U.S. workers with self-funded insurance and stoploss coverage in 2023, by firm size

According to the data, among all self-funded firms, 67 percent had stoploss coverage in 2023. Self-funded plans are those in which the employer assumes direct financial responsibility for the costs of enrollees’ medical claims rather than purchasing health insurance for them. Stoploss coverage is used to limit the firm's liability for very large claims or an unexpected level of expenses. Generally the larger the company, the more it is able to spread the risk of costly claims over a large number of workers and dependents and therefore has less need for stoploss coverage. This statistic depicts the percentage of workers with self-funded insurance plans covered by stoploss insurance in the U.S. as of 2023, by firm size.