PEO 94% chance of beating Fully Insured
$204,477
median five-year savings
+21% expected savings
5th−$8,94325th$135,086 75th$249,41295th$290,661
Massachusetts Health-Plan Funding Guide
Massachusetts 2027 funding analysis by employer size
Plan year 2027 Rates used: PY2027 final 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 Massachusetts market rates.
Choose another size ↑Blackwell underwriter reviewed and validated
Chance of beating Fully Insured over 5 years
PEO94%
Level-Funded78%
Taft-Hartley100%
Five-year median savings versus staying Fully Insured
PEO $204,477
Level-Funded $151,894
Taft-Hartley $131,738
5th to 95th percentile 25th to 75th Median
Level-Funded 78% chance of beating Fully Insured
$151,894
median five-year savings
+10% expected savings
5th−$318,37925th$25,970 75th$203,82895th$236,055
With additional cost containment: $187K to $340K more potential savings; win rate rises to ~95%.
Taft-Hartley 100% chance of beating Fully Insured
$131,738
median five-year savings
+15% expected savings
5th$90,62925th$115,346 75th$149,14495th$175,175
Fixed · nationwide · transparent pricing Get your Taft-Hartley rate →
Fully Insured today: ~$1,199 per employee/month is the baseline. Every savings figure above is measured against it.Rates used: PY2027 final rates$0 saved
Day-one and five-year context
Lowest modeled day-one costPEO · ~28% cheaper
Highest modeled five-year medianPEO · $204,477
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 11% (final, per the Massachusetts Division of Insurance). Fully-insured renewal expectation used here: 8.3% a year over five years (six-year filed average incl. 2027); next 1 to 3 years 10.1%.
30 Employees
30-employee funding analysis · 2027
Modeled with Benefitra's average client savings assumptions, 2,000 Monte Carlo runs, and 2027 Massachusetts market rates.
Choose another size ↑Blackwell underwriter reviewed and validated
Chance of beating Fully Insured over 5 years
PEO94%
Level-Funded89%
Self-Funded Captive92%
Taft-Hartley100%
Five-year median savings versus staying Fully Insured
PEO $613,431
Level-Funded $684,047
Self-Funded Captive $592,291
Taft-Hartley $395,215
5th to 95th percentile 25th to 75th Median
PEO 94% chance of beating Fully Insured
$613,431
median five-year savings
+21% expected savings
5th−$26,83025th$405,257 75th$748,23795th$871,984
Level-Funded 89% chance of beating Fully Insured
$684,047
median five-year savings
+21% expected savings
5th−$366,90725th$416,716 75th$800,99795th$896,858
With additional cost containment: $478K to $760K more potential savings; win rate rises to ~99%.
Self-Funded Captive 92% chance of beating Fully Insured
$592,291
median five-year savings
+20% expected savings
5th−$172,24825th$376,236 75th$722,09195th$842,754
With additional cost containment: $500K to $707K more potential savings; win rate rises to ~99%.
Taft-Hartley 100% chance of beating Fully Insured
$395,215
median five-year savings
+15% expected savings
5th$271,88625th$346,038 75th$447,43195th$525,526
Fixed · nationwide · transparent pricing Get your Taft-Hartley rate →
Fully Insured today: ~$1,199 per employee/month is the baseline. Every savings figure above is measured against it.Rates used: PY2027 final rates$0 saved
Day-one and five-year context
Lowest modeled day-one costPEO · ~28% cheaper
Highest modeled five-year medianLevel-Funded · $684,047
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 11% (final, per the Massachusetts Division of Insurance). Fully-insured renewal expectation used here: 8.3% a year over five years (six-year filed average incl. 2027); next 1 to 3 years 10.1%.
70 Employees
70-employee funding analysis · 2027
Modeled with conservative assumptions, 2,000 Monte Carlo runs, and 2027 Massachusetts market rates.
Choose another size ↑Blackwell underwriter reviewed and validated
Chance of beating Fully Insured over 5 years
PEO47%
Level-Funded89%
Self-Funded Captive99%
Taft-Hartley91%
Five-year median savings versus staying Fully Insured
PEO −$89,841
Level-Funded $477,689
Self-Funded Captive $636,073
Taft-Hartley $762,174
5th to 95th percentile 25th to 75th Median
PEO 47% chance of beating Fully Insured
−$89,841
median five-year savings
-2% expected savings
5th−$2,061,10925th−$735,527 75th$719,52895th$2,592,463
Level-Funded 89% chance of beating Fully Insured
$477,689
median five-year savings
+11% expected savings
5th−$320,83825th$218,296 75th$977,35995th$2,513,319
With additional cost containment: $1.31M to $1.91M more potential savings; win rate rises to ~100%.
Self-Funded Captive 99% chance of beating Fully Insured
$636,073
median five-year savings
+14% expected savings
5th$124,07025th$365,693 75th$1,133,94195th$2,809,955
With additional cost containment: $1.28M to $1.69M more potential savings; win rate rises to ~100%.
Taft-Hartley 91% chance of beating Fully Insured
$762,174
median five-year savings
+15% expected savings
5th−$118,42525th$287,104 75th$1,531,55895th$3,450,167
Fixed · nationwide · transparent pricing Get your Taft-Hartley rate →
Fully Insured today: ~$1,199 per employee/month is the baseline. Every savings figure above is measured against it.Rates used: PY2027 final rates$0 saved
Day-one and five-year context
Lowest modeled day-one costTaft-Hartley · ~14% cheaper
Highest modeled five-year medianTaft-Hartley · $762,174
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 11% (final, per the Massachusetts Division of Insurance). Fully-insured renewal expectation used here: 8.3% a year over five years (six-year filed average incl. 2027); next 1 to 3 years 10.1%.
150 Employees
150-employee funding analysis · 2027
Modeled with conservative assumptions, 2,000 Monte Carlo runs, and 2027 Massachusetts market rates.
Choose another size ↑Blackwell underwriter reviewed and validated
Chance of beating Fully Insured over 5 years
PEO40%
Self-Funded94%
Self-Funded Captive100%
Taft-Hartley88%
Five-year median savings versus staying Fully Insured
PEO −$639,258
Self-Funded $1,651,918
Self-Funded Captive $1,560,931
Taft-Hartley $1,790,042
5th to 95th percentile 25th to 75th Median
PEO 40% chance of beating Fully Insured
−$639,258
median five-year savings
-7% expected savings
5th−$5,260,05125th−$2,282,678 75th$1,141,15795th$5,761,515
Self-Funded 94% chance of beating Fully Insured
$1,651,918
median five-year savings
+15% expected savings
5th−$112,43325th$1,004,566 75th$2,604,91795th$5,655,158
With additional cost containment: $2.73M to $4.19M more potential savings; win rate rises to ~100%.
Self-Funded Captive 100% chance of beating Fully Insured
$1,560,931
median five-year savings
+15% expected savings
5th$484,36925th$979,139 75th$2,613,42995th$5,875,749
With additional cost containment: $2.77M to $3.66M more potential savings; win rate rises to ~100%.
Taft-Hartley 88% chance of beating Fully Insured
$1,790,042
median five-year savings
+16% expected savings
5th−$543,09725th$624,743 75th$3,607,56195th$7,853,759
Fixed · nationwide · transparent pricing Get your Taft-Hartley rate →
Fully Insured today: ~$1,199 per employee/month is the baseline. Every savings figure above is measured against it.Rates used: PY2027 final rates$0 saved
Day-one and five-year context
Lowest modeled day-one costTaft-Hartley · ~14% cheaper
Highest modeled five-year medianTaft-Hartley · $1,790,042
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 11% (final, per the Massachusetts Division of Insurance). Fully-insured renewal expectation used here: 8.3% a year over five years (six-year filed average incl. 2027); next 1 to 3 years 10.1%.
250 Employees
250-employee funding analysis · 2027
Modeled with conservative assumptions, 2,000 Monte Carlo runs, and 2027 Massachusetts market rates.
Choose another size ↑Blackwell underwriter reviewed and validated
Chance of beating Fully Insured over 5 years
PEO34%
Self-Funded98%
Self-Funded Captive100%
Taft-Hartley87%
Five-year median savings versus staying Fully Insured
PEO −$1,952,268
Self-Funded $2,944,720
Self-Funded Captive $2,876,244
Taft-Hartley $3,126,856
5th to 95th percentile 25th to 75th Median
PEO 34% chance of beating Fully Insured
−$1,952,268
median five-year savings
-11% expected savings
5th−$10,208,46925th−$4,922,620 75th$1,402,92495th$8,718,065
Self-Funded 98% chance of beating Fully Insured
$2,944,720
median five-year savings
+16% expected savings
5th$736,94225th$1,986,200 75th$4,570,58895th$9,050,779
With additional cost containment: $4.53M to $6.84M more potential savings; win rate rises to ~100%.
Self-Funded Captive 100% chance of beating Fully Insured
$2,876,244
median five-year savings
+16% expected savings
5th$950,16325th$1,864,585 75th$4,690,74695th$9,501,302
With additional cost containment: $4.63M to $6.10M more potential savings; win rate rises to ~100%.
Taft-Hartley 87% chance of beating Fully Insured
$3,126,856
median five-year savings
+16% expected savings
5th−$1,081,46625th$1,015,304 75th$6,148,76795th$13,304,654
Fixed · nationwide · transparent pricing Get your Taft-Hartley rate →
Fully Insured today: ~$1,199 per employee/month is the baseline. Every savings figure above is measured against it.Rates used: PY2027 final rates$0 saved
Day-one and five-year context
Lowest modeled day-one costTaft-Hartley · ~14% cheaper
Highest modeled five-year medianTaft-Hartley · $3,126,856
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 11% (final, per the Massachusetts Division of Insurance). Fully-insured renewal expectation used here: 8.3% a year over five years (six-year filed average incl. 2027); next 1 to 3 years 10.1%.
500 Employees
500-employee funding analysis · 2027
Modeled with conservative assumptions, 2,000 Monte Carlo runs, and 2027 Massachusetts market rates.
Choose another size ↑Blackwell underwriter reviewed and validated
Chance of beating Fully Insured over 5 years
PEO31%
Self-Funded100%
Self-Funded Captive100%
Taft-Hartley92%
Five-year median savings versus staying Fully Insured
PEO −$3,891,570
Self-Funded $5,700,659
Self-Funded Captive $5,360,159
Taft-Hartley $6,280,978
5th to 95th percentile 25th to 75th Median
PEO 31% chance of beating Fully Insured
−$3,891,570
median five-year savings
-12% expected savings
5th−$20,090,32525th−$9,212,253 75th$1,462,28795th$13,061,018
Self-Funded 100% chance of beating Fully Insured
$5,700,659
median five-year savings
+16% expected savings
5th$1,831,69725th$3,782,332 75th$8,861,60695th$17,718,003
With additional cost containment: $9.13M to $11.93M more potential savings; win rate rises to ~100%.
Self-Funded Captive 100% chance of beating Fully Insured
$5,360,159
median five-year savings
+15% expected savings
5th$1,759,44225th$3,479,902 75th$8,564,53495th$17,647,213
With additional cost containment: $9.27M to $11.24M more potential savings; win rate rises to ~100%.
Taft-Hartley 92% chance of beating Fully Insured
$6,280,978
median five-year savings
+16% expected savings
5th−$971,73325th$2,685,598 75th$11,161,23895th$21,523,144
Fixed · nationwide · transparent pricing Get your Taft-Hartley rate →
Fully Insured today: ~$1,199 per employee/month is the baseline. Every savings figure above is measured against it.Rates used: PY2027 final rates$0 saved
Day-one and five-year context
Lowest modeled day-one costTaft-Hartley · ~14% cheaper
Highest modeled five-year medianTaft-Hartley · $6,280,978
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 11% (final, per the Massachusetts Division of Insurance). Fully-insured renewal expectation used here: 8.3% a year over five years (six-year filed average incl. 2027); next 1 to 3 years 10.1%.
2026 analysis vs 2027
For 70-employee groups in Massachusetts, the modeled median five-year savings for Self-Funded Captive moved from $585,525 to $636,073, and its modeled chance of beating Fully Insured stayed at 99%.
| Employees | PEO | Level-Funded | Self-Funded | Self-Funded Captive |
|---|---|---|---|---|
| 10 | $170,434 → $204,47793% → 94% odds | $122,951 → $151,89476% → 78% odds | Not modeled | Not modeled |
| 30 | $511,302 → $613,43193% → 94% odds | $575,775 → $684,04788% → 89% odds | Not modeled | $497,761 → $592,29191% → 92% odds |
| 70 | −$80,938 → −$89,84147% → 47% odds | $430,350 → $477,68989% → 89% odds | Not modeled | $585,525 → $636,07399% → 99% odds |
| 150 | −$575,908 → −$639,25840% → 40% odds | Not modeled | $1,488,214 → $1,651,91894% → 94% odds | $1,433,000 → $1,560,931100% → 100% odds |
| 250 | −$1,758,800 → −$1,952,26834% → 34% odds | Not modeled | $2,652,901 → $2,944,72098% → 98% odds | $2,635,805 → $2,876,244100% → 100% odds |
| 500 | −$3,505,919 → −$3,891,57031% → 31% odds | Not modeled | $5,135,729 → $5,700,659100% → 100% odds | $4,918,162 → $5,360,159100% → 100% odds |
Fully Insured baseline used: $1,080 → $1,199 per employee per month (PY2026 rates → PY2027 final 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 Massachusetts 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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