Joe Slater FSA, MAAA talks about how under the Affordable Care Act (ACA), all groups with 50 or less employees will eventually be subject to the ACA’s modified community rating rules. While some groups will see lower premiums than they would have without the ACA, others will see significant premium increases. Though self-funding has historically only been a realistic option for groups with at least a few hundred employees, the premium disruption and potential loss of business caused by the ACA has incentivized insurance carriers and third party administrators to develop self-funded product offerings for small groups. These products are commonly referred to as Level Funding products.