For benefits brokers
It has never been a better time to write self-funded business.
More carriers, more third-party administrators, more transparent PBMs, more point solutions, and more ways to combine them than this market has ever had. The catch is that finding them is still word of mouth. Here are 162, in one place.
Level-funded markets · direct primary care · reference-based pricing · pharmacy · administration. Searchable by state and enrolled count, alongside the stop-loss rules for all fifty states and the District of Columbia. Every record dated and sourced. Last updated September 2026.
The layers you can build a plan from
A self-funded plan is assembled, not bought: a funding chassis, something to price care with, primary care, a pharmacy contract, and someone to administer it. Each layer has its own market, and they are listed here separately so you can see what actually pairs with what.
Level-funded & self-funded markets
Carrier programs, MGUs and program managers that write level-funded, self-funded, RBP and captive plans for small and mid-size groups.
Direct primary care
Employer-sponsored direct primary care networks and clinics, in person and virtual, that wrap under a self-funded or level-funded plan.
Reference-based pricing
RBP repricing and member-advocacy vendors, plus the Medicare multiple and balance-bill support each one publishes.
Pharmacy benefit managers
Transparent and pass-through PBMs used by TPAs and level-funded programs, alongside the large incumbents, with each one's published pricing model and rebate handling.
Third-party administrators
Independent and carrier-owned TPAs that administer self-funded and level-funded plans, with the programs, RBP vendors and PBMs each one works with.
Group captives
Coming soon
Stop-loss carriers
Coming soon
How it works
Stop guessing at eligibility
Every program publishes a state list and a minimum group size, and several set a higher minimum in particular states. The finder applies all of it at once, so you find out in seconds instead of after a submission comes back declined.
Compare on what matters
Underwriting method, network options, surplus terms and which carrier's stop-loss sits behind the program — side by side, from each vendor's own published materials.
Get a real reply
Leave a work email and the list is yours on screen and in your inbox. Reply to that email with the group and we will point you at the right person at each market.
Stop-loss rules and markets by state
30 states with verified carrier availability- Alabama
- Alaska
- Arizona
- Arkansas
- California
- Colorado
- Connecticut
- Delaware
- District of Columbia
- Florida
- Georgia
- Hawaii
- Idaho
- Illinois
- Indiana
- Iowa
- Kansas
- Kentucky
- Louisiana
- Maine
- Maryland
- Massachusetts
- Michigan
- Minnesota
- Mississippi
- Missouri
- Montana
- Nebraska
- Nevada
- New Hampshire
- New Jersey
- New Mexico
- New York
- North Carolina
- North Dakota
- Ohio
- Oklahoma
- Oregon
- Pennsylvania
- Rhode Island
- South Carolina
- South Dakota
- Tennessee
- Texas
- Utah
- Vermont
- Virginia
- Washington
- West Virginia
- Wisconsin
- Wyoming
How the data is compiled
- Every field comes from the vendor's own published materials or a state regulator, with the source and date on the vendor page.
- Unpublished facts are shown as “Not published”, never guessed.
- Data is versioned; each page shows when it last changed.
Frequently asked questions
Who is behind this directory, and why should I trust the data?
It is edited by Sam Edwards, who has spent 21 years in insurance and the last 12 in employee benefits, across voluntary benefits, retail brokerage and self-funding consulting. Every fact on a vendor page comes from that vendor's own published materials or a state regulator, with the source links and the date it was checked shown on the page. Anything a vendor does not publish is shown as "Not published" rather than estimated. No vendor pays to be listed or can edit its own record; the about page explains where the site stands commercially.
What is a level-funded health plan?
A level-funded plan is a self-funded plan packaged to feel like fully insured: the employer pays a fixed monthly amount that covers expected claims, administration and stop-loss premium. If claims run below expectations, some or all of the unused claims fund is returned as surplus. If they run above, stop-loss insurance covers the excess.
Who can use this finder?
It is built for benefits brokers and consultants placing employer groups, typically 5 to 300 enrolled employees. Employers are welcome to use it too, but most programs listed here are sold through brokers.
Why do some programs have a different minimum in certain states?
Several states regulate small-employer stop loss with minimum specific deductibles, contract-basis rules or laser prohibitions. Programs respond by raising their minimum group size in those states. The finder applies each program's state-specific minimum automatically and each state page explains the underlying rule.
Is the vendor data guaranteed?
No. State availability, minimums and terms change without notice, and some vendors publish different figures on different pages of their own sites. Every field carries its source and last-checked date. Verify with the vendor before binding coverage.
What happens when I enter my email?
The full list appears on screen straight away, and the same list arrives once in your inbox with a link to each vendor page. It is not a subscription and there is no follow-up sequence. If you reply to that email with the group's details, you will get an answer from a person, and an introduction to any market on the list.
What is the difference between DPC and RBP?
Direct primary care (DPC) replaces fee-for-service primary care with a flat monthly fee per employee, taking routine care out of the claims fund. Reference-based pricing (RBP) pays hospitals and facilities at a multiple of Medicare instead of a negotiated network rate, with a vendor that reprices claims and supports members if a provider balance-bills. Many self-funded plans use both.
Route a group now
Free, no account. Ten seconds to a count, one email to the full list.