Medical Benefits

Your renewal is coming. You do not have to make the plan worse.

Most employers absorb the increase by raising deductibles and copays. There is another route. Lower the fixed premium you pay the carrier, then use the difference to cover employee medical costs directly. Same carrier, same network, same doctors.

No contact details required to see a figure. If your plan is already too lean for this to help, the tool says so rather than inventing a number.

Start with the number you already know

What your company pays for employee medical coverage today.

$
Enter a figure
Expected renewal increase

2026 medical trend runs 8.5 to 9.5 percent before employers cut benefits to offset it.

Then see what could be saved

Nothing is sent anywhere.

The illustration

What survives once claims are paid

Anyone can show you a lower premium. The question that matters is what is left after your people actually use the plan. Add your details and this runs the same structure used to build a real proposal.

Full illustration

Ten fields, about two minutes. Nothing is submitted and no contact details are required.

Not everyone enrolls. This is what the coefficients run on.
What the company pays the carrier each month.$
The single biggest factor in whether this works for you.
What an employee pays to see a doctor today.
Projected renewal
What you pay next year if nothing changes
$0
Lower fixed premium
Reduced plan design, same carrier and network
$0
Plan administration
$30 per covered employee per month
$0
Available to pay claims
Money your company controls, not the carrier
$0
Add your figures above to see the range.
Expected use
Half file a claim
Filing a claim0
Hospitalizations0
Claims paid$0

You keep
$0
0% of projected renewal cost
Higher use
Three quarters file
Filing a claim0
Hospitalizations0
Claims paid$0

You keep
$0
0% of projected renewal cost
Everyone uses it
All covered lives file
Filing a claim0
Hospitalizations0
Claims paid$0

You keep
$0
0% of projected renewal cost

Add your figures above to see the range.

Your employees end up with 100 percent coverage, no deductible and no copays.

That is the point of the structure. The premium falls, a Section 105 plan covers what the leaner design no longer does, and the plan experience your people actually have is the same or better than before.

$0 plan deductible
$0 doctor visit copay
100% X-ray and lab
$0 hospital and surgery
$0 generic and brand RX
100% preventive care
Low ER and ambulance copay
$1,000 individual out-of-pocket max

And the money you keep can buy more

What the pool does not spend is yours. Many employers put some of it straight back into the benefits package, which is how a cost reduction becomes a recruiting advantage rather than just a saving.

  • Vision
  • Dental
  • Hearing
  • Mental health

This depends on your plan, not your headcount

The saving comes from the gap between the plan you buy now and a leaner design. If that gap is small, so is the opportunity.

Worth a look

  • A genuinely good plan today, typically under a $500 deductible with low or no copays
  • Spending above roughly $9,000 to $10,000 per covered employee per year
  • Competing for staff, so cutting the plan is not an acceptable answer
  • A renewal inside the next twelve months

Probably not

  • Already on a high deductible plan, since the premium has little left to give
  • Deductibles above roughly $3,000, where the restructuring has largely happened
  • Very small headcount, where fixed administration outweighs the saving
  • A renewal that has just passed, since the next window is a year out

A person, not a software output

Clifford Der

Clifford Der

Chief of Corporate Benefits ยท CA License #0474385

Five decades in employee benefits, and a member of the National Association of Health Underwriters for over fifty years. Clifford has spent that career building alternative funding structures for employers, and holds a Bachelor of Science in Electrical Engineering.

He enrolled more than 5,000 employees for Lifeguard HMO, and his work has repeatedly been first of its kind:

  • Developed the Chinese Community Health Plan
  • Developed the first Exclusive Provider Option
  • Developed the first stand-alone fully insured acupuncture plan
  • First Lifeguard HMO sales representative to Asian employers
  • An early architect of Medical Expense Reimbursement Plans, the structure described on this page

Administrators and carriers worked with

Meritain Health BRMS and East West Administrators Kaiser Permanente UnitedHealthcare Anthem Blue Cross Blue Shield Cigna

All third party names and marks shown are the property of their respective owners. Their appearance identifies carrier and administrator appointments held by Clifford Der as a licensed producer, CA License #0474385, and does not imply any endorsement, sponsorship or affiliation.

Request a detailed analysis

Share your numbers and Clifford will review them personally. This is a request for an illustration, not a quotation or an offer of coverage.

Two numbers to start, ten to be sure

Your current spend and expected increase gives a projection in seconds. The full illustration takes about two minutes and tells you plainly if the answer is weak.