What is an ASO Plan?
With a traditional fully-insured plan, employers pay fixed monthly premiums that include:
Expected claims
Added profit margins
Hidden risk charges
The insurer controls the risk — and the price.
ASO works differently. Employers self-fund predictable claims, while stop-loss insurance protects against large and unexpected drug or health costs. Because claims and admin are unbundled, you benefit from:
Lower administration fees
Greater cost transparency
Stronger budget control
Coverage remains the same — the funding model changes.