From 2015 to 2016, the percentage of small firms offering medical coverage through a self funded health plan grew from 10% of firms to 15% of firms (that’s a single year increase of 50% and a much faster shift than we have seen in the past for migration to things like High Deductible Health Plans / HSAs).
While fully insured may still cover the lion’s share of small group health plans currently, the trend of self-funded or ‘level-funded’ contracts in the small group market continued to accelerate in 2017 and doesn’t show signs of slowing down in ’18.
Read the issue brief from Employee Benefit Research Institute: