Self-Funded Health Plans · Indiana

A self-funded plan, finally on your side.

Burt Advisory is a self-funded health plan consultant for Indiana employers. We design, place stop-loss, and manage the plan so you keep the savings when your group runs healthy.

Claims analytics, pharmacy oversight, and weekly advocacy. Our flagship client has saved $8.9 million over six years without cutting a single benefit.

Free benchmark · No obligation · You keep the findings

The Problem

Where self-funded dollars quietly leak out

Switching to self-funding isn't the win, managing it is. These are the four leak points we find in nearly every plan we audit.

Leak 01

Your renewal is a black box

Fully insured renewals arrive as a single number with no claims detail. You can't negotiate what you can't see, and the carrier likes it that way.

Leak 02

You're funding the carrier's margin

On a fully insured plan, every dollar of unused premium stays with the carrier. When your group runs healthy, you never see the surplus back.

Leak 03

Pharmacy spend goes unwatched

Rx is often the fastest-growing line in the plan, yet rebates and spread pricing stay hidden inside the carrier contract instead of flowing to you.

Leak 04

No one is watching week to week

Most brokers show up once a year at renewal. By then the trend is set. Self-funding only works when someone monitors claims continuously.

What's Included

A self-funded plan, fully managed

We don't just set up the plan and walk away. Here's everything we run on your behalf once you self-fund with us.

Plan design & funding

Cost containment

  • Claims analytics and underwriting
  • Pharmacy carve-out and Rx spend oversight
  • Direct provider contracts and surgical steerage
  • On-site clinics and telehealth strategy

Ongoing advocacy

  • Weekly claims monitoring, not annual check-ins
  • Member advocacy and benefits support
  • Compliance and healthcare-reform guidance
  • Proactive plan adjustments as your group changes

How It Works

Your first year with us

No leap of faith required. Here's exactly what happens after you say yes.

Months 1–2

Discovery & claims audit

We dig into your claims data, current contracts, and plan design, and show you where the money is going.

Months 3–4

Strategy & modeling

We model your options, funding structures, pharmacy, stop loss, cost containment, with real numbers attached to each.

Months 5–6

Market & negotiate

We take your plan to market independently and negotiate from data, not relationships alone.

Ongoing

Watch, adjust, advocate

Weekly claims monitoring, member advocacy, and proactive plan adjustments. This is where the savings compound.

FAQ

Self-funded plans, answered plainly

What does a self-funded health plan consultant actually do?+

A self-funded health plan consultant helps an employer pay employee medical claims directly instead of buying a fully insured plan from a carrier. The consultant designs the plan, places stop-loss insurance to cap risk, audits claims and pharmacy spend, negotiates with vendors, and monitors costs continuously, so the employer keeps the savings when the group runs healthy.

How big does my company need to be to self-fund?+

Self-funding works for most employers with roughly 50 to 1,000 employees. Below 50, a level-funded plan often bridges the gap with similar transparency and less volatility. We model both against your current plan before recommending a direction.

Isn't self-funding riskier than a fully insured plan?+

Stop-loss insurance caps your exposure on both individual large claims and total annual claims, so your downside is defined up front. The bigger risk is staying fully insured and never seeing where your premium actually goes. Continuous claims oversight is how we keep self-funding predictable.

Do you work with Indiana employers specifically?+

Yes. Burt Advisory is based in Elkhart, Indiana and works with school systems, municipalities, manufacturers, and other employers across Indiana. We bring national-firm resources through the United Benefit Advisors network with local, hands-on service.

How do I know if my current plan is overpriced?+

Start with our free benchmark. We compare your cost per member against employers your size, flag the three biggest leak points in your plan type, and give you a written summary you keep, whether or not we ever work together.

Free Benchmark

See how your plan stacks up.

  • Your cost per member vs. employers your size
  • The three biggest leak points we see in your plan type
  • A written summary you keep, whether or not we ever talk again