PEO 94% chance of beating Fully Insured
$149,035
median five-year savings
+20% expected savings
5th−$14,50025th$96,023 75th$183,59595th$215,246
Virginia Health-Plan Funding Guide
Virginia 2027 funding analysis by employer size
Plan year 2027 Rates used: PY2027 final approved 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 Virginia market rates.
Choose another size ↑Blackwell underwriter reviewed and validated
Chance of beating Fully Insured over 5 years
PEO94%
Level-Funded80%
Taft-Hartley0%
Five-year median savings versus staying Fully Insured
PEO $149,035
Level-Funded $123,227
Taft-Hartley −$73,755
5th to 95th percentile 25th to 75th Median
Level-Funded 80% chance of beating Fully Insured
$123,227
median five-year savings
+11% expected savings
5th−$226,00825th$29,937 75th$161,67795th$185,674
With additional cost containment: $141K to $253K more potential savings; win rate rises to ~95%.
Taft-Hartley 0% chance of beating Fully Insured
−$73,755
median five-year savings
-11% expected savings
5th−$108,22525th−$87,477 75th−$59,30295th−$39,258
Fixed · nationwide · transparent pricing Get your Taft-Hartley rate →
Fully Insured today: ~$920 per employee/month is the baseline. Every savings figure above is measured against it.Rates used: PY2027 final approved rates$0 saved
Day-one and five-year context
Lowest modeled day-one costPEO · ~28% cheaper
Highest modeled five-year medianPEO · $149,035
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 10.7% (final, approved by the Virginia State Corporation Commission). Fully-insured renewal expectation used here: 7.7% a year over five years (six-year filed average incl. 2027); next 1 to 3 years 9.6%.
30 Employees
30-employee funding analysis · 2027
Modeled with Benefitra's average client savings assumptions, 2,000 Monte Carlo runs, and 2027 Virginia market rates.
Choose another size ↑Blackwell underwriter reviewed and validated
Chance of beating Fully Insured over 5 years
PEO94%
Level-Funded90%
Self-Funded Captive93%
Taft-Hartley0%
Five-year median savings versus staying Fully Insured
PEO $447,105
Level-Funded $540,374
Self-Funded Captive $486,804
Taft-Hartley −$221,265
5th to 95th percentile 25th to 75th Median
PEO 94% chance of beating Fully Insured
$447,105
median five-year savings
+20% expected savings
5th−$43,50125th$288,070 75th$550,78595th$645,737
Level-Funded 90% chance of beating Fully Insured
$540,374
median five-year savings
+22% expected savings
5th−$240,38025th$343,260 75th$627,30395th$697,716
With additional cost containment: $357K to $566K more potential savings; win rate rises to ~99%.
Self-Funded Captive 93% chance of beating Fully Insured
$486,804
median five-year savings
+21% expected savings
5th−$90,97825th$324,015 75th$582,70095th$672,413
With additional cost containment: $368K to $527K more potential savings; win rate rises to ~99%.
Taft-Hartley 0% chance of beating Fully Insured
−$221,265
median five-year savings
-11% expected savings
5th−$324,67525th−$262,431 75th−$177,90795th−$117,775
Fixed · nationwide · transparent pricing Get your Taft-Hartley rate →
Fully Insured today: ~$920 per employee/month is the baseline. Every savings figure above is measured against it.Rates used: PY2027 final approved rates$0 saved
Day-one and five-year context
Lowest modeled day-one costPEO · ~28% cheaper
Highest modeled five-year medianLevel-Funded · $540,374
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 10.7% (final, approved by the Virginia State Corporation Commission). Fully-insured renewal expectation used here: 7.7% a year over five years (six-year filed average incl. 2027); next 1 to 3 years 9.6%.
70 Employees
70-employee funding analysis · 2027
Modeled with conservative assumptions, 2,000 Monte Carlo runs, and 2027 Virginia 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-Hartley20%
Five-year median savings versus staying Fully Insured
PEO −$161,922
Level-Funded $393,507
Self-Funded Captive $539,916
Taft-Hartley −$694,025
5th to 95th percentile 25th to 75th Median
PEO 42% chance of beating Fully Insured
−$161,922
median five-year savings
-5% expected savings
5th−$1,651,56525th−$662,563 75th$397,61595th$1,666,953
Level-Funded 92% chance of beating Fully Insured
$393,507
median five-year savings
+11% expected savings
5th−$158,28825th$220,656 75th$689,75995th$1,641,305
With additional cost containment: $971K to $1.43M more potential savings; win rate rises to ~100%.
Self-Funded Captive 100% chance of beating Fully Insured
$539,916
median five-year savings
+15% expected savings
5th$208,17225th$366,972 75th$843,46595th$1,813,175
With additional cost containment: $946K to $1.25M more potential savings; win rate rises to ~100%.
Taft-Hartley 20% chance of beating Fully Insured
−$694,025
median five-year savings
-13% expected savings
5th−$1,307,97325th−$1,023,836 75th−$166,42395th$1,078,854
Fixed · nationwide · transparent pricing Get your Taft-Hartley rate →
Fully Insured today: ~$920 per employee/month is the baseline. Every savings figure above is measured against it.Rates used: PY2027 final approved rates$0 saved
Day-one and five-year context
Lowest modeled day-one costSelf-Funded Captive · ~11% cheaper
Highest modeled five-year medianSelf-Funded Captive · $539,916
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 10.7% (final, approved by the Virginia State Corporation Commission). Fully-insured renewal expectation used here: 7.7% a year over five years (six-year filed average incl. 2027); next 1 to 3 years 9.6%.
150 Employees
150-employee funding analysis · 2027
Modeled with conservative assumptions, 2,000 Monte Carlo runs, and 2027 Virginia 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-Hartley23%
Five-year median savings versus staying Fully Insured
PEO −$717,747
Self-Funded $1,288,098
Self-Funded Captive $1,292,635
Taft-Hartley −$1,375,132
5th to 95th percentile 25th to 75th Median
PEO 35% chance of beating Fully Insured
−$717,747
median five-year savings
-9% expected savings
5th−$4,221,93925th−$1,933,505 75th$573,40495th$3,613,658
Self-Funded 96% chance of beating Fully Insured
$1,288,098
median five-year savings
+15% expected savings
5th$105,94125th$871,059 75th$1,862,32195th$3,655,190
With additional cost containment: $2.03M to $3.11M more potential savings; win rate rises to ~100%.
Self-Funded Captive 100% chance of beating Fully Insured
$1,292,635
median five-year savings
+16% expected savings
5th$608,11525th$924,276 75th$1,928,86595th$3,904,752
With additional cost containment: $2.05M to $2.71M more potential savings; win rate rises to ~100%.
Taft-Hartley 23% chance of beating Fully Insured
−$1,375,132
median five-year savings
-13% expected savings
5th−$3,031,57425th−$2,209,471 75th−$144,02195th$2,706,106
Fixed · nationwide · transparent pricing Get your Taft-Hartley rate →
Fully Insured today: ~$920 per employee/month is the baseline. Every savings figure above is measured against it.Rates used: PY2027 final approved rates$0 saved
Day-one and five-year context
Lowest modeled day-one costSelf-Funded · ~12% cheaper
Highest modeled five-year medianSelf-Funded Captive · $1,292,635
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 10.7% (final, approved by the Virginia State Corporation Commission). Fully-insured renewal expectation used here: 7.7% a year over five years (six-year filed average incl. 2027); next 1 to 3 years 9.6%.
250 Employees
250-employee funding analysis · 2027
Modeled with conservative assumptions, 2,000 Monte Carlo runs, and 2027 Virginia 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-Hartley24%
Five-year median savings versus staying Fully Insured
PEO −$1,919,548
Self-Funded $2,277,236
Self-Funded Captive $2,328,500
Taft-Hartley −$2,239,416
5th to 95th percentile 25th to 75th Median
PEO 29% chance of beating Fully Insured
−$1,919,548
median five-year savings
-14% expected savings
5th−$8,176,86225th−$4,076,232 75th$460,77195th$5,581,414
Self-Funded 99% chance of beating Fully Insured
$2,277,236
median five-year savings
+16% expected savings
5th$873,98825th$1,673,978 75th$3,285,34895th$5,907,572
With additional cost containment: $3.37M to $5.09M more potential savings; win rate rises to ~100%.
Self-Funded Captive 100% chance of beating Fully Insured
$2,328,500
median five-year savings
+17% expected savings
5th$1,097,77325th$1,670,087 75th$3,451,39295th$6,521,288
With additional cost containment: $3.42M to $4.53M more potential savings; win rate rises to ~100%.
Taft-Hartley 24% chance of beating Fully Insured
−$2,239,416
median five-year savings
-12% expected savings
5th−$5,209,20825th−$3,685,358 75th−$42,06095th$5,041,253
Fixed · nationwide · transparent pricing Get your Taft-Hartley rate →
Fully Insured today: ~$920 per employee/month is the baseline. Every savings figure above is measured against it.Rates used: PY2027 final approved rates$0 saved
Day-one and five-year context
Lowest modeled day-one costSelf-Funded · ~12% cheaper
Highest modeled five-year medianSelf-Funded Captive · $2,328,500
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 10.7% (final, approved by the Virginia State Corporation Commission). Fully-insured renewal expectation used here: 7.7% a year over five years (six-year filed average incl. 2027); next 1 to 3 years 9.6%.
500 Employees
500-employee funding analysis · 2027
Modeled with conservative assumptions, 2,000 Monte Carlo runs, and 2027 Virginia 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-Hartley20%
Five-year median savings versus staying Fully Insured
PEO −$3,796,090
Self-Funded $4,394,486
Self-Funded Captive $4,401,361
Taft-Hartley −$4,353,544
5th to 95th percentile 25th to 75th Median
PEO 26% chance of beating Fully Insured
−$3,796,090
median five-year savings
-15% expected savings
5th−$16,242,80625th−$7,721,694 75th$148,16895th$7,606,773
Self-Funded 100% chance of beating Fully Insured
$4,394,486
median five-year savings
+16% expected savings
5th$1,970,96125th$3,218,662 75th$6,353,51795th$11,541,372
With additional cost containment: $6.81M to $8.87M more potential savings; win rate rises to ~100%.
Self-Funded Captive 100% chance of beating Fully Insured
$4,401,361
median five-year savings
+16% expected savings
5th$2,095,27025th$3,185,620 75th$6,409,09595th$11,790,897
With additional cost containment: $6.86M to $8.30M more potential savings; win rate rises to ~100%.
Taft-Hartley 20% chance of beating Fully Insured
−$4,353,544
median five-year savings
-13% expected savings
5th−$9,525,96825th−$6,959,018 75th−$1,064,07895th$5,936,348
Fixed · nationwide · transparent pricing Get your Taft-Hartley rate →
Fully Insured today: ~$920 per employee/month is the baseline. Every savings figure above is measured against it.Rates used: PY2027 final approved rates$0 saved
Day-one and five-year context
Lowest modeled day-one costSelf-Funded · ~12% cheaper
Highest modeled five-year medianSelf-Funded Captive · $4,401,361
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 10.7% (final, approved by the Virginia State Corporation Commission). Fully-insured renewal expectation used here: 7.7% a year over five years (six-year filed average incl. 2027); next 1 to 3 years 9.6%.
2026 analysis vs 2027
For 70-employee groups in Virginia, the modeled median five-year savings for Self-Funded Captive moved from $499,908 to $539,916, and its modeled chance of beating Fully Insured stayed at 100%.
| Employees | PEO | Level-Funded | Self-Funded | Self-Funded Captive |
|---|---|---|---|---|
| 10 | $116,139 → $149,03592% → 94% odds | $92,963 → $123,22776% → 80% odds | Not modeled | Not modeled |
| 30 | $348,417 → $447,10592% → 94% odds | $433,489 → $540,37488% → 90% odds | Not modeled | $389,713 → $486,80491% → 93% odds |
| 70 | −$146,271 → −$161,92242% → 42% odds | $355,472 → $393,50792% → 92% odds | Not modeled | $499,908 → $539,916100% → 100% odds |
| 150 | −$648,371 → −$717,74735% → 35% odds | Not modeled | $1,163,594 → $1,288,09896% → 96% odds | $1,193,790 → $1,292,635100% → 100% odds |
| 250 | −$1,734,009 → −$1,919,54829% → 29% odds | Not modeled | $2,057,123 → $2,277,23699% → 99% odds | $2,146,929 → $2,328,500100% → 100% odds |
| 500 | −$3,429,169 → −$3,796,09026% → 26% odds | Not modeled | $3,969,725 → $4,394,486100% → 100% odds | $4,062,928 → $4,401,361100% → 100% odds |
Fully Insured baseline used: $831 → $920 per employee per month (PY2026 rates → PY2027 final approved 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 Virginia 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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