Fully Insured
PEO −$3,890,268
Self-Funded $4,837,005
Self-Funded Captive $4,732,587
Taft-Hartley −$837,102
5th to 95th percentile 25th to 75th Median
PEO 27% chance of beating Fully Insured
−$3,890,268
median five-year savings
-14% expected savings
5th−$17,656,43225th−$8,261,094 75th$573,13395th$9,426,937
Self-Funded 100% chance of beating Fully Insured
$4,837,005
median five-year savings
+16% expected savings
5th$1,975,67625th$3,431,601 75th$7,144,36395th$13,459,370
With additional cost containment: $7.59M to $9.88M more potential savings; win rate rises to ~100%.
Self-Funded Captive 100% chance of beating Fully Insured
$4,732,587
median five-year savings
+15% expected savings
5th$2,026,79325th$3,309,627 75th$7,101,67795th$13,526,072
With additional cost containment: $7.65M to $9.27M more potential savings; win rate rises to ~100%.
Taft-Hartley 44% chance of beating Fully Insured
−$837,102
median five-year savings
-1% expected savings
5th−$6,665,52125th−$3,749,569 75th$3,029,21395th$11,145,184
Fixed · nationwide · transparent pricing Get your Taft-Hartley rate →
Fully Insured today: ~$1,014 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 · $4,837,005
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 17.38% (proposed, not yet final). Fully-insured renewal expectation used here: 9.6% a year over five years (six-year filed average incl. 2027); next 1 to 3 years 14%.
2026 analysis vs 2027
For 70-employee groups in Illinois, the modeled median five-year savings for Self-Funded Captive moved from $506,929 to $573,135, and its modeled chance of beating Fully Insured stayed at 100%.
| Employees | PEO | Level-Funded | Self-Funded | Self-Funded Captive |
|---|---|---|---|---|
| 10 | $129,150 → $191,72593% → 96% odds | $100,427 → $157,92177% → 81% odds | Not modeled | Not modeled |
| 30 | $387,451 → $575,17693% → 96% odds | $463,499 → $663,92288% → 91% odds | Not modeled | $414,442 → $597,76091% → 94% odds |
| 70 | −$127,888 → −$150,11544% → 44% odds | $361,147 → $423,91491% → 91% odds | Not modeled | $506,929 → $573,135100% → 100% odds |
| 150 | −$602,840 → −$707,61437% → 37% odds | Not modeled | $1,203,307 → $1,412,44196% → 96% odds | $1,222,901 → $1,388,515100% → 100% odds |
| 250 | −$1,673,755 → −$1,964,65331% → 31% odds | Not modeled | $2,132,831 → $2,503,51899% → 99% odds | $2,205,625 → $2,510,753100% → 100% odds |
| 500 | −$3,314,251 → −$3,890,26827% → 27% odds | Not modeled | $4,120,809 → $4,837,005100% → 100% odds | $4,165,111 → $4,732,587100% → 100% odds |
Fully Insured baseline used: $864 → $1,014 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 Illinois 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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