To your team it looks like normal insurance: a national PPO network, ID cards, an app, a care team that picks up the phone. Behind the curtain it's priced off your actual roster instead of a carrier's giant risk pool. Healthy year? Money can come back. Rough year? Stop-loss coverage caps it.
Your payment stays level all year. That's the name. The difference from fully insured: when your team stays healthy, you're not donating the difference to the carrier's shareholders.
Most of your payment pre-funds your team's expected claims for the year.
Insurance on the insurance. If claims blow past expectations, the stop-loss carrier eats the overage, not you.
Network access, claims processing, member support. The boring stuff, handled.
If your team's claims come in under the fund, a portion can return to you. Try getting that from a fully insured carrier.
Starts at 5 employees (varies by state) and scales past 200. Small companies get a real plan, not a consolation prize.
A firm quote priced off your real roster in minutes, locked for 90 days. No months-long underwriting shuffle. We handle the paperwork.
A team spread across states can still share one plan.
A dedicated care team (rated 4.5 stars by members), 24/7 virtual care, and a real app for ID cards and claims.
Integrations with 100+ payroll and HR systems, so onboarding doesn't become your HR person's second job.
Venture-backed and growing ($134M Series B, December 2025). Not a startup experiment with your team's coverage.
A younger, healthier group often quotes well below its fully insured renewal. An older group, or one with heavy ongoing claims, may quote worse than staying put, and for those teams a fully insured plan's guaranteed pricing is genuinely the better tool. There's exactly one way to know which side you're on: run the quote. It's firm, it's fast, and we handle the legwork after one short call.
Not sure level-funded is even your move? The quiz settles it in about five minutes. Already know? Book a call and we take it from there, firm quote included.
Learn your Company's Benefits DNASometimes, and only if your team's claims come in under what you funded. Two honest catches most brokers skip: the plan returns a portion of the surplus, not always the whole thing, and a rough claims year means no refund at all (though stop-loss still caps your downside). It's a real upside, not a guarantee. We'll show you the exact surplus terms before you sign, not after.
That's the exact fear level-funded is built to handle. Stop-loss is insurance on your plan: specific stop-loss caps what any one person's claims can cost you, and aggregate stop-loss caps the whole group. One huge claim does not land on your books. It lands on the stop-loss carrier.
Renewals are re-rated on your roster, so a bad claims year can push next year's number up, and yes, some carriers will "laser" a known high-cost member (price that person separately). We tell you this up front because it's the real tradeoff for roster-based pricing. If your group's risk makes that likely, a fully insured plan's guaranteed pricing is the better tool, and we'll say so instead of selling you the switch.
It helps, but you don't need it. We quote through Angle Health off your current census (ages, zip codes, roster), and the quote comes back firm in minutes and holds for 90 days. No months-long underwriting shuffle before you know your number.
It's a self-funded group health plan with stop-loss, run with licensed carrier partners. It is real coverage, not a health share. A health share is not insurance, and we never blur that line. If a health share ever is the right fit for a specific situation, we tell you exactly what it is.
