The changes to the self-funded health plan include higher employee payroll contributions, increased deductibles and higher out-of-pocket maximums on most options. “They’ll be working another shift so they can afford to keep health insurance. Please reject proposed changes to the self-funded health plan.” Now you want to increase health insurance, not out of necessity, but because it seems like a good move for the future. She noted she is on the family plan herself and that the decision affects almost everyone in some way.