Oklahoma Small Group Plan Types: Fully Insured, Level Funded, and Self-Funded

Before you compare carriers, you have to decide how the plan is funded. Fully insured, level funded, and self-funded are three different ways of paying for the same medical claims, and they price on completely different logic. Picking the wrong structure costs Oklahoma employers more than picking the wrong carrier does.

The Three Funding Models

Fully Insured

You pay a fixed premium and the carrier takes all the claims risk. Predictable, simplest to administer, and the default for most small Oklahoma employers.

How fully insured works →

Level Funded

A self-funded plan packaged with stop-loss so your monthly cost is fixed. If claims run low, you can get a surplus refund at year end.

How level funded works →

Self-Funded

You pay claims directly as they happen and buy stop-loss to cap the downside. Most control and most upside, and the most variability month to month.

How self-funding works →

Which One Fits an Oklahoma Employer?

There is no universally correct answer. A healthy 12-person group often does substantially better level funded than fully insured. A group with a known high-cost claimant usually does not. The only way to know is to run your census through both and compare the actual numbers.

Compare All Three for Your Group

See All Three Side by Side

Send us your employee census and we will price your group fully insured, level funded, and self-funded across the Oklahoma carriers - so you can see the real spread instead of guessing. No fee to your business.

Send My Employee Census

Or call (855) 847-7020 and we will run it with you.