The Metropolitan Health Insurance Fund (M-HIF) was founded in 2020 by Joseph G. DiVincenzo to meet the diverse needs of Northern and Central Jersey.

With medical trends around 6% and pharmacy trends around 10%, these annual increases are unsustainable for taxpayers, employers, and employees. Because of this, more public entities are moving from fully-insured plans to self-funded ones, making the HIF model a popular choice. Unlike traditional self-funding, the M-HIF provides its members with one fixed monthly invoice, mature costs (no run-out exposure), and no laser provisions. In addition, features such as telehealth, pharmacy utilization protocols, medical case management techniques, and health and wellness grants allow the M-HIF to reduce the amount spent on claims and flatten premium variations over time.

A shared-service model such as the Metropolitan Health Insurance Fund is the long-term approach for governments to demonstrate sound financial accountability to New Jersey taxpayers.