
Alternative Funding Arrangements (AFA)
In today’s benefits landscape, staying fully insured often means overpaying for unpredictability while giving up control. With health and dental premiums increasing year after year—often far outpacing inflation—organizations that continue to rely solely on traditional insurance models are absorbing unnecessary cost burdens and forfeiting strategic opportunities.
Alternative Funding Arrangements (AFA) change that equation. They are no longer just a “big company” strategy; with proven models, stop-loss protection, and collaborative risk pools, mid-sized employers can now unlock the same level of control, transparency, and savings that Fortune 500 companies have enjoyed for decades.
Why AFA Outperforms Traditional Insurance
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Control Over Plan Design & Costs - Choose deductibles, copays, and benefit structures that align with your culture, not an insurer’s profit model.
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Set funding levels strategically rather than paying inflated “worst-case scenario” premiums every year.
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Full Data Transparency- Gain real-time visibility into claims drivers, utilization trends, and cost spikes.
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Use this intelligence to implement proactive cost-containment strategies that actually work.
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Stop-Loss Protection Without Surprises- Guaranteed renewal terms with no lasers and capped annual increases safeguard against catastrophic claims volatility.
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Terminal Liability Options ensure a smooth transition if you exit the program.
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Proven Cost Savings- Lower trend lines and renewals that consistently outperform market benchmarks.
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Dividends and surplus returns stay with your organization—not the insurance company.
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Cash Flow & Investment Advantages- Keep funds in your account until claims are paid—improving liquidity and potentially generating investment returns.
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Reduce frictional expenses like commissions, risk charges, and redundant administrative fees.
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Flexibility & Stability- No “locked-in” forfeiture risk—only 30-day exit notice if the model ever stops serving your needs.
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Ability to join purchasing consortia, leveraging economies of scale for both medical and dental plans
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The Competitive Edge -Employers embracing AFA aren’t just buying insurance -they’re building a benefits funding strategy.
This approach:
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Turns fixed insurance costs into manageable, performance-based investments.
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Creates a healthier, more engaged workforce by reinvesting savings into wellness, preventive care, and richer benefits.
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Positions your organization as a forward-thinking employer who values fiscal responsibility and employee wellbeing equally.
Bottom Line -If your company is paying more every year for the same (or fewer) benefits, an Alternative Funding Arrangement isn’t just an option—it’s a necessity. It’s time to stop overpaying for risk you may never use, reclaim control over your plan dollars, and invest in benefits that drive both financial and organizational health.
The question is no longer “Should we consider AFA?”
- but rather “How much are we losing by not doing it?
