Benefits Intelligence Atlas

Plans · by funding type

Self-funded vs fully-insured vs mixed

Every large employer welfare benefit plan files a Form 5500 with the DOL each year. Line 9b of that form reveals how the plan is funded — whether benefits come from an insurance contract or from the employer's own assets. This classification is DERIVED from the filing; it describes the whole Form 5500, not your specific health benefit.

Self-funded

Self-funded — on this filing, benefits are paid from the employer's general assets or a benefit trust (the filer marked general-assets/trust and not insurance). The plan sponsor bears the claims risk; there may be stop-loss insurance behind it that the form does not show.

8,424 filings 10%
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Fully-insured

Fully-insured — on this filing, the benefits are provided through an insurance contract (the filer marked the insurance box and not the general-assets or trust boxes). An insurer bears the claims risk; the employer pays premiums.

31,141 filings 37%
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Mixed

Mixed — this filing marks BOTH insurance AND general-assets/trust. A single Form 5500 usually bundles several benefits (health, dental, life, disability), so some are likely insured while others are self-funded. The form does not say WHICH benefit is which — read the plan's Summary Plan Description (SPD) or Schedule A to know how YOUR health benefit specifically is funded.

44,657 filings 53%
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Not stated

Not stated — this filing did not mark a benefit-arrangement box, so the public record does not establish whether it is insured or self-funded. Read the plan's SPD or the DOL EFAST filing to find out.

12 filings 0%
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What this classification is NOT: The funding type derived here is the Atlas's interpretation of line 9b on the Form 5500 — a filing about the benefit arrangement. It does not tell you whether your specific health benefit is insured or self-funded; a single Form 5500 typically bundles health, dental, life, and disability together. To know how your health benefit is specifically funded, read the plan's Summary Plan Description (SPD). Source: DOL EBSA. Not a verdict on plan quality.