The Silent Danger: Navigating Fiduciary Risks in Self-Funded Health Plans shines a critical light on a quiet but often unobserved risk for employers: the financial and fiduciary risks of self-funded health plans. Based on decades of practice in the field, the author presents a clear, accessible roadmap through the tangled landscape of fiduciary responsibility, regulatory adherence, and day-to-day monitoring necessary to manage these plans effectively. This book explores the basics of self-funding, debunks common myths, and uncovers the legal, financial, and ethical landmines that can put companies and their leaders at risk personally. It describes how ERISA's rigorous fiduciary standards apply to health plans. It exposes the covert dangers of level-funded arrangements, pharmacy benefit management transparency, stop-loss insurance pitfalls, cybersecurity vulnerabilities, and DOL audit risks. With real-world examples, best practices, and helpful checklists, The Silent Danger empowers employers, plan sponsors, HR leaders, and advisors to safeguard their companies and assets. Written as much as a warning and guide to greatness, this book challenges readers to move beyond conventional thinking, demand transparency from vendors, and build health plans that compensate employees responsibly and ethically. A seasoned plan sponsor or newcomer to self-funding, The Silent Danger will change how you think about health plan administration—and why fiduciary vigilance is no longer an option, but a requirement.