We don't compete with you.
We make you look brilliant.

Each year, employers get hit with another renewal increase. They're frustrated, and they're looking for a real alternative. Give them one.

Stop apologizing for renewals. Start delivering solutions.

  • Set your own compensation

    You set your own compensation. We don't cap it, bury it, or claw it back. Your business, your relationship.

  • Solve the renewal problem

    Stop cycling clients between carriers every 2-3 years chasing the lowest quote. Give them a plan designed to get cheaper over time through active cost management.

  • Win accounts from BUCAHs

    Our Price Explorer is a conversation starter. Show a CFO what they're paying at 350% of Medicare vs. what they could pay — and you've got their attention before the pitch even starts.

  • Place your own stop-loss

    You choose the stop-loss carrier. We don't bundle it, mark it up, or require ours. Bring your own spec and relationship — we integrate with any partner.

Self Fund Health Overview for Brokers

By the Numbers

Active broker partners23
Active agencies15
Avg PMPM savings$173
Member satisfaction95/100
Pharmacy rebates to employer100%
Broker comp modelYou set your comp
Stop-lossBroker places own
MarketsWI, MN, IA, IL, MI

Top Brokers by Client Savings

These brokers have delivered measurable savings over the past 12 months.

RankBrokerRegion12-Mo SavingsPMPM Savings
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Minimum 2 employer groups active with SFH. Data: 3/01/25 - 2/28/26. PMPM based on 30-day member months. Questions? ben@selffundhealth.com

Where should your clients be looking?

Still fully insured?

Your client is paying fixed premiums to a carrier who keeps all the upside and controls all the pricing. They're overdue for a conversation about what self-funding could look like.

Best fit: 50+ EEs, tired of renewal surprises, willing to try something different.

Why Replace Fully Insured

Using a carrier ASO?

Self-funded in name only. The carrier processes claims at their own network rates (350% of Medicare), retains pharmacy rebates, and does nothing to actively manage cost.

Best fit: Groups already self-funded who want real cost management, not just claims processing.

Why Replace ASO

Running a TPA RFP?

If your client is already shopping for a TPA, SFH should be in the mix. We're not a commodity TPA. We're an integrated plan with DPC, navigation, preferred providers, and active cost management built in.

Best fit: Groups who've tried self-funding but didn't see the results they expected.

Submit an RFP

When is an employer ready for Self Fund Health?

Use this to qualify prospects. The employers who benefit the most share a few things in common.

Signs they're ready

  • Leadership is engaged in benefits strategy, not just cost
  • Willing to communicate the plan change to employees
  • Frustrated with year-over-year renewal increases
  • Open to employees trying a new primary care model (DPC)
  • 50+ employees (sweet spot: 100-500+)
  • Comfortable with "different" — not just "cheaper"

Signs they're not ready yet

  • "Just get us the cheapest quote"
  • Won't participate in employee communication
  • Expects identical plan design with lower price
  • Not willing to give self-funding 2-3 years to ramp
  • Leadership delegates 100% to HR with no engagement
  • Afraid of any employee pushback, even temporary

We handle the transition.

Employee onboarding sessions, custom communication materials, dedicated nurse navigator, and ongoing support — all included.

"But aren't these lower-cost providers … lower quality?"

This is the objection you'll hear most. Here's the data to crush it.

41%

Hospital complication rate

30-day, routine procedures

29%

ASC complication rate

Same procedures, better outcomes

47%

No price-quality link

47% of studies found zero correlation

A 2020 systematic review of 47 studies found no general relationship between hospital prices and quality of care. Hospital pricing is driven by market power, consolidation, and facility fees — not clinical outcomes. The RAND Hospital Price Transparency Study confirms it: private insurers pay hospitals 254% of Medicare on average. That markup doesn't buy better care — it buys bigger buildings and higher executive pay.

Meanwhile, ambulatory surgery centers — the independent, physician-owned facilities SFH steers to — show lower complication rates, lower revisit rates, and lower infection rates across the board. The surgeons are often the same doctors who operate at the hospital. They just also work at an ASC where they can focus on surgery instead of hospital bureaucracy.

"Will employees drive 45 minutes?"

Research shows the majority of patients will travel up to 2 hours for better surgical outcomes. Add $0 out of pocket and the question answers itself. A hospital visit costs $3,000–$5,000 with deductibles and copays. The preferred provider is free.

"Will employees push back on change?"

81% of Americans are dissatisfied with healthcare costs. 70% say the system has major problems (Gallup, 2024). Employees aren't happy with the status quo. A personal DPC doctor, $0 surgeries, and a nurse navigator isn't a downgrade — it's the best healthcare they've ever had.

Read the full research in Lesson 3: Higher Cost ≠ Higher Quality →

Positioning SFH vs. the incumbent

Most employers who switch started fully insured. SFH is one fully managed plan — no vendor juggling, no complexity for the employer. Share our Self-Funding Academy with any employer who's new to the concept.

Ready to see the numbers?

Send us an RFP and we'll model your group's potential. Here's what we need:

1

Census

Excel format with each member's details (age, gender, zip, tier, salary if available).

2

Group Info

Group name, subsidiaries, locations, SIC code, and agent commission.

3

Current Plan

Current plan details, renewal rates, and SBC/SPD if available.

4

Claims Data

Large claims data if available (not required but helps with stop-loss pricing).

Submit an RFP

Or contact our team directly: ben@selffundhealth.com

Certified Healthcare Purchasing Advisors®

When employers start buying healthcare — not just insurance — the role of the adviser changes. CHPA is the certification for that new role.

What is a CHPA?

A CHPA guides employers and employees on DPC utilization, provider cost/quality variation, and how everyday decisions impact the healthcare budget. It's a practical, education-driven role built around smarter healthcare purchasing.

Who can become a CHPA?

  • Benefit advisers and brokers
  • Direct Primary Care practices
  • P&C agents
  • HR leaders and CFOs
  • Consultants and employer service organizations

Why become a CHPA?

New skills that matter

Training on DPC, cost/quality interpretation, member guidance, and real-time data usage in a modern health plan.

Year-round engagement

Structure for helping employers and members make value-based decisions every month — not just at renewal.

Performance-based revenue

Access to compensation tied to employer outcomes — a model aligned with helping employers spend less, not more.

Be part of the future

Join a network of professionals building a transparent, proactive approach that empowers employers and employees.

Apply as a CHPA

Common questions from brokers

Do I have to be a CHPA to sell Self Fund Health?
No. CHPA is optional. You can introduce or sell SFH without being a CHPA. CHPA gives advisers more tools, more structure, and access to performance-based compensation — but it's not required.
How is broker compensation structured?
You set your own compensation. We don't cap it, bury it, or claw it back. It's built into the employer's plan funding transparently.
What's the minimum group size?
We work with groups as small as ~50 employees, though the ideal sweet spot is 100-500+ employees. Larger groups see more impact faster because there are more steerable procedures per year.
What if my client's current rate is lower than SFH?
Don't compare year 1 — compare year 3. Fully insured carriers — whether national PPOs or hospital-owned plans — underprice year 1 through cross-subsidies and hidden margins, then hit employers with 20-44% corrections. SFH is priced to your client's actual claims reality from day one — and gives them the control to drive costs down over time. The 3-year TCO comparison is where we win.
How do I explain self-funding to employers who've never considered it?
Share our Self-Funding Academy. It walks employers through everything in plain English: what self-funding is, how stop-loss works, where their premium dollar goes, and why network discounts aren't what they seem. It's designed to turn a "What is self-funding?" conversation into a "When can we start?" conversation.
How long does it take to get a quote back?
Typically 5-7 business days from receiving complete RFP materials (census, current plan details, claims data if available). Complex groups or those needing detailed field underwriting may take slightly longer.
What networks does SFH use?
SFH plans include access to multiple PPO networks: Alliance, Trilogy, Midlands Choice, EverPointe, Americas PPO, and First Health. Members can see any provider in these networks. The preferred provider layer (327+ curated providers at ≤200% of Medicare, $0 for members) sits on top of these networks and is where the real cost reduction happens.
My client is worried about HIPAA — do they see employee medical records?
No. HIPAA requires a firewall between the employer and the plan. Employers receive only aggregate, de-identified data — total spend, cost trends, savings reports. They never see which employee had which diagnosis. Nurse navigators, Yuzu (TPA), and CapitalRx hold the PHI under signed BAAs. The employer actually gets better data than fully insured (where they get nothing) while maintaining stronger privacy protections. They'll need a designated privacy officer (usually HR) — SFH helps set that up during onboarding. Full HIPAA guide →

Resources you can send to an employer today.

Designed to be forwarded. No broker jargon — just clear content that answers the questions your clients are asking.

Videos for employer conversations

How Disruptive Is the Switch?

Addresses the #1 employer objection head-on.

The Evolving Role of Brokers

Jonathan Coddington on the broker value prop in self-funding.

Driving a Culture of Change

Philip Blair on getting employer leadership buy-in.

All Summit talks on YouTube →

Let's build something better together.

Talk to our team of ex-brokers who understand your business.