CLAIM #58893 · UnitedHealth Group Incorporated (UNH) · 2025Q3 earnings call · Oct 28, 2025 · due Dec 31, 2026
“While we expect our group fully insured business to contract in line with the broader market, we continue to see strong traction for our self-funded offerings.”
Tim Noel · CEO, UnitedHealthcare
How to check this claim
Look at: Self-funded (ASO) commercial membership or business growth trend, and group fully insured membership trend, as disclosed by UnitedHealthcare
It came true if: Group fully insured membership declines year-over-year in 2026 while self-funded/ASO membership grows or is described as increasing in company disclosures
Where: Company disclosures / 10-K segment commentary or Q4 2025 and 2026 earnings call commentary on UnitedHealthcare commercial membership by fully insured vs. self-funded
In context
“tal Medicare Advantage, including individual and group markets. We expect these actions will drive margin improvements in 2026 with potential for further advancements in 2027 that will position us to reach the upper half of our 2% to 4% targeted margin range, all of which is supported by strong STARS results. As Steve mentioned earlier, we already have shifted focus to the next STARS performance period including incremental investments made in the fourth quarter. Turning to commercial. We are focused on pricing and cost management efforts to support 2026 margin recovery. At this point, approximately 60% of our group commercial insured offerings have been priced for next year. Our commercial pricing reflects the elevated cost levels we've seen this year, which we expect to persist in 2026. While we expect our group fully insured business to contract in line with the broader market, we continue to see strong traction for our self-funded offerings. We expect the vast majority of our employer insurance businesses to be repriced for 2026 and to return to our normal margin range in 2027. Moving to ACA markets. We have submitted rate filings in nearly all of the 30 states where we participate that reflect 2025 morbidity and experience. These include average rate increases of over 25%. Where we are unable to reach agreement on sustainable rates, we are enacting targeted service area reductions. We believe these actions will establish a sustainable premium base while likely reducing our ACA enrollment by approximately 2/3. These actions should drive margin improvement in our employer and individual segment in 2026, though still below our targeted 7% to 9% range. In Medicaid, the path to recovery will be more challenging. States have not f”
Verify independently
SEC filings for UNH ↗ · Claim quote is verbatim from the 2025Q3 earnings call.