Self-Funded Plans Inc

What Self-Funded Plans Inc does

Self-Funded Plans, Inc. is a Cleveland-area (Seven Hills, Ohio) third-party administrator founded in 1980 that administers self-funded health benefit plans for employers. The company positions itself as a regional industry pioneer with 40+ years of experience and states it serves hundreds of employer clients across the United States. Its product offering is a single, consolidated self-funded health plan administration service — no modular add-ons, sub-brands, or separate product lines are disclosed — delivered through customized plan design, claims administration, and cost transparency rather than traditional fully-insured carrier arrangements.

The firm's go-to-market operates through two parallel channels: direct employer sales and a benefits advisor/broker referral network, with the website featuring dedicated audience pages for each segment and a member login portal for ongoing plan administration. Revenue is generated through recurring administrative fees charged to employers for managing self-funded healthcare benefits, consistent with a subscription-style model; pricing is not publicly disclosed and is provided via custom quotes. The underlying technology stack is not disclosed — there is no app, no API, no proprietary platform architecture identified — and the firm does not disclose any AI, automation, or data-analytics capabilities.

The company is privately held with 11-50 employees, a single disclosed office in Seven Hills, OH, no disclosed funding rounds, no subsidiaries, and no M&A or partnership activity in the input data. Customer logos are not named, and revenue figures are not publicly available. The overall profile is a mature, small-scale regional TPA with stable, recurring revenue characteristics but limited disclosed growth vectors and no visible investment in modern benefits technology.

Name

Self-Funded Plans Inc

Legal name

Self-Funded Plans

Website

https://sfpi.com

Company type

Private

Founded year

1980

Operating status

Operating

Headcount range

11–50 employees

Short description

Self-Funded Plans, Inc. is a Cleveland-area third-party administrator that has administered self-funded employer health benefit plans for 40+ years, serving hundreds of employers via direct sales and a broker/advisor referral network through recurring administrative fees.

Ownership category

akta.pro rank

Headquarters

HQ city

Cleveland

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations

Revenue model

1. Third-Party Administration Services: As a third-party administrator for self-funded health plans, the company generates revenue through administrative fees charged to employers for managing their self-funded healthcare benefits. Revenue is derived from employers seeking alternatives to fully-insured plans, with fees based on plan size and services provided.

Go-to-market motion1 record

Distribution channels2 records

Marketing channels3 records

Core offering

Self-Funded Plans Inc is a Third-Party Administrator (TPA) that designs, implements, and manages self-funded health insurance plans for employers. The firm handles plan administration for employers and works with benefits advisors/brokers to deliver customized, transparent health benefit solutions.

Product overview

Self-Funded Plans Inc offers a single unified product — self-funded health plan administration services. The company serves as a third-party administrator, providing customized self-funded health plans to employers. The offering is delivered through a direct service model for two primary segments: advisors/brokers who resell or recommend the plans to their clients, and end employer clients who implement the plans for their employees. No modular architecture, add-on products, or named sub-brands are identified in the source material — the company presents a single, consolidated self-funded health benefits solution.

Differentiator

Problem solved

Functional benefit

Products and services

• Self-Funded Health Plan Administration
• Advisor and Broker Partnership Program

Segments2 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Scale indicators2 records

Direct peers

• MedBen: MedBen is a third-party administrator specializing in self-funded health plans for employers, with a similar mid-market employer focus and emphasis on customized plan design. It is one of the closest direct competitors to Self-Funded Plans in the independent TPA space.
• Allied Benefit Systems: Allied Benefit Systems is an independent TPA administering self-funded medical, dental, and other benefit plans for employer groups. It competes directly with Self-Funded Plans on employer-sponsored self-funded health plan administration services.
• Boon-Chapman Benefit Administrators: Boon-Chapman is a TPA offering self-funded health plan administration and ancillary benefits for employers, operating in a comparable mid-market segment. It mirrors Self-Funded Plans' focus on customized employer health benefit administration.

Broad incumbents

• CoreSource: CoreSource, a Cigna subsidiary, is a large-scale TPA providing self-funded administrative services, stop-loss, and integrated health solutions. It competes with Self-Funded Plans in the employer self-funded space but with substantially greater scale and carrier backing.
• Meritain Health: Meritain Health, an Aetna/CVS Health company, is a major TPA administering self-funded health plans for employers of all sizes. It is a broad incumbent that competes with Self-Funded Plans but with deeper resources, network leverage, and integrated PBM capabilities.
• Sumitomo Life Insurance (Pan-American Life): Pan-American Life Insurance Group, owned by Sumitomo Life, offers group benefits and TPA-adjacent services to employer groups. It overlaps with Self-Funded Plans in administering employer health and welfare benefits but operates at a national and international scale.
• Sun Life Financial (U.S. Group Benefits): Sun Life Financial provides group benefits including stop-loss and administration services for self-funded employer health plans. It competes with Self-Funded Plans as a large, diversified benefits carrier that brokers and employers can choose instead of an independent TPA.

Emerging players

• HealthEZ: HealthEZ is a tech-enabled TPA offering self-funded plan administration with a strong digital platform for employers and members. It is an emerging competitor targeting the same mid-market employer segment with a modern technology stack that Self-Funded Plans currently lacks.
• Benefitfocus: Benefitfocus is a benefits administration technology platform serving employers, insurers, and TPAs with enrollment, billing, and consumer engagement tools. It is an emerging ecosystem player whose technology could either compete with or enable a small TPA like Self-Funded Plans.

Others

• Alliant Insurance Services: Alliant is a large national insurance brokerage and consulting firm that places self-funded business with TPAs and carriers. It is an indirect channel partner/competitor for Self-Funded Plans' broker referral motion and can steer employer clients toward competing administrators.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat3 records

Key risks6 records

Key highlights6 records

Customer concentration

Revenue estimate

Valuation estimate

Number of profiles

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Self-Funded Plans Inc