The plan structure behind 60% of American workers
Self-funded insurance isn't new — it's how many large employers have managed healthcare for decades. Now it's accessible to businesses of every size.
You fund actual care —
not carrier profits
With a self-funded plan, your company sets aside money to pay employee healthcare claims directly, instead of sending fixed premiums to an insurance carrier.
Pay only what's used
No more overpaying for coverage your employees don't need. You fund actual claims, not inflated premiums.
Keep the surplus
When claims come in low, the savings stay with your plan — not in an insurer's pocket.
Stop-loss protects you
Catastrophic claims are covered by stop-loss insurance, so your risk has a defined ceiling.
The self-funded flow
Self-funded vs. traditional
insurance — at a glance
The same coverage your employees expect, with more control and transparency for your business.
| Feature | Self-Funded (NewPath) | Traditional Insurance |
|---|---|---|
| Cost Structure | Pay actual claims + admin fees. Keep surplus when claims are low. | Fixed premiums regardless of usage. Carrier keeps the surplus. |
| Flexibility | Highly customizable plan design, networks, and benefits. | Limited to standard off-the-shelf plan offerings. |
| Transparency | Full visibility into every claim and how each dollar is spent. | Minimal insight into premium allocation or claims data. |
| Risk | Employer assumes claims risk — with stop-loss insurance as a safety net. | Risk transferred entirely to carrier — at a premium. |
| Regulation | Federal ERISA standards. Consistent across all states. | Subject to state-by-state insurance mandates. |
| ACA Compliance | Hospital plans satisfy both MEC (Penalty A) and MVP (Penalty B). Routine Care satisfies Penalty A only. | Typically compliant, though plan designs vary by carrier. |
Three layers of protection —
so you're never exposed
Self-funded doesn't mean unprotected. Here's how risk is structured so your company always has a defined ceiling.
Stop-Loss & Reinsurance
Catastrophic claims above the specific deductible are covered by stop-loss insurance organized through NewPath Mutual.
Employer Responsibility
Your company covers claims up to the specific deductible (up to $40,000 for groups of 50+). With the Redirect Everyday 1to1® Platform, NewPath Mutual can reduce or waive this deductible entirely.
Employee Out-of-Pocket
Employees pay copays, deductibles, and coinsurance as defined in the plan — with clear out-of-pocket maximums ($4,000 individual / $6,000 family).
The Redirect Health Everyday 1to1® Platform qualifies your plan for up to a $40,000 per-employee reduction in the stop-loss specific deductible — dramatically lowering your risk exposure.
Self-funded is simpler
than you think
See exactly how our three plan tiers work, what they cost, and how Redirect Health manages everything for you.