I work with a tribe who wants to consider self funding medical, dental, and visual care. Does anyone know of any significant tribe who self funds. Also, do you know any "Brand Name" companies who self fund. I am trying to indicate that it is not an unusual practise.

Try Great West, Wellpoint, Aetna, United Healthcare, Humana, Anthem and CIGNA. They all provide self funded plans, ASO, Stop-loss etc etc.

A significant number of Tribes do self fund. Just call around to the larger ones.

The Blue Cross Blue Shield organization in your area may also do self-insured plan administration and provide stop loss. We use them in Rochester NY, and found that they were more competetive than othe TPAs plus you get the Blues discounts if participants use the local Blues network .

I actually worked for a previous consulting firm that worked with an indian nation with respect to self-insuring the medical and dental plans. This is by no means unusual. The key is to ensure that you have the bare minimum number of lives to self insure. I place that threshhold around 300. You could self-insure with less than 300 lives, but it starts to get risky at that point. If you have a couple of cancer claims, good luck getting stop loss insurance the following year.

I would love to discuss your situation in more detail if you'd like. Just send me an email, which can be obtained by looking at my profile.

Take Care!