PEO 95% chance of beating Fully Insured
$146,324
median five-year savings
+22% expected savings
5th$2,07525th$99,448 75th$176,83595th$204,822
Tennessee Health-Plan Funding Guide
Tennessee 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 Tennessee market rates.
Choose another size ↑Blackwell underwriter reviewed and validated
Chance of beating Fully Insured over 5 years
PEO95%
Level-Funded81%
Taft-Hartley0%
Five-year median savings versus staying Fully Insured
PEO $146,324
Level-Funded $119,272
Taft-Hartley −$135,023
5th to 95th percentile 25th to 75th Median
Level-Funded 81% chance of beating Fully Insured
$119,272
median five-year savings
+12% expected savings
5th−$192,06425th$36,263 75th$153,61695th$175,271
With additional cost containment: $124K to $225K more potential savings; win rate rises to ~96%.
Taft-Hartley 0% chance of beating Fully Insured
−$135,023
median five-year savings
-23% expected savings
5th−$167,61125th−$148,017 75th−$121,44595th−$102,839
Fixed · nationwide · transparent pricing Get your Taft-Hartley rate →
Fully Insured today: ~$811 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 · $146,324
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 12.19% (proposed, not yet final). Fully-insured renewal expectation used here: 9% a year over five years (six-year filed average incl. 2027); next 1 to 3 years 11.5%.
30 Employees
30-employee funding analysis · 2027
Modeled with Benefitra's average client savings assumptions, 2,000 Monte Carlo runs, and 2027 Tennessee market rates.
Choose another size ↑Blackwell underwriter reviewed and validated
Chance of beating Fully Insured over 5 years
PEO95%
Level-Funded91%
Self-Funded Captive94%
Taft-Hartley0%
Five-year median savings versus staying Fully Insured
PEO $438,971
Level-Funded $509,779
Self-Funded Captive $468,069
Taft-Hartley −$405,070
5th to 95th percentile 25th to 75th Median
PEO 95% chance of beating Fully Insured
$438,971
median five-year savings
+22% expected savings
5th$6,22625th$298,345 75th$530,50595th$614,466
Level-Funded 91% chance of beating Fully Insured
$509,779
median five-year savings
+24% expected savings
5th−$185,29125th$334,393 75th$587,76595th$649,896
With additional cost containment: $318K to $504K more potential savings; win rate rises to ~99%.
Self-Funded Captive 94% chance of beating Fully Insured
$468,069
median five-year savings
+23% expected savings
5th−$44,77525th$323,927 75th$553,69295th$633,233
With additional cost containment: $326K to $467K more potential savings; win rate rises to ~100%.
Taft-Hartley 0% chance of beating Fully Insured
−$405,070
median five-year savings
-23% expected savings
5th−$502,83325th−$444,051 75th−$364,33595th−$308,517
Fixed · nationwide · transparent pricing Get your Taft-Hartley rate →
Fully Insured today: ~$811 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 · $509,779
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 12.19% (proposed, not yet final). Fully-insured renewal expectation used here: 9% a year over five years (six-year filed average incl. 2027); next 1 to 3 years 11.5%.
70 Employees
70-employee funding analysis · 2027
Modeled with conservative assumptions, 2,000 Monte Carlo runs, and 2027 Tennessee 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-Hartley9%
Five-year median savings versus staying Fully Insured
PEO −$120,025
Level-Funded $338,941
Self-Funded Captive $483,507
Taft-Hartley −$1,175,252
5th to 95th percentile 25th to 75th Median
PEO 44% chance of beating Fully Insured
−$120,025
median five-year savings
-4% expected savings
5th−$1,428,46825th−$555,976 75th$394,15995th$1,576,584
Level-Funded 91% chance of beating Fully Insured
$338,941
median five-year savings
+11% expected savings
5th−$161,40125th$178,189 75th$625,25495th$1,545,242
With additional cost containment: $866K to $1.27M more potential savings; win rate rises to ~100%.
Self-Funded Captive 100% chance of beating Fully Insured
$483,507
median five-year savings
+15% expected savings
5th$174,33525th$320,782 75th$778,43395th$1,714,750
With additional cost containment: $838K to $1.11M more potential savings; win rate rises to ~100%.
Taft-Hartley 9% chance of beating Fully Insured
−$1,175,252
median five-year savings
-27% expected savings
5th−$1,736,34825th−$1,477,406 75th−$691,16995th$488,415
Fixed · nationwide · transparent pricing Get your Taft-Hartley rate →
Fully Insured today: ~$811 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 · $483,507
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 12.19% (proposed, not yet final). Fully-insured renewal expectation used here: 9% a year over five years (six-year filed average incl. 2027); next 1 to 3 years 11.5%.
150 Employees
150-employee funding analysis · 2027
Modeled with conservative assumptions, 2,000 Monte Carlo runs, and 2027 Tennessee 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-Hartley11%
Five-year median savings versus staying Fully Insured
PEO −$565,773
Self-Funded $1,129,318
Self-Funded Captive $1,164,310
Taft-Hartley −$2,418,268
5th to 95th percentile 25th to 75th Median
PEO 37% chance of beating Fully Insured
−$565,773
median five-year savings
-8% expected savings
5th−$3,659,33125th−$1,658,288 75th$606,58395th$3,434,922
Self-Funded 96% chance of beating Fully Insured
$1,129,318
median five-year savings
+15% expected savings
5th$42,37325th$738,603 75th$1,680,94595th$3,420,548
With additional cost containment: $1.81M to $2.77M more potential savings; win rate rises to ~100%.
Self-Funded Captive 100% chance of beating Fully Insured
$1,164,310
median five-year savings
+16% expected savings
5th$519,89225th$816,744 75th$1,775,89595th$3,677,957
With additional cost containment: $1.81M to $2.40M more potential savings; win rate rises to ~100%.
Taft-Hartley 11% chance of beating Fully Insured
−$2,418,268
median five-year savings
-27% expected savings
5th−$3,927,90925th−$3,182,760 75th−$1,263,05195th$1,410,227
Fixed · nationwide · transparent pricing Get your Taft-Hartley rate →
Fully Insured today: ~$811 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 · $1,164,310
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 12.19% (proposed, not yet final). Fully-insured renewal expectation used here: 9% a year over five years (six-year filed average incl. 2027); next 1 to 3 years 11.5%.
250 Employees
250-employee funding analysis · 2027
Modeled with conservative assumptions, 2,000 Monte Carlo runs, and 2027 Tennessee 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-Hartley12%
Five-year median savings versus staying Fully Insured
PEO −$1,570,840
Self-Funded $2,001,689
Self-Funded Captive $2,097,676
Taft-Hartley −$3,951,240
5th to 95th percentile 25th to 75th Median
PEO 31% chance of beating Fully Insured
−$1,570,840
median five-year savings
-13% expected savings
5th−$7,109,35825th−$3,484,731 75th$590,23395th$5,259,642
Self-Funded 99% chance of beating Fully Insured
$2,001,689
median five-year savings
+16% expected savings
5th$676,35725th$1,438,510 75th$2,960,19695th$5,513,200
With additional cost containment: $3.00M to $4.53M more potential savings; win rate rises to ~100%.
Self-Funded Captive 100% chance of beating Fully Insured
$2,097,676
median five-year savings
+17% expected savings
5th$938,27625th$1,489,370 75th$3,163,71395th$6,000,760
With additional cost containment: $3.03M to $4.02M more potential savings; win rate rises to ~100%.
Taft-Hartley 12% chance of beating Fully Insured
−$3,951,240
median five-year savings
-26% expected savings
5th−$6,673,44825th−$5,288,230 75th−$1,976,45395th$2,636,503
Fixed · nationwide · transparent pricing Get your Taft-Hartley rate →
Fully Insured today: ~$811 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 · $2,097,676
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 12.19% (proposed, not yet final). Fully-insured renewal expectation used here: 9% a year over five years (six-year filed average incl. 2027); next 1 to 3 years 11.5%.
500 Employees
500-employee funding analysis · 2027
Modeled with conservative assumptions, 2,000 Monte Carlo runs, and 2027 Tennessee 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-Hartley7%
Five-year median savings versus staying Fully Insured
PEO −$3,110,466
Self-Funded $3,867,431
Self-Funded Captive $3,964,348
Taft-Hartley −$7,846,575
5th to 95th percentile 25th to 75th Median
PEO 27% chance of beating Fully Insured
−$3,110,466
median five-year savings
-14% expected savings
5th−$14,117,21125th−$6,605,163 75th$458,24995th$7,537,313
Self-Funded 100% chance of beating Fully Insured
$3,867,431
median five-year savings
+16% expected savings
5th$1,579,65325th$2,743,739 75th$5,712,28095th$10,761,447
With additional cost containment: $6.06M to $7.90M more potential savings; win rate rises to ~100%.
Self-Funded Captive 100% chance of beating Fully Insured
$3,964,348
median five-year savings
+16% expected savings
5th$1,800,92825th$2,826,618 75th$5,858,55495th$10,995,184
With additional cost containment: $6.07M to $7.37M more potential savings; win rate rises to ~100%.
Taft-Hartley 7% chance of beating Fully Insured
−$7,846,575
median five-year savings
-27% expected savings
5th−$12,560,31125th−$10,211,339 75th−$4,759,35195th$1,691,746
Fixed · nationwide · transparent pricing Get your Taft-Hartley rate →
Fully Insured today: ~$811 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 · $3,964,348
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 12.19% (proposed, not yet final). Fully-insured renewal expectation used here: 9% a year over five years (six-year filed average incl. 2027); next 1 to 3 years 11.5%.
2026 analysis vs 2027
For 70-employee groups in Tennessee, the modeled median five-year savings for Self-Funded Captive moved from $444,662 to $483,507, and its modeled chance of beating Fully Insured stayed at 100%.
| Employees | PEO | Level-Funded | Self-Funded | Self-Funded Captive |
|---|---|---|---|---|
| 10 | $99,084 → $146,32491% → 95% odds | $75,123 → $119,27275% → 81% odds | Not modeled | Not modeled |
| 30 | $297,253 → $438,97191% → 95% odds | $361,141 → $509,77988% → 91% odds | Not modeled | $328,995 → $468,06991% → 94% odds |
| 70 | −$106,983 → −$120,02544% → 44% odds | $302,113 → $338,94191% → 91% odds | Not modeled | $444,662 → $483,507100% → 100% odds |
| 150 | −$504,299 → −$565,77337% → 37% odds | Not modeled | $1,006,612 → $1,129,31896% → 96% odds | $1,067,138 → $1,164,310100% → 100% odds |
| 250 | −$1,400,160 → −$1,570,84031% → 31% odds | Not modeled | $1,784,196 → $2,001,68999% → 99% odds | $1,918,648 → $2,097,676100% → 100% odds |
| 500 | −$2,772,498 → −$3,110,46627% → 27% odds | Not modeled | $3,447,215 → $3,867,431100% → 100% odds | $3,631,391 → $3,964,348100% → 100% odds |
Fully Insured baseline used: $723 → $811 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 Tennessee 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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