PEO 97% chance of beating Fully Insured
$274,097
median five-year savings
+27% expected savings
5th$55,94625th$203,121 75th$320,09895th$363,505
New Jersey Health-Plan Funding Guide
New Jersey 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 New Jersey market rates.
Choose another size ↑Blackwell underwriter reviewed and validated
Chance of beating Fully Insured over 5 years
PEO97%
Level-Funded82%
Taft-Hartley100%
Five-year median savings versus staying Fully Insured
PEO $274,097
Level-Funded $220,300
Taft-Hartley $212,859
5th to 95th percentile 25th to 75th Median
Level-Funded 82% chance of beating Fully Insured
$220,300
median five-year savings
+16% expected savings
5th−$258,01525th$93,832 75th$273,13695th$307,395
With additional cost containment: $190K to $346K more potential savings; win rate rises to ~97%.
Taft-Hartley 100% chance of beating Fully Insured
$212,859
median five-year savings
+23% expected savings
5th$168,57925th$195,673 75th$231,46695th$259,459
Fixed · nationwide · transparent pricing Get your Taft-Hartley rate →
Fully Insured today: ~$1,221 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 · $274,097
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 18.46% (proposed, not yet final). Fully-insured renewal expectation used here: 12% a year over five years (six-year filed average incl. 2027); next 1 to 3 years 16%.
30 Employees
30-employee funding analysis · 2027
Modeled with Benefitra's average client savings assumptions, 2,000 Monte Carlo runs, and 2027 New Jersey market rates.
Choose another size ↑Blackwell underwriter reviewed and validated
Chance of beating Fully Insured over 5 years
PEO97%
Level-Funded93%
Self-Funded Captive95%
Taft-Hartley100%
Five-year median savings versus staying Fully Insured
PEO $822,292
Level-Funded $893,650
Self-Funded Captive $800,230
Taft-Hartley $638,577
5th to 95th percentile 25th to 75th Median
PEO 97% chance of beating Fully Insured
$822,292
median five-year savings
+27% expected savings
5th$167,83825th$609,363 75th$960,29395th$1,090,515
Level-Funded 93% chance of beating Fully Insured
$893,650
median five-year savings
+27% expected savings
5th−$177,03025th$622,411 75th$1,014,35295th$1,111,076
With additional cost containment: $487K to $774K more potential savings; win rate rises to ~100%.
Self-Funded Captive 95% chance of beating Fully Insured
$800,230
median five-year savings
+25% expected savings
5th$19,46425th$579,346 75th$933,41095th$1,054,893
With additional cost containment: $509K to $720K more potential savings; win rate rises to ~100%.
Taft-Hartley 100% chance of beating Fully Insured
$638,577
median five-year savings
+23% expected savings
5th$505,73825th$587,019 75th$694,39795th$778,377
Fixed · nationwide · transparent pricing Get your Taft-Hartley rate →
Fully Insured today: ~$1,221 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 · $893,650
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 18.46% (proposed, not yet final). Fully-insured renewal expectation used here: 12% a year over five years (six-year filed average incl. 2027); next 1 to 3 years 16%.
70 Employees
70-employee funding analysis · 2027
Modeled with conservative assumptions, 2,000 Monte Carlo runs, and 2027 New Jersey 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-Hartley94%
Five-year median savings versus staying Fully Insured
PEO −$91,454
Level-Funded $486,264
Self-Funded Captive $645,229
Taft-Hartley $865,830
5th to 95th percentile 25th to 75th Median
PEO 47% chance of beating Fully Insured
−$91,454
median five-year savings
-2% expected savings
5th−$2,098,10925th−$748,731 75th$732,44595th$2,639,001
Level-Funded 89% chance of beating Fully Insured
$486,264
median five-year savings
+11% expected savings
5th−$326,59825th$222,215 75th$994,90595th$2,558,437
With additional cost containment: $1.33M to $1.95M more potential savings; win rate rises to ~100%.
Self-Funded Captive 99% chance of beating Fully Insured
$645,229
median five-year savings
+14% expected savings
5th$124,03525th$369,996 75th$1,152,03595th$2,858,136
With additional cost containment: $1.30M to $1.72M more potential savings; win rate rises to ~100%.
Taft-Hartley 94% chance of beating Fully Insured
$865,830
median five-year savings
+17% expected savings
5th−$30,36325th$382,615 75th$1,649,81995th$3,603,275
Fixed · nationwide · transparent pricing Get your Taft-Hartley rate →
Fully Insured today: ~$1,221 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 costTaft-Hartley · ~16% cheaper
Highest modeled five-year medianTaft-Hartley · $865,830
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 18.46% (proposed, not yet final). Fully-insured renewal expectation used here: 12% a year over five years (six-year filed average incl. 2027); next 1 to 3 years 16%.
150 Employees
150-employee funding analysis · 2027
Modeled with conservative assumptions, 2,000 Monte Carlo runs, and 2027 New Jersey 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-Hartley91%
Five-year median savings versus staying Fully Insured
PEO −$650,734
Self-Funded $1,681,572
Self-Funded Captive $1,584,105
Taft-Hartley $2,014,529
5th to 95th percentile 25th to 75th Median
PEO 40% chance of beating Fully Insured
−$650,734
median five-year savings
-7% expected savings
5th−$5,354,47725th−$2,323,656 75th$1,161,64295th$5,864,943
Self-Funded 94% chance of beating Fully Insured
$1,681,572
median five-year savings
+15% expected savings
5th−$114,45125th$1,022,600 75th$2,651,67995th$5,756,676
With additional cost containment: $2.78M to $4.26M more potential savings; win rate rises to ~100%.
Self-Funded Captive 100% chance of beating Fully Insured
$1,584,105
median five-year savings
+15% expected savings
5th$488,21825th$991,870 75th$2,655,49795th$5,976,381
With additional cost containment: $2.82M to $3.73M more potential savings; win rate rises to ~100%.
Taft-Hartley 91% chance of beating Fully Insured
$2,014,529
median five-year savings
+17% expected savings
5th−$359,78525th$826,618 75th$3,867,91595th$8,187,264
Fixed · nationwide · transparent pricing Get your Taft-Hartley rate →
Fully Insured today: ~$1,221 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 costTaft-Hartley · ~16% cheaper
Highest modeled five-year medianTaft-Hartley · $2,014,529
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 18.46% (proposed, not yet final). Fully-insured renewal expectation used here: 12% a year over five years (six-year filed average incl. 2027); next 1 to 3 years 16%.
250 Employees
250-employee funding analysis · 2027
Modeled with conservative assumptions, 2,000 Monte Carlo runs, and 2027 New Jersey 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-Hartley90%
Five-year median savings versus staying Fully Insured
PEO −$1,987,314
Self-Funded $2,997,582
Self-Funded Captive $2,919,799
Taft-Hartley $3,509,153
5th to 95th percentile 25th to 75th Median
PEO 34% chance of beating Fully Insured
−$1,987,314
median five-year savings
-11% expected savings
5th−$10,391,72625th−$5,010,988 75th$1,428,10995th$8,874,567
Self-Funded 98% chance of beating Fully Insured
$2,997,582
median five-year savings
+16% expected savings
5th$750,17125th$2,021,855 75th$4,652,63795th$9,213,254
With additional cost containment: $4.61M to $6.96M more potential savings; win rate rises to ~100%.
Self-Funded Captive 100% chance of beating Fully Insured
$2,919,799
median five-year savings
+16% expected savings
5th$959,14125th$1,889,979 75th$4,766,87495th$9,663,786
With additional cost containment: $4.72M to $6.21M more potential savings; win rate rises to ~100%.
Taft-Hartley 90% chance of beating Fully Insured
$3,509,153
median five-year savings
+18% expected savings
5th−$777,04725th$1,356,353 75th$6,575,34895th$13,862,750
Fixed · nationwide · transparent pricing Get your Taft-Hartley rate →
Fully Insured today: ~$1,221 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 costTaft-Hartley · ~16% cheaper
Highest modeled five-year medianTaft-Hartley · $3,509,153
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 18.46% (proposed, not yet final). Fully-insured renewal expectation used here: 12% a year over five years (six-year filed average incl. 2027); next 1 to 3 years 16%.
500 Employees
500-employee funding analysis · 2027
Modeled with conservative assumptions, 2,000 Monte Carlo runs, and 2027 New Jersey 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-Hartley94%
Five-year median savings versus staying Fully Insured
PEO −$3,961,430
Self-Funded $5,802,994
Self-Funded Captive $5,440,226
Taft-Hartley $7,029,078
5th to 95th percentile 25th to 75th Median
PEO 31% chance of beating Fully Insured
−$3,961,430
median five-year savings
-12% expected savings
5th−$20,450,97625th−$9,377,626 75th$1,488,53795th$13,295,482
Self-Funded 100% chance of beating Fully Insured
$5,802,994
median five-year savings
+16% expected savings
5th$1,864,57825th$3,850,231 75th$9,020,68595th$18,036,067
With additional cost containment: $9.29M to $12.15M more potential savings; win rate rises to ~100%.
Self-Funded Captive 100% chance of beating Fully Insured
$5,440,226
median five-year savings
+15% expected savings
5th$1,774,87025th$3,526,215 75th$8,702,12495th$17,947,850
With additional cost containment: $9.44M to $11.44M more potential savings; win rate rises to ~100%.
Taft-Hartley 94% chance of beating Fully Insured
$7,029,078
median five-year savings
+17% expected savings
5th−$334,97925th$3,371,992 75th$12,017,57995th$22,564,806
Fixed · nationwide · transparent pricing Get your Taft-Hartley rate →
Fully Insured today: ~$1,221 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 costTaft-Hartley · ~16% cheaper
Highest modeled five-year medianTaft-Hartley · $7,029,078
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 18.46% (proposed, not yet final). Fully-insured renewal expectation used here: 12% a year over five years (six-year filed average incl. 2027); next 1 to 3 years 16%.
2026 analysis vs 2027
For 70-employee groups in New Jersey, the modeled median five-year savings for Self-Funded Captive moved from $564,316 to $645,229, and its modeled chance of beating Fully Insured stayed at 99%.
| Employees | PEO | Level-Funded | Self-Funded | Self-Funded Captive |
|---|---|---|---|---|
| 10 | $184,456 → $274,09795% → 97% odds | $139,415 → $220,30079% → 82% odds | Not modeled | Not modeled |
| 30 | $553,368 → $822,29295% → 97% odds | $613,899 → $893,65090% → 93% odds | Not modeled | $542,952 → $800,23092% → 95% odds |
| 70 | −$77,202 → −$91,45447% → 47% odds | $410,488 → $486,26489% → 89% odds | Not modeled | $564,316 → $645,22999% → 99% odds |
| 150 | −$549,328 → −$650,73440% → 40% odds | Not modeled | $1,419,528 → $1,681,57294% → 94% odds | $1,379,324 → $1,584,105100% → 100% odds |
| 250 | −$1,677,625 → −$1,987,31434% → 34% odds | Not modeled | $2,530,460 → $2,997,58298% → 98% odds | $2,534,922 → $2,919,799100% → 100% odds |
| 500 | −$3,344,108 → −$3,961,43031% → 31% odds | Not modeled | $4,898,695 → $5,802,994100% → 100% odds | $4,732,708 → $5,440,226100% → 100% odds |
Fully Insured baseline used: $1,030 → $1,221 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 New Jersey 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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