The Health Plan Mistake Mid-Size Employers Keep Making

If you’re an employer with 50 or more employees enrolled on your health plan, there’s one critical question you should be asking:

Do I truly understand all the options available to contain my health insurance costs?

Too often, we meet companies that don’t. And it’s not their fault, it’s the fault of a system that defaults to the same traditional approaches year after year. But here’s the reality: health insurance isn’t a one-size-fits-all problem, and if your benefits advisor isn’t showing you every tool in the toolbox, you could be leaving 6-7 figures on the table over the next few years.

Think about it like this - imagine you’re heading to court and your attorney tells you, “Here are two out of the seven ways you could defend yourself.” You’d fire that attorney on the spot. You’d want the full picture. You’d want to know every possible strategy to win.

So why should your benefits strategy be any different?

At BenX, we believe employers deserve to know the full menu of options, not just what’s easiest for their “broker” to manage. That includes advanced strategies like:

  • Self-funding: Gives you visibility into your claims data and more control over plan design.

  • Captives: Pool risk with like-minded companies and gain long-term cost stability.

  • ICHRA model: Offer flexible alternatives for certain workforce segments & companies.

  • Alternative networks and pricing models: Break free from PPO status quo and explore reference-based pricing or direct contracts.

These solutions aren't just for Fortune 500 companies anymore. Middle-market employers in Virginia are adopting them right now and seeing massive results.

But here's the catch: most of these strategies take time to implement and require a strategic roadmap. If you wait until 60 days before renewal to even start the conversation, you’re already too late. That’s why proactive planning, year-round support, and a clear cost-containment strategy are no longer “nice to have” - they’re essential.

At BenX, we partner with growing businesses that are tired of reactive service and surprise renewals. We build long-term strategies, not band-aid solutions. And we make sure you understand every option, even if you don’t use all of them right away.

So if your benefits broker hasn’t talked to you about self-funding, captives, or any alternative strategies… that’s a red flag. It means they might be playing defense while your costs quietly creep upward year after year.

Curious what other options you could be exploring? Let’s talk. We’d be happy to walk you through it - no pressure, no jargon.

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How Mid-Sized Employers Can Take Control of Claim Costs