| Fully Insured (Coverage Underwritten by an Insurer) | Self-Funded (Employer Bears Some or All of Financial Risk) |
ALL PLANS | | |
Mining/Construction/Wholesale* | 65% | 35% |
Manufacturing* | 27 | 73 |
Transportation/Communications/Utility* | 27 | 73 |
Retail | 51 | 49 |
Finance* | 58 | 42 |
Service* | 59 | 41 |
State/Local Government | 41 | 59 |
Health Care* | 31 | 69 |
ALL INDUSTRIES | 46% | 54% |
* Estimates are statistically different from All Industries at p<.05.
Fully insured plan: A plan where the employer contracts with a health plan to assume financial responsibility for the costs of enrollees' medical claims.
Self-funded plan: A plan in which the employer assumes direct financial responsibility for the costs of enrollees’ medical claims. Employers sponsoring self-funded plans typically contract with a third-party administrator or insurer to provide administrative services for the self-funded plan.
Source: Kaiser/HRET Survey of Employer-Sponsored Health Benefits: 2004.