At Q Insurance Group, we help small and mid-sized businesses find the most suitable group health benefits that fit both their needs and budget.

Our Self-Funded Program often provides a more affordable alternative to traditional, fully insured plans.

With fully insured plans, you pay the entire premium to the insurance company, but you lose control over how that money is spent. You won’t see those premium dollars again, and if claims are lower than expected, the insurer keeps the profit.

With Q Insurance Group's Self-Funded Program, you only pay for the claims that actually occur. If claims are lower than expected, you may even get money back. In fact, about 60% of our groups receive a refund. This could mean significant savings for your business.

Costs can vary greatly depending on factors like plan design, deductibles, coinsurance, and network choices. Many traditional fully insured plans are too expensive for small businesses to afford. A self-funded plan offers a way to manage costs while still providing your employees with the benefits they need.

Is There a Better Option Than Fully Insured Health Plans for Small Business Owners?
Yes! A self-funded plan offers small- and mid-sized employers greater control over healthcare costs without sacrificing benefits.

• Fully Insured Health Plan: The entire premium goes to the insurance company, and employers have no control over the expenses. In years when claims are lower than expected, the insurance company keeps the profit.
• Q Insurance Group’s Self-Funded Program: Employers only pay for the claims that actually occur. In some years, a portion of the difference between expected and actual claims is refunded, creating potential savings.

Fully Insured Health Plan: Little to no transparency. Employers rarely have access to data showing how employees use healthcare, making it hard to identify cost-saving opportunities.

Q Insurance Group’s Self-Funded Program: Some plans allow you to access claims data to find potential savings. You can track provider and prescription utilization, and even get insights into plan usage and cost drivers to help plan for the upcoming year.

Fully Insured Health Plan: Minimal flexibility. Employers make a set payment to the insurer, and the insurer decides how claims are paid.

Q Insurance Group’s Self-Funded Program: Offers more flexibility, including the option to make one predictable monthly payment or pay claims as they are incurred, if you have 51 or more group members.

Yes! The Q Insurance Group Self-Funded Program offers full integration and includes:

• Stop-Loss Insurance: When your group faces higher-than-expected claims, stop-loss insurance helps protect your finances, ensuring you know the maximum you'll spend each year.
• Pharmacy Benefits Management
• Administrative Support: We handle all day-to-day administration, including customer service and claims processing, through a trusted third-party administrator.
• Cost-Control Programs: We offer industry-leading cost-control programs to help reduce claims expenses.
• Refund Potential: In years with lower-than-expected claims, you may receive a refund, making it a win-win for your business.