Traditional group health insurance is designed to benefit the carrier — not your business. Ascend helps growing employers break that cycle with level-funded and self-funded ERISA plans that put control back in your hands.
For employers with 2–250 employees, traditional fully-insured group plans are the default — but they're rarely the best option. Here's what's actually happening to your money every year.
Even if your employees have a healthy year, your renewal still goes up. You never see the upside — only the downside.
Traditional carriers don't share your claims data, making smarter decisions at renewal impossible.
When healthcare costs eat into profits, there's less money for salaries and benefits — and top talent walks.
We offer all three — but we specialize in level-funded and self-funded ERISA plans because that's where growing businesses save the most.
A level-funded plan gives your business the best of both worlds — predictable fixed monthly payments combined with the cost-saving potential of self-funding. You pay a set amount broken into three components: expected claims, stop-loss insurance, and administrative fees.
Unlike traditional insurance, you pay for actual claims — not estimated premiums. If your employees stay healthier than projected, the surplus stays with you. At year end, you may receive a refund on unused claims funds.
There is no cash advance required — making level-funding significantly more cash-flow friendly for growing businesses. And because the plan is backed by stop-loss insurance, your maximum exposure is known and capped from day one.
Predictable monthly payments — no surprise invoices mid-year
Surplus refunds when your group's claims come in under budget
Pay only for actual claims — not the carrier's estimated projections
Stop-loss protection caps your exposure on high-cost claims
Claims data visibility — know what's driving costs before renewal
Access to major PPO networks — UnitedHealth, Cigna, BCBS, Aetna, PHCS
With a self-funded plan, employee claims are paid directly from your company's budget rather than from an insurance carrier's pool. This is the strategy Fortune 500 companies have used for decades — and Ascend makes it accessible to businesses with as few as 2 employees.
Self-funding flips the traditional model. If your employees' claims are within budget, your company keeps the surplus. You're no longer subsidizing other companies' employees in a pooled plan.
Stop-loss insurance caps your risk. Expenses are never charged for claims exceeding the chosen stop-loss level — giving you maximum savings with a hard ceiling on risk.
Keep the surplus — if claims are low, the money stays in your business
Full claims transparency — complete visibility into what's driving costs
ERISA protection — governed by federal law, not state mandates
No cash advance required — better cash flow vs. traditional TPAs
Customizable plan design — built around your workforce, not a carrier template
Stop-loss insurance caps risk — no exposure above the predetermined limit
We offer traditional fully-insured group plans and will always present them as an option — but for most employers with 2–250 employees, they are not the most cost-effective choice.
With traditional insurance, the carrier pools your employees with thousands of others, prices the risk conservatively, and keeps the profit when claims come in lower than projected. You have no visibility into claims data and no ability to benefit from a healthy workforce.
That said, traditional plans can be the right fit in specific situations. Our job is to give you an honest, unbiased analysis and recommend the plan type that actually serves your business best.
Simple administration — carrier handles all claims processing
Predictable costs — fixed premium, no claims risk to employer
Premiums rise every year regardless of your group's claims history
Zero claims transparency — carrier keeps your data
No surplus refund — carrier keeps all profit from low-claim years
The most common concern about self-funding is risk. What if an employee has a catastrophic claim? That's exactly what stop-loss insurance is designed for — and it's a core component of every plan we structure.
Stop-loss works like a high deductible for your plan. Once a claim exceeds the predetermined level, the stop-loss insurer takes over. Your company is never billed for claims above that threshold.
We partner with top-rated TPAs and multiple stop-loss carriers to find the right specific and aggregate coverage — ensuring maximum savings with a hard ceiling on your worst-case exposure.
Talk to Us About Stop-Loss CoverageProtects against any single employee's claims exceeding a set threshold. Once one individual's claims cross the limit, the stop-loss carrier covers the rest.
Protects the plan as a whole. If total claims across all employees exceed the aggregate limit, the stop-loss carrier absorbs the excess. Your maximum annual liability is defined from day one.
Once a claim exceeds the stop-loss level, your company is not billed — and no fees are charged. The stop-loss insurer manages all claims above the limit directly.
Not every employer should self-fund on day one. Our job is to give you an honest, data-driven recommendation backed by 15 years of industry experience.
We start by understanding what you're paying now and where the cost drivers are.
We look at your group's size, age distribution, and health profile to find the right model.
We build a plan tailored to your workforce with appropriate stop-loss thresholds.
As an independent consultant, we compare across top-rated TPAs to secure the best deal.
We monitor your plan throughout the year and bring data-driven recommendations to every renewal.
Your employees access the exact same care through the nation's largest PPO networks. Switching to a level-funded or self-funded plan does not mean sacrificing network quality or access.
See exactly how level-funded and self-funded plans compare to traditional group insurance across the factors that matter most.
| Feature | Level-Funded | Self-Funded / ERISA | Traditional Insurance |
|---|---|---|---|
| Pay only for actual claims | ✓ | ✓ | ✗ |
| Surplus refund if claims are low | ✓ | ✓ | ✗ |
| Claims data transparency | ✓ | ✓ | ✗ |
| Predictable monthly payments | ✓ | Varies | ✓ |
| Stop-loss protection included | ✓ | ✓ | Built-in |
| Customizable plan design | ✓ | ✓ | ✗ |
| ERISA federal protection | Partial | ✓ | ✗ |
| No cash advance required | ✓ | ✓ | ✗ |
| Access to major PPO networks | ✓ | ✓ | ✓ |
| Potential savings vs. traditional | Up to 30% | Up to 30%+ | Baseline (higher cost) |