Licensed Independent Insurance Brokers, 31+ StatesCall us today: 863-270-9820
Call us today 863-270-9820
MIG Employee Benefits
Large group · 51 to 1,000+ employees

Your health plan is a finance decision. We run it like one.

Employee benefits strategy for companies with 51 to 1,000+ employees: funding options, a renewal you can actually evaluate, and compliance on a calendar, from an independent team licensed in 31+ states.

Send us your renewal See a sample review
Licensed in 31+ statesFully insured, level funded, self-funded and ICHRACompensation disclosed in writingSame-day response

In New York, groups of up to 100 employees stay in the small group market. We confirm the rules for your state first.

Why now

Why 2027 renewals are different

8.2%

Projected 2027 rise in employer cost per employee after planned changes, the largest since 2003 (preliminary).

Mercer, September 2026
11%

What employers said their cost would rise if they changed nothing.

Mercer, September 2026
9 to 11%

Other 2027 projections before cost-cutting changes, from Aon, Business Group on Health, IFEBP and WTW.

As reported by PlanSponsor
80%

Share of covered workers at large firms in self-funded plans, versus 27% at firms with 10 to 199 workers.

KFF 2025 Employer Health Benefits Survey

A first renewal number is a starting point. Groups your size usually have options smaller groups don’t: claims experience, competing funding models and time, if you start early. Projections are national figures, not a forecast for your plan.

Sources: Mercer: health benefit costs expected to jump in 2027 (preliminary); PlanSponsor: 2027 employer cost projections; KFF 2025 Employer Health Benefits Survey.

What we do

Six things we handle for larger employers

Funding strategy

Fully insured, level funded, self-funded and ICHRA modeled on your census and, where available, your claims.

Market and negotiate

We take your plan to the leading available carriers and funding partners, then walk you through the responses we receive, including the declines.

Pharmacy strategy

Usually the fastest-growing cost line: GLP-1 coverage choices, formulary changes and, on self-funded plans, pharmacy contract terms.

Compliance on a calendar

Form 5500, ACA reporting, gag clause attestations and required notices, coordinated with carriers and specialist partners.

Employee experience

Enrollment support, a benefits guide your people can actually read, virtual open enrollment meetings and help when a claim goes wrong.

Reporting

Claims and cost reviews on level-funded and self-funded plans, as the carrier or administrator provides the data.

Guides by size

Start with the guide for your size

51 to 99 employees

Past 50

Large group rating in most states, the ACA employer mandate and reporting, claims data and leaving a PEO.

Read the 51 to 99 guide →
100 to 249 employees

A CFO’s guide

Form 5500, when self-funding becomes realistic, pharmacy costs and a realistic timeline.

Read the 100 to 249 guide →
250 to 1,000+ employees

Large employers

Self-funding as the norm, stop-loss and pharmacy contract terms, claims data and a benefits committee process.

Read the 250+ guide →
Funding options

Funding options we model

OptionWhat it isUsually fits when
Fully insured large groupA fixed premium; the carrier carries the claims risk.You want predictable cost and minimal administration.
Level fundedA fixed monthly amount covering expected claims, stop-loss and administration, with a possible refund of unused claims money depending on the plan’s terms.The group is reasonably healthy and wants refund potential with a capped downside. Not generally available to New York groups of 100 or fewer.
Self-funded with stop-lossThe employer pays claims as they happen, with specific and aggregate stop-loss limiting large losses, set up with our administration and stop-loss partners.You have the size, cash flow and appetite for claims risk in exchange for control and data.
ICHRA, or ICHRA plus group by classA defined monthly allowance employees use for individual plans; CMS now calls it a CHOICE Arrangement. Can sit beside a group plan for different employee classes.Hourly, seasonal or multi-state workforces, or a fixed budget per class.
Captive or reference-based pricingSpecialist structures brought in through partners.The numbers and the group’s risk profile support them; we tell you when they don’t.

Sources: CMS: CHOICE Arrangements, previously known as ICHRAs; New York DFS: small group expansion to 1-100 employees.

Timing

Our renewal calendar

An example for a group renewing on January 1. We adapt the dates to your plan year, your carrier and whether you are changing funding.

Day -150Data requestCensus, renewal history, plan summaries, claims if available
Day -120To marketCarriers and funding partners
Day -90ResultsSide-by-side funding comparison
Day -60DecisionRecommendation meeting with your team
Day -30EnrollmentBenefits guide and employee meetings
Day 0 and afterEffectiveBilling check, then quarterly reviews

Late? We still review a renewal 30 days out. There is just less room to negotiate.

Proof, not promises

What you’ll see from us

Page 1 of a sample renewal scorecard for a fictional 132-employee company, labeled Illustrative sample, fictional company
Illustrative sample, fictional company. Not a client result, quote or savings forecast.

Every larger-group engagement produces written work you can share with your leadership team:

  • Renewal scorecard: what changed, what is driving it, and what to do next
  • Market summary: every carrier and partner approached and how each responded
  • Funding comparison: fully insured, level funded and self-funded on the same census
  • Employee benefits guide: a plain-English guide for open enrollment
  • Compliance calendar: the filings and notices that apply to your plan

Download the sample renewal scorecard (PDF)

Transparency

How we’re paid, in writing

Carriers or plan providers pay our commission, and we do not add a separate broker fee. Before any contract or renewal, you get a written description of our services and all the compensation we expect to receive, as federal rules require for ERISA group health plans of any size. How we’re paid explains it in detail.

Changing brokers

Changing advisers without guesswork

A broker change can often be handled with a broker of record letter, without changing your plan or your employees’ ID cards. Carrier rules, timing and what information moves with the change vary, so we confirm them with your carrier before you send anything, and we never contact your current carrier or broker without your OK.

Comparing advisers first? Our benefits broker RFP guide lists the questions to ask any broker, including us.

Compliance

Compliance we keep on your calendar

Filings and reporting

Form 5500: insured plans with 100 or more participants at the start of the plan year; a plan that holds money in a trust or separate fund can owe it below 100.

ACA reporting: Forms 1094-C and 1095-C for Applicable Large Employers.

RxDC: the annual prescription drug and spending report, due each June 1 for the prior year.

Gag clause attestation: due every December 31, for plans of any size.

Documents and notices

Plan documents: summaries of benefits and coverage, the plan document and the summary plan description.

COBRA: generally for employers with 20 or more employees in the prior year, plus state continuation rules.

Section 125: the plan document that lets employees pay premiums pre-tax.

Medicare Part D: creditable coverage notices before October 15, and the CMS disclosure within 60 days of the plan year start.

We are brokers, not attorneys. Filings and plan documents come through your carrier, your administrator or our compliance partners; our team keeps the dates and makes sure the right party has each one.

Sources: U.S. Department of Labor: Form 5500 series; IRS: determining if an employer is an Applicable Large Employer; CMS: prescription drug data collection (RxDC); CMS: gag clause prohibition compliance attestation; U.S. Department of Labor: COBRA.

Who you’ll work with

One team, with specialists behind it

Your account is handled by our licensed team, with a clear point of contact and direct access to the people doing the work. Behind us sits a partner network for the pieces a larger plan needs: third-party administrators and stop-loss carriers for self-funded and level-funded plans, ICHRA administration platforms, benefits administration and enrollment technology, and compliance specialists for plan documents and filings.

See how we work, our team and credentials and how we handle your data.

Large group FAQ

What CFOs and HR leaders ask us

How is a large group renewal priced?

Carriers look at your group’s demographics, plan design, medical and pharmacy trend, and, at larger sizes, your own claims experience. The renewal letter shows the result, not always the reasoning, which is why we ask for the rate exhibit and any claims report before we judge it.

How early should we start on our renewal?

For 51 to 249 employees, 150 to 180 days before the effective date gives time to gather data, take the plan to market and change funding if it makes sense. Renewals often arrive 60 to 90 days out; if yours already has, we still review it, there is just less room to negotiate.

Do you need our claims data?

It helps but is not required to start. Many carriers provide claims experience or large-claim reports to groups of this size on request, and level-funded and self-funded plans usually report claims regularly. We tell you what to ask for.

We're on a PEO. Can we leave, and when?

Usually, yes. The timing depends on your PEO agreement’s notice terms and your new plan’s effective date, and deductibles generally restart on a new plan, so the switch date matters. See leaving a PEO.

Do you work with self-funded plans?

Yes, with specialist partners for third-party administration and stop-loss. We model whether self-funding fits your size, cash flow and risk tolerance before recommending it.

How are you paid?

Carriers or plan providers pay our commission, and we do not add a separate broker fee. Before any contract or renewal, you get our services and compensation in writing, as federal rules require for ERISA group health plans. See how we’re paid.

Our employees live in several states. Is that a problem?

Usually not. A group plan is based in the employer’s home state, and national networks or multi-state carriers can cover employees elsewhere. We check network fit where your people actually live.

Can you handle dental, vision, life and disability too?

Yes. We quote those lines alongside medical, so one proposal covers the whole benefits package.

Written review in 5 business days

Got your renewal? Send it before you sign.

Upload your renewal and plan details. Within 5 business days of receiving them, you get a written review: what changed, whether it is worth taking to market, and the funding options worth a look.

✓ No broker fee✓ No carrier contact without your OK✓ Licensed in 31+ states

The review is advisory. It is not a carrier quote, an actuarial opinion or a guarantee of savings.