PEO 97% chance of beating Fully Insured
$201,729
median five-year savings
+27% expected savings
5th$41,17525th$149,493 75th$235,58595th$267,531
New Mexico Health-Plan Funding Guide
New Mexico 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 Mexico market rates.
Choose another size ↑Blackwell underwriter reviewed and validated
Chance of beating Fully Insured over 5 years
PEO97%
Level-Funded84%
Taft-Hartley7%
Five-year median savings versus staying Fully Insured
PEO $201,729
Level-Funded $176,222
Taft-Hartley −$32,587
5th to 95th percentile 25th to 75th Median
Level-Funded 84% chance of beating Fully Insured
$176,222
median five-year savings
+18% expected savings
5th−$164,20925th$86,530 75th$213,59895th$237,898
With additional cost containment: $137K to $247K more potential savings; win rate rises to ~98%.
Taft-Hartley 7% chance of beating Fully Insured
−$32,587
median five-year savings
-5% expected savings
5th−$68,05825th−$46,680 75th−$17,87095th$3,344
Fixed · nationwide · transparent pricing Get your Taft-Hartley rate →
Fully Insured today: ~$898 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 · $201,729
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 20.12% (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 16.5%.
30 Employees
30-employee funding analysis · 2027
Modeled with Benefitra's average client savings assumptions, 2,000 Monte Carlo runs, and 2027 New Mexico market rates.
Choose another size ↑Blackwell underwriter reviewed and validated
Chance of beating Fully Insured over 5 years
PEO97%
Level-Funded94%
Self-Funded Captive96%
Taft-Hartley7%
Five-year median savings versus staying Fully Insured
PEO $605,188
Level-Funded $696,251
Self-Funded Captive $645,176
Taft-Hartley −$97,761
5th to 95th percentile 25th to 75th Median
PEO 97% chance of beating Fully Insured
$605,188
median five-year savings
+27% expected savings
5th$123,52525th$448,478 75th$706,75495th$802,594
Level-Funded 94% chance of beating Fully Insured
$696,251
median five-year savings
+29% expected savings
5th−$69,56725th$502,337 75th$780,69595th$850,165
With additional cost containment: $349K to $553K more potential savings; win rate rises to ~100%.
Self-Funded Captive 96% chance of beating Fully Insured
$645,176
median five-year savings
+28% expected savings
5th$85,16525th$485,678 75th$740,12195th$825,751
With additional cost containment: $359K to $514K more potential savings; win rate rises to ~100%.
Taft-Hartley 7% chance of beating Fully Insured
−$97,761
median five-year savings
-5% expected savings
5th−$204,17325th−$140,039 75th−$53,61195th$10,031
Fixed · nationwide · transparent pricing Get your Taft-Hartley rate →
Fully Insured today: ~$898 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 · $696,251
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 20.12% (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 16.5%.
70 Employees
70-employee funding analysis · 2027
Modeled with conservative assumptions, 2,000 Monte Carlo runs, and 2027 New Mexico market rates.
Choose another size ↑Blackwell underwriter reviewed and validated
Chance of beating Fully Insured over 5 years
PEO42%
Level-Funded92%
Self-Funded Captive100%
Taft-Hartley17%
Five-year median savings versus staying Fully Insured
PEO −$158,130
Level-Funded $384,294
Self-Funded Captive $530,225
Taft-Hartley −$795,237
5th to 95th percentile 25th to 75th Median
PEO 42% chance of beating Fully Insured
−$158,130
median five-year savings
-5% expected savings
5th−$1,612,89425th−$647,050 75th$388,30595th$1,627,922
Level-Funded 92% chance of beating Fully Insured
$384,294
median five-year savings
+11% expected savings
5th−$154,58125th$215,489 75th$673,60995th$1,602,874
With additional cost containment: $948K to $1.39M more potential savings; win rate rises to ~100%.
Self-Funded Captive 100% chance of beating Fully Insured
$530,225
median five-year savings
+15% expected savings
5th$206,24825th$361,330 75th$826,66695th$1,773,670
With additional cost containment: $923K to $1.22M more potential savings; win rate rises to ~100%.
Taft-Hartley 17% chance of beating Fully Insured
−$795,237
median five-year savings
-16% expected savings
5th−$1,396,43625th−$1,117,974 75th−$279,64595th$936,725
Fixed · nationwide · transparent pricing Get your Taft-Hartley rate →
Fully Insured today: ~$898 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 · $530,225
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 20.12% (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 16.5%.
150 Employees
150-employee funding analysis · 2027
Modeled with conservative assumptions, 2,000 Monte Carlo runs, and 2027 New Mexico market rates.
Choose another size ↑Blackwell underwriter reviewed and validated
Chance of beating Fully Insured over 5 years
PEO35%
Self-Funded96%
Self-Funded Captive100%
Taft-Hartley20%
Five-year median savings versus staying Fully Insured
PEO −$700,941
Self-Funded $1,257,938
Self-Funded Captive $1,268,691
Taft-Hartley −$1,597,451
5th to 95th percentile 25th to 75th Median
PEO 35% chance of beating Fully Insured
−$700,941
median five-year savings
-9% expected savings
5th−$4,123,08425th−$1,888,232 75th$559,97895th$3,529,046
Self-Funded 96% chance of beating Fully Insured
$1,257,938
median five-year savings
+15% expected savings
5th$103,46125th$850,664 75th$1,818,71695th$3,569,605
With additional cost containment: $1.99M to $3.04M more potential savings; win rate rises to ~100%.
Self-Funded Captive 100% chance of beating Fully Insured
$1,268,691
median five-year savings
+16% expected savings
5th$600,19825th$908,956 75th$1,890,02395th$3,819,645
With additional cost containment: $2.00M to $2.64M more potential savings; win rate rises to ~100%.
Taft-Hartley 20% chance of beating Fully Insured
−$1,597,451
median five-year savings
-15% expected savings
5th−$3,213,31725th−$2,410,967 75th−$392,47095th$2,387,234
Fixed · nationwide · transparent pricing Get your Taft-Hartley rate →
Fully Insured today: ~$898 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 · $1,268,691
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 20.12% (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 16.5%.
250 Employees
250-employee funding analysis · 2027
Modeled with conservative assumptions, 2,000 Monte Carlo runs, and 2027 New Mexico market rates.
Choose another size ↑Blackwell underwriter reviewed and validated
Chance of beating Fully Insured over 5 years
PEO29%
Self-Funded99%
Self-Funded Captive100%
Taft-Hartley21%
Five-year median savings versus staying Fully Insured
PEO −$1,874,603
Self-Funded $2,223,915
Self-Funded Captive $2,284,516
Taft-Hartley −$2,602,914
5th to 95th percentile 25th to 75th Median
PEO 29% chance of beating Fully Insured
−$1,874,603
median five-year savings
-14% expected savings
5th−$7,985,40325th−$3,980,789 75th$449,98295th$5,450,727
Self-Funded 99% chance of beating Fully Insured
$2,223,915
median five-year savings
+16% expected savings
5th$853,52425th$1,634,782 75th$3,208,42295th$5,769,249
With additional cost containment: $3.29M to $4.97M more potential savings; win rate rises to ~100%.
Self-Funded Captive 100% chance of beating Fully Insured
$2,284,516
median five-year savings
+17% expected savings
5th$1,082,60525th$1,641,519 75th$3,381,11695th$6,379,131
With additional cost containment: $3.34M to $4.42M more potential savings; win rate rises to ~100%.
Taft-Hartley 21% chance of beating Fully Insured
−$2,602,914
median five-year savings
-15% expected savings
5th−$5,508,60625th−$4,017,004 75th−$465,88095th$4,500,225
Fixed · nationwide · transparent pricing Get your Taft-Hartley rate →
Fully Insured today: ~$898 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 · $2,284,516
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 20.12% (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 16.5%.
500 Employees
500-employee funding analysis · 2027
Modeled with conservative assumptions, 2,000 Monte Carlo runs, and 2027 New Mexico market rates.
Choose another size ↑Blackwell underwriter reviewed and validated
Chance of beating Fully Insured over 5 years
PEO26%
Self-Funded100%
Self-Funded Captive100%
Taft-Hartley16%
Five-year median savings versus staying Fully Insured
PEO −$3,707,206
Self-Funded $4,291,591
Self-Funded Captive $4,319,378
Taft-Hartley −$5,089,751
5th to 95th percentile 25th to 75th Median
PEO 26% chance of beating Fully Insured
−$3,707,206
median five-year savings
-15% expected savings
5th−$15,862,48725th−$7,540,893 75th$144,69995th$7,428,663
Self-Funded 100% chance of beating Fully Insured
$4,291,591
median five-year savings
+16% expected savings
5th$1,924,81225th$3,143,299 75th$6,204,75295th$11,271,135
With additional cost containment: $6.65M to $8.66M more potential savings; win rate rises to ~100%.
Self-Funded Captive 100% chance of beating Fully Insured
$4,319,378
median five-year savings
+16% expected savings
5th$2,067,28325th$3,132,103 75th$6,280,10295th$11,535,891
With additional cost containment: $6.69M to $8.10M more potential savings; win rate rises to ~100%.
Taft-Hartley 16% chance of beating Fully Insured
−$5,089,751
median five-year savings
-15% expected savings
5th−$10,146,76825th−$7,639,783 75th−$1,879,70895th$4,975,582
Fixed · nationwide · transparent pricing Get your Taft-Hartley rate →
Fully Insured today: ~$898 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 · $4,319,378
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 20.12% (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 16.5%.
2026 analysis vs 2027
For 70-employee groups in New Mexico, the modeled median five-year savings for Self-Funded Captive moved from $462,517 to $530,225, and its modeled chance of beating Fully Insured stayed at 100%.
| Employees | PEO | Level-Funded | Self-Funded | Self-Funded Captive |
|---|---|---|---|---|
| 10 | $130,740 → $201,72995% → 97% odds | $109,566 → $176,22281% → 84% odds | Not modeled | Not modeled |
| 30 | $392,219 → $605,18895% → 97% odds | $467,745 → $696,25191% → 94% odds | Not modeled | $434,613 → $645,17694% → 96% odds |
| 70 | −$131,644 → −$158,13042% → 42% odds | $319,925 → $384,29492% → 92% odds | Not modeled | $462,517 → $530,225100% → 100% odds |
| 150 | −$583,534 → −$700,94135% → 35% odds | Not modeled | $1,047,234 → $1,257,93896% → 96% odds | $1,101,411 → $1,268,691100% → 100% odds |
| 250 | −$1,560,608 → −$1,874,60329% → 29% odds | Not modeled | $1,851,411 → $2,223,91599% → 99% odds | $1,977,236 → $2,284,516100% → 100% odds |
| 500 | −$3,086,252 → −$3,707,20626% → 26% odds | Not modeled | $3,572,753 → $4,291,591100% → 100% odds | $3,746,635 → $4,319,378100% → 100% odds |
Fully Insured baseline used: $748 → $898 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 Mexico 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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