Self-Funding Puts YOU In Control
With a self-funded health plan you will enjoy far more flexibility and an opportunity to keep any savings that result when claims are lower than expected. Your plan is designed to meet the unique needs of your organization and the information you gain will help you better manage the risks and future costs of healthcare.
How Self-Funding Works
In a fully insured plan, rates are fixed for a year and monthly premiums are based on the number of employees enrolled. The insurer collects premiums and pays claims, while members are responsible for deductibles and co-pays.
With a self-funded plan, we help you determine the amount of risk your company can assume and secure stop loss insurance to reimburse claims that exceed expected levels. Fixed costs, such as administrative fees and stop loss premiums, are billed monthly. As your healthcare partner, we review and pay health claims as they are incurred, provide the data you need to make informed decisions and deliver a level of personalized service your plan members deserve.