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A self-funded plan is an employee benefit plan that is paid for with contributions made by the Employer and Employees. This covers the cost of premiums and claims. The plan pays the claims, not an insurance company. Based on benefits, plan design, cost containment options, medical management, special options like Access2day Health, and many other savings tools, the premiums may be much lower than fully insured premiums. These benefits are decided on by the Employer; they are not the standard insurance company plans.