Why Mid-Market Employers Can’t Afford to Ignore Self-Funding Any Longer

 

Mid-market employers—those with annual healthcare spend north of $750,000—are feeling the squeeze. Escalating premiums, rigid plan designs, and lack of transparency in fully insured models are placing unsustainable pressure on both HR leaders and CFOs. As we approach 2026, these employers are not just looking to cut costs—they're demanding smarter, more flexible, and outcomes-driven healthcare solutions. That’s why self-funding is no longer reserved for large enterprises—it's rapidly becoming the go-to strategy for agile, growth-focused organizations in the mid-market.

 

Unlike fully insured plans, self-funding offers employers greater control over plan design, access to real-time claims data, and more opportunities to customize benefits in ways that truly meet the needs of their unique workforce. However, misconceptions persist. Many employers still associate self-funding with high risk, administrative complexity, and a lack of predictability. The truth? With the right partner, those risks can be effectively managed—and the potential rewards are game-changing. Brokers have a crucial role to play in helping clients see past outdated assumptions and evaluate the real-world advantages of alternative funding models.

 

That’s where EVHC comes in. More than a third-party administrator or a stop-loss provider, EVHC is a strategic partner that brings underwriting precision, operational excellence, and a high-touch service model designed for the demands of the mid-market. From tailored risk management strategies to seamless onboarding and ongoing account support, EVHC works alongside brokers to deliver not only cost control, but long-term sustainability and improved member outcomes. It's a solution built to scale with growing employers—not just check a renewal box.

 

Choosing the right partner is the difference between a self-funded plan that thrives and one that struggles. At EVHC, we believe that brokers deserve a partner who is just as invested in their success as they are in their clients’. We provide brokers with the tools, insights, and support they need to confidently lead self-funding conversations, win more business, and deliver real value. As Q4 planning ramps up, the time to explore smarter funding strategies isn’t later—it’s now.

If you're working with employers spending $750K+ on group health benefits, you know the pressure is real: rising costs, limited options, and growing client frustration. EVHC invites you to join our expert panel for a bold discussion on the rise of self-funding and how brokers can lead smarter healthcare strategies.

 

Solving the Healthcare Puzzle: A Strategic Look at Self-Funding’s Rise

📅 August 7, 2025 | 🕒 2:00pm EST | 📍 Webinar Registration

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