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The Briefing

How self-funded renewals, stop-loss, dashboards, and actuarial value actually work. Written by the people who build the engine, for the people who have to explain it in the meeting.

  1. The 2027 Numbers Are Out: What Changes for Employer Health Plans

    Every 2027 figure a broker needs before renewal season: HSA and HDHP limits, the ACA out-of-pocket ceiling, affordability, employer mandate penalties, Part D creditable coverage, and the rules that moved this summer.

    September 15, 20266 min read

  2. 2027 Medical Trend: What the Surveys Say, and What the Stop-Loss Market Is Doing About It

    Seven 2027 trend surveys in one table, the drivers they agree on, the GLP-1 numbers worth quoting, and a stop-loss market renewing in the mid-teens. What it means for 2027 renewals.

    September 10, 20265 min read

  3. HRA vs HSA vs FSA (and Where ICHRA Fits): An Employer's Guide

    Three accounts, three very different sets of rules. Who owns each, who funds each, what the 2026 and 2027 limits are, and where ICHRA fits in the lineup.

    September 3, 20267 min read

  4. Designing an Employee Contribution Strategy: Defined Contribution, Surcharges, and Tiers

    How to choose between defined contribution and percentage of premium, set the employer share, structure tiers and surcharges, and model the employee cost impact before you propose it.

    August 20, 20267 min read

  5. Self-Funded, Fully Insured, or Level-Funded: The Cost Comparison, With Numbers

    Where each funding model breaks even, what a bad claims year actually costs, and when level-funding is the right on-ramp rather than the final answer.

    July 30, 20269 min read

  6. Reading a Self-Funded Dashboard: PEPM, Budget Performance, and Paid vs. Incurred

    The monthly experience report is the pulse of a self-funded plan. What PEPM, performance to budget, and the gap between paid and incurred actually tell you, and the misreads that cost real money.

    July 9, 20268 min read

  7. How a Self-Funded Renewal Projection Is Built: Experience, Pooling, Credibility, Trend, and Fixed Costs

    A step-by-step walkthrough of the self-funded renewal projection: experience, pooling, credibility blending, trend, and fixed costs.

    June 18, 20268 min read

  8. Specific vs. Aggregate Stop-Loss (and Lasers), Explained

    How specific and aggregate stop-loss actually work, what attachment points and corridors cost, and what a laser means for next year's renewal.

    June 4, 20268 min read

  9. From Spreadsheets to Software: The Modern Benefits Consultant's Tech Stack

    The Excel-and-PowerPoint stack still works, but it's getting expensive. A look at the modern benefits consultant's toolkit.

    May 7, 20263 min read

  10. Renewal Season Playbook: Building a Defensible Plan Migration Strategy

    How experienced benefits consultants structure renewal season, from data intake to final presentation, to produce recommendations that hold up.

    April 23, 20263 min read

  11. HDHP + HSA Strategy: Why High-Deductible Plans Still Win at Renewal

    The HDHP/HSA combo has been declared dead for a decade and keeps winning the renewal math. Here's why, and where it actually fails.

    March 26, 20263 min read

  12. Reading an SBC: 10 Misunderstood Fields on a Summary of Benefits and Coverage

    The Summary of Benefits and Coverage is the most-cited and least-understood document in employee benefits. Here's what each field actually means.

    February 19, 20263 min read

  13. PEPM, PMPM, and PEPY: The Three Metrics Every Benefits Consultant Should Track

    A clear reference for the per-employee and per-member metrics that drive every benefits conversation, and the traps that come with each.

    November 6, 20252 min read

  14. How AI Is Changing Benefits Consulting

    A grounded look at where AI is actually helping benefits consultants, and where the hype outpaces the value.

    October 2, 20253 min read

  15. Deductible Buy-Downs: How Plan Sponsors Lower Out-of-Pocket Costs Without Raising Premiums

    A practical guide to deductible buy-down strategies, when they work, and how benefits consultants price the trade-offs against premium increases.

    July 24, 20253 min read

  16. What Is Actuarial Value in Health Insurance?

    How actuarial value works: ACA metal levels, minimum value vs actuarial value, the 2027 AV Calculator update, and what a plan design change is worth.

    June 19, 20258 min read