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I have only had conversations will carrier reps on the new plan designs. One of them being a PEO model, which I thought i would never see from a carrier. I was flat out told they were not being developed for small group.
Admin fees are too much for a small group to absorb. Take a group of 30 lives an they have to pay $18K a year in admin fees and still have to go through some type of underwriting. Nope, I don't think that will fly. 200 lives with a ton of risk, that does not want to take on lasers on a self funded platform, maybe!
Here is a scenario of one of my groups I have with TriNet PEO.
25 lives, admin fee is actually 25k/year.
They are saving 10k year on SUI, 5k in WC, and 20k in benefits by moving to TriNet's large group Oxford platform.
So they are saving 10k a year moving to TriNet, and do not have to invest in an HR dept and hire an HR employee (50-75k in soft costs)
But I've also received quotes where there wasn't any savings and a huge cost to the group to move to PEO so I would say each situation is different.