Monthly Archives: April 2025

IBNR: The Secret Healthcare Tax

Let’s talk about something that sounds like a surefire way to lose your audience at dinner—and yet, it’s draining more money from your business than overpriced coffee and bad consultants combined. It’s called IBNR.

Sounds like the name of an obscure band or a weird financial instrument, right? Nope. It’s insurance lingo. It stands for “Incurred But Not Reported.” Or, as your benefits advisor might’ve jokingly (but not really) referred to it:

Incurred But Not Really.

Now, before you mentally check out and assume this is just another alphabet soup acronym designed to make health insurance even more of a mystery than it already is—stick with me. Because this boring little acronym is probably quietly costing you more than you think. Especially if you’re in a fully insured health plan.

Odds are, if you’ve heard of IBNR, it was in passing—maybe during that fun annual renewal meeting where a 12% increase was dropped on your desk like a surprise party you didn’t want. And if you haven’t heard of it? Even better. Because we’re going to crack it wide open.

Imagine this: You walk into a restaurant, order a burger, and the server says, “Cool. We’re gonna go ahead and charge you for a second one in case you get hungry later.”

Ridiculous, right? Welcome to IBNR.

Here’s the real definition: IBNR is the cost of claims that have already happened, but haven’t been reported yet.

Maybe Josh from the warehouse tore his ACL playing pickup basketball two weeks ago, but HR still doesn’t know. Boom. IBNR.

Or, maybe the claim was reported—Josh had knee surgery—but then got a lovely infection post-op. That follow-up cost? Still part of the original claim. Still IBNR until it gets filed.

In other words, you’re paying for injuries that exist in limbo, floating around in insurance purgatory until someone decides to press “submit.”

And this is where the magic (read: margin) happens—for the carrier, not for you.

See, your insurance company uses their crystal ball—okay, it’s more like a spreadsheet with assumptions, multipliers, and some “trust us” math—to guess how much all these invisible claims might cost. Then they charge you for it now. If they overshoot the estimate? They pocket the difference as an underwriting gain. If they undershoot it? Don’t worry—they’ll just increase your rates next year.

Heads, they win. Tails…you lose again.

This is the problem with the traditional insurance game. You’re playing against a house that sets the odds, changes the rules, and still acts surprised when your premiums go up—even if your team barely used the plan.

But here’s the twist: it doesn’t have to be that way.

If you’re self-funded—or even better, in a captive, which is essentially a risk-sharing pool of smart, like-minded businesses—you flip the script. Suddenly, IBNR is your ally, not your enemy. If the actual costs come in lower than expected, you keep the savings. Imagine that: paying for what you actually use instead of funding an insurer’s yacht upgrade.

It’s like finding cash in your company’s metaphorical couch cushions—and this time, you get to keep it.

Even better? You get visibility. No more annual “surprise and deny” spreadsheets with fuzzy logic and buzzwords like “negotiated savings” or “blended rate relief.” With a custom, self-funded plan, you can see your claims data in real-time. You know what’s happening, why it’s happening, and how to course correct before renewal season feels like Groundhog Day again.

Look, IBNR might not be sexy. But it’s profitable.

It’s the difference between running your health plan like a black box and treating it like a business unit—with levers, visibility, and strategy. It’s the language of control, and CEOs and CFOs who get this start asking better questions. Like:

“What’s actually baked into this renewal?”

Or, “How do our projections compare to our actual utilization?”

And when your broker starts fumbling for answers like they’re doing karaoke without the lyrics—now you’ll know why.

So here’s the bottom line: if you’re still fully insured, nodding along while your costs go up for reasons you don’t understand, you’re not saving money. You’re subsidizing someone else’s bonus.

It’s time to flip the table. Take the wheel. Get in the game.

At Better Source Benefits, we do this all day, every day. We help companies find where the money’s hiding, pull back the curtain, and take control of their plan like it’s an actual line item—because it is.

IBNR isn’t just a weird acronym—it’s a wake-up call. And now, you can’t unsee it.

Let’s talk.

And listen – if you love overpaying for insurance, if you enjoy watching your profits disappear, then ignore everything I just said. 

But if you want to win, then it’s time to stop playing THEIR game.

Escape the system, or just continue feeding it… Your gateway is here >>

APRIL FOOLS: You actually believed your broker “saved” you money?

t’s April 1st, which means you’re legally allowed to play dumb jokes on your coworkers, post fake job changes on LinkedIn, and maybe even tape a “kick me” sign on your CFO’s back. But you know what’s not a joke? The giant insurance renewal you just got hit with. Oh wait — no, sorry. That is a joke. You’re just the punchline.

Let’s talk about this game they’ve got you playing.

You walk into the annual group health insurance renewal meeting. Everyone’s there — your HR director, your broker, a guy in a suit who nobody remembers inviting, and of course, the Holy Spreadsheet. You know the one. More rows than the IRS, more columns than a Roman ruin, and if you squint hard enough, you can see where your budget goes to die.

And then they hit you with it:


“Good news! The carrier came in at a 22% increase. But we negotiated it down to 17%! High fives, anyone?”

Bro. That’s not a win. That’s a mugging where the robber hands you your wallet back with five bucks still in it and says, “See? Could’ve been worse.”

The real kicker? You probably had a good year. Your team was healthy. Maybe someone even started a wellness program. Your claims were low. Your costs were stable. And still… they tell you that you’re the problem.

“We had losses on your group.”

Right. Because Chad from Accounting pulled a hamstring playing lunchtime pickleball, and now you’re apparently insurable Ebola.

Look — the insurance company doesn’t actually lose money on you. You’re not the loser in their book. You’re the prize. The golden goose. They just can’t tell you that, because then you’d stop paying the participation fee in their casino.

They keep you confused for a reason. They need you confused. Because confused people don’t change. They nod along. They sign the renewal. They thank the broker for “fighting hard.” And then they go back to trying to figure out how to shave costs somewhere else, like reducing snacks in the break room.

Let’s get something straight: that spreadsheet is not holy. It’s not truth. It’s not neutral. It’s a complex invoice for a system that’s been carefully engineered to make you feel like the lucky one — even as you lose money.

Ever look at the fine print in that thing?

No? Of course not. No one has. That’s the point.

Let me give you the TL;DR of what’s hiding in there:

✔️ Pooling charges.
✔️ Industry load factors.
✔️ Pharmacy trends.
✔️ Capitation fees for services you don’t even use.
✔️ And the fan favorite: IBNR – Incurred But Not Reported. Or as I like to call it: “Imaginary But Neatly Rationalized.”

They’re just guessing at stuff. Guessing how old your employees are, how sick they might get, how expensive their prescriptions will be, and then charging you for it in advance — just in case. And when none of it happens? Do you get a refund?

Nope. The insurance company says,

“Thanks for playing. Try again next year.”

Now, the moment you say the words self-funding, someone in the room clutches their pearls and says, “But what if someone needs a liver transplant??” Oh no. Not a liver transplant. Heaven forbid someone actually uses the insurance you’re already paying for.

They’ve got you afraid of ghosts. Scared of what might happen, while ignoring what’s already happening — which is that you’re overpaying every single month, and no one’s showing you where the money goes.

Self-funding isn’t scary. Not when you know what you’re doing. Not when you’ve got someone in your corner who opens the books, explains the numbers, and shows you how to actually benefit when your team stays healthy.

What’s scary is continuing to trust a spreadsheet made by people who profit whether you win or lose.

It’s like playing poker with a dealer who owns the casino. Spoiler alert: you’re not leaving with the chips, baby.

At Better Source Benefits, we don’t play that game.

We don’t feed you magic spreadsheets or pat you on the head when your rate only goes up 17% instead of 22%. We help you understand where every dollar goes. We reward you when your employees stay healthy. We stop punishing you for doing the right things.

We treat your benefits like a business. Because it is.

So on this fine April Fool’s Day — while everyone else is taping notes to chairs and posting fake resignations — take a minute to realize the biggest joke of all: your insurance plan.

And maybe, just maybe, it’s time to stop playing the fool.

There is something you can do. You can stop setting yourself up to get ripped off. 

Here’s what you need to do right now if you want to stop this cycle: 

  1. Change the chain of command – when it comes to reviewing healthcare plans, your CFO and Controller should be involved from the start. They have the financial expertise. They know how to negotiate. They have the decision-making power.

     

  2. Stop forcing brokers to “talk to HR first” – let HR be part of the conversation, sure. But do not let them be the gatekeepers. If they’re the first line of defense, you’re playing to lose.

     

  3. Work with experts who can actually get you a better deal – At Better Source Benefits, we do just that. We cut through the red tape, go straight to the C-Suite, and show you how to stop bleeding money on healthcare. 

And listen – if you love overpaying for insurance, if you enjoy watching your profits disappear, then ignore everything I just said. 

But if you want to win, then it’s time to stop playing THEIR game.

Escape the system, or just continue feeding it… Your gateway is here >>