In September 2026, Insurance Business reported findings from The Phia Group’s 2026 broker survey showing that the rapid move toward self-funded health plans is outpacing many US employers’ fiduciary processes. The survey covered 124 benefits brokers and advisers. Seventy-six percent said their book of business had shifted toward self-funding during the previous 12 months, but only 12% were very confident that clients had adequate fiduciary processes. The gap matters