PEO 96% chance of beating Fully Insured
$186,203
median five-year savings
+24% expected savings
5th$17,10625th$131,312 75th$222,05195th$254,956
Texas Health-Plan Funding Guide
Texas 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 Texas market rates.
Choose another size ↑Blackwell underwriter reviewed and validated
Chance of beating Fully Insured over 5 years
PEO96%
Level-Funded82%
Taft-Hartley18%
Five-year median savings versus staying Fully Insured
PEO $186,203
Level-Funded $159,318
Taft-Hartley −$20,954
5th to 95th percentile 25th to 75th Median
Level-Funded 82% chance of beating Fully Insured
$159,318
median five-year savings
+15% expected savings
5th−$200,90725th$64,135 75th$198,93095th$224,480
With additional cost containment: $145K to $261K more potential savings; win rate rises to ~97%.
Taft-Hartley 18% chance of beating Fully Insured
−$20,954
median five-year savings
-3% expected savings
5th−$56,90925th−$35,209 75th−$5,97295th$15,615
Fixed · nationwide · transparent pricing Get your Taft-Hartley rate →
Fully Insured today: ~$949 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 · $186,203
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 18.94% (proposed, not yet final). Fully-insured renewal expectation used here: 10.1% a year over five years (six-year filed average incl. 2027); next 1 to 3 years 15.3%.
30 Employees
30-employee funding analysis · 2027
Modeled with Benefitra's average client savings assumptions, 2,000 Monte Carlo runs, and 2027 Texas market rates.
Choose another size ↑Blackwell underwriter reviewed and validated
Chance of beating Fully Insured over 5 years
PEO96%
Level-Funded92%
Self-Funded Captive95%
Taft-Hartley18%
Five-year median savings versus staying Fully Insured
PEO $558,609
Level-Funded $654,723
Self-Funded Captive $597,984
Taft-Hartley −$62,863
5th to 95th percentile 25th to 75th Median
PEO 96% chance of beating Fully Insured
$558,609
median five-year savings
+24% expected savings
5th$51,31825th$393,937 75th$666,15295th$764,868
Level-Funded 92% chance of beating Fully Insured
$654,723
median five-year savings
+26% expected savings
5th−$150,97725th$450,923 75th$744,97895th$817,000
With additional cost containment: $368K to $584K more potential savings; win rate rises to ~100%.
Self-Funded Captive 95% chance of beating Fully Insured
$597,984
median five-year savings
+25% expected savings
5th$4,24325th$430,231 75th$698,18395th$789,104
With additional cost containment: $380K to $544K more potential savings; win rate rises to ~100%.
Taft-Hartley 18% chance of beating Fully Insured
−$62,863
median five-year savings
-3% expected savings
5th−$170,72625th−$105,627 75th−$17,91795th$46,845
Fixed · nationwide · transparent pricing Get your Taft-Hartley rate →
Fully Insured today: ~$949 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 · $654,723
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 18.94% (proposed, not yet final). Fully-insured renewal expectation used here: 10.1% a year over five years (six-year filed average incl. 2027); next 1 to 3 years 15.3%.
70 Employees
70-employee funding analysis · 2027
Modeled with conservative assumptions, 2,000 Monte Carlo runs, and 2027 Texas 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-Hartley25%
Five-year median savings versus staying Fully Insured
PEO −$167,015
Level-Funded $405,886
Self-Funded Captive $552,937
Taft-Hartley −$558,286
5th to 95th percentile 25th to 75th Median
PEO 42% chance of beating Fully Insured
−$167,015
median five-year savings
-5% expected savings
5th−$1,703,52025th−$683,406 75th$410,12395th$1,719,392
Level-Funded 92% chance of beating Fully Insured
$405,886
median five-year savings
+11% expected savings
5th−$163,26725th$227,597 75th$711,45895th$1,692,937
With additional cost containment: $1.00M to $1.47M more potential savings; win rate rises to ~100%.
Self-Funded Captive 100% chance of beating Fully Insured
$552,937
median five-year savings
+15% expected savings
5th$210,75725th$374,552 75th$866,03595th$1,866,250
With additional cost containment: $976K to $1.29M more potential savings; win rate rises to ~100%.
Taft-Hartley 25% chance of beating Fully Insured
−$558,286
median five-year savings
-10% expected savings
5th−$1,191,19925th−$897,514 75th−$12,59695th$1,272,735
Fixed · nationwide · transparent pricing Get your Taft-Hartley rate →
Fully Insured today: ~$949 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 · $552,937
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 18.94% (proposed, not yet final). Fully-insured renewal expectation used here: 10.1% a year over five years (six-year filed average incl. 2027); next 1 to 3 years 15.3%.
150 Employees
150-employee funding analysis · 2027
Modeled with conservative assumptions, 2,000 Monte Carlo runs, and 2027 Texas 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-Hartley27%
Five-year median savings versus staying Fully Insured
PEO −$740,326
Self-Funded $1,328,619
Self-Funded Captive $1,324,805
Taft-Hartley −$1,078,711
5th to 95th percentile 25th to 75th Median
PEO 35% chance of beating Fully Insured
−$740,326
median five-year savings
-9% expected savings
5th−$4,354,75325th−$1,994,329 75th$591,44395th$3,727,337
Self-Funded 96% chance of beating Fully Insured
$1,328,619
median five-year savings
+15% expected savings
5th$109,27425th$898,461 75th$1,920,90695th$3,770,175
With additional cost containment: $2.10M to $3.21M more potential savings; win rate rises to ~100%.
Self-Funded Captive 100% chance of beating Fully Insured
$1,324,805
median five-year savings
+16% expected savings
5th$618,75125th$944,858 75th$1,981,04995th$4,019,094
With additional cost containment: $2.12M to $2.79M more potential savings; win rate rises to ~100%.
Taft-Hartley 27% chance of beating Fully Insured
−$1,078,711
median five-year savings
-9% expected savings
5th−$2,782,80525th−$1,939,327 75th$194,87395th$3,134,516
Fixed · nationwide · transparent pricing Get your Taft-Hartley rate →
Fully Insured today: ~$949 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 · $1,328,619
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 18.94% (proposed, not yet final). Fully-insured renewal expectation used here: 10.1% a year over five years (six-year filed average incl. 2027); next 1 to 3 years 15.3%.
250 Employees
250-employee funding analysis · 2027
Modeled with conservative assumptions, 2,000 Monte Carlo runs, and 2027 Texas 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-Hartley29%
Five-year median savings versus staying Fully Insured
PEO −$1,979,933
Self-Funded $2,348,873
Self-Funded Captive $2,387,594
Taft-Hartley −$1,744,107
5th to 95th percentile 25th to 75th Median
PEO 29% chance of beating Fully Insured
−$1,979,933
median five-year savings
-14% expected savings
5th−$8,434,08925th−$4,204,462 75th$475,26595th$5,756,994
Self-Funded 99% chance of beating Fully Insured
$2,348,873
median five-year savings
+16% expected savings
5th$901,48225th$1,726,638 75th$3,388,69895th$6,093,413
With additional cost containment: $3.48M to $5.25M more potential savings; win rate rises to ~100%.
Self-Funded Captive 100% chance of beating Fully Insured
$2,387,594
median five-year savings
+16% expected savings
5th$1,118,15025th$1,708,469 75th$3,545,81095th$6,712,278
With additional cost containment: $3.53M to $4.67M more potential savings; win rate rises to ~100%.
Taft-Hartley 29% chance of beating Fully Insured
−$1,744,107
median five-year savings
-9% expected savings
5th−$4,809,89825th−$3,238,536 75th$512,81695th$5,768,133
Fixed · nationwide · transparent pricing Get your Taft-Hartley rate →
Fully Insured today: ~$949 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 · $2,387,594
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 18.94% (proposed, not yet final). Fully-insured renewal expectation used here: 10.1% a year over five years (six-year filed average incl. 2027); next 1 to 3 years 15.3%.
500 Employees
500-employee funding analysis · 2027
Modeled with conservative assumptions, 2,000 Monte Carlo runs, and 2027 Texas 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-Hartley25%
Five-year median savings versus staying Fully Insured
PEO −$3,915,507
Self-Funded $4,532,728
Self-Funded Captive $4,511,507
Taft-Hartley −$3,373,415
5th to 95th percentile 25th to 75th Median
PEO 26% chance of beating Fully Insured
−$3,915,507
median five-year savings
-15% expected savings
5th−$16,753,77325th−$7,964,603 75th$152,82995th$7,846,067
Self-Funded 100% chance of beating Fully Insured
$4,532,728
median five-year savings
+16% expected savings
5th$2,032,96425th$3,319,915 75th$6,553,38695th$11,904,440
With additional cost containment: $7.02M to $9.15M more potential savings; win rate rises to ~100%.
Self-Funded Captive 100% chance of beating Fully Insured
$4,511,507
median five-year savings
+16% expected savings
5th$2,132,87125th$3,257,521 75th$6,582,40095th$12,133,503
With additional cost containment: $7.08M to $8.57M more potential savings; win rate rises to ~100%.
Taft-Hartley 25% chance of beating Fully Insured
−$3,373,415
median five-year savings
-9% expected savings
5th−$8,695,79825th−$6,036,504 75th$30,34295th$7,227,155
Fixed · nationwide · transparent pricing Get your Taft-Hartley rate →
Fully Insured today: ~$949 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 · $4,532,728
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 18.94% (proposed, not yet final). Fully-insured renewal expectation used here: 10.1% a year over five years (six-year filed average incl. 2027); next 1 to 3 years 15.3%.
2026 analysis vs 2027
For 70-employee groups in Texas, the modeled median five-year savings for Self-Funded Captive moved from $484,952 to $552,937, and its modeled chance of beating Fully Insured stayed at 100%.
| Employees | PEO | Level-Funded | Self-Funded | Self-Funded Captive |
|---|---|---|---|---|
| 10 | $124,729 → $186,20393% → 96% odds | $102,475 → $159,31879% → 82% odds | Not modeled | Not modeled |
| 30 | $374,186 → $558,60993% → 96% odds | $455,372 → $654,72390% → 92% odds | Not modeled | $416,030 → $597,98492% → 95% odds |
| 70 | −$140,420 → −$167,01542% → 42% odds | $341,253 → $405,88692% → 92% odds | Not modeled | $484,952 → $552,937100% → 100% odds |
| 150 | −$622,436 → −$740,32635% → 35% odds | Not modeled | $1,117,050 → $1,328,61996% → 96% odds | $1,156,838 → $1,324,805100% → 100% odds |
| 250 | −$1,664,649 → −$1,979,93329% → 29% odds | Not modeled | $1,974,838 → $2,348,87399% → 99% odds | $2,079,052 → $2,387,594100% → 100% odds |
| 500 | −$3,292,002 → −$3,915,50726% → 26% odds | Not modeled | $3,810,936 → $4,532,728100% → 100% odds | $3,936,411 → $4,511,507100% → 100% odds |
Fully Insured baseline used: $798 → $949 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 Texas 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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