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Transition paths

Where you are decides the move.

"Should we switch?" is the wrong first question. The right one is "switch from what, to what?" Here are the five moves we run for companies, including who each one is for and what to watch.

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Where you are decides the move.

The five moves.

Nothing → ICHRA

For companies that never offered benefits because every group quote looked like a second payroll. You set a monthly budget you can actually afford, and each employee picks a real ACA plan where they live. Watch for: employees currently getting big marketplace subsidies. An affordable ICHRA offer replaces those, so we run that math per employee first.

Nothing → Level-Funded

For companies of 5+ losing hires to bigger firms that want a traditional-feeling group plan: PPO network, ID cards, one plan everyone recognizes. Priced off your actual roster, quoted firm before you commit. Watch for: roster risk. If your census quotes poorly, a fully insured small-group plan is the fallback, and we'll say so.

Fully Insured → ICHRA

For companies tired of double-digit renewal letters. You convert group premium spend into defined allowances, and since no group plan exists anymore, there's nothing left to reprice. Works especially well for multi-state and remote teams. Watch for: thin individual markets in your employees' counties. We check before recommending.

Fully Insured → Level-Funded

For groups that like having one group plan but are done subsidizing the carrier's book of business. Employees keep the group-plan experience; you get roster-based pricing, claims transparency, and surplus potential after healthy years. Watch for: underwriting. Healthy rosters win this trade, and the firm quote settles the question for free.

Self-Funded / PEO → ICHRA

For companies already sophisticated about their health spend: self-funded groups tired of claims volatility, level-funded groups whose renewals crept back up, and PEO clients who outgrew the bundle. ICHRA converts all of it into a fixed budget with zero claims exposure. Watch for: timing. Exit contracts and stop-loss run-out decide your switch date. That's project management, and it's our job, not yours.

Not sure which row is yours? That's the quiz's whole job.

Five minutes. It places your company on this page and tells you why.

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The content on this page reflects our opinions and analysis and does not constitute legal, tax, or insurance advice. ICHRA is authorized under 26 CFR §1.105-2 and Treasury/HHS final rules (84 FR 28888, June 2019, effective Jan. 1, 2020). Premium figures come from the 2024 KFF Employer Health Benefits Survey; any projection depends on your roster, allowance levels, and coverage choices. Where medical cost sharing programs come up in our recommendations: they are not insurance, are not regulated by state insurance departments, and do not guarantee payment. Talk to qualified counsel before changing your company's benefits.