Common Group Plans
Employer-sponsored health insurance coverage for employees and often their dependents. Employers and employees can share costs, and there are tax incentives to businesses that provide group health coverage. Plans can be fully-funded by a health insurance carrier, which are state-regulated, or self-funded by the employer, which are federally regulated. Carriers offer a number of group plans with varying options for deductibles, co-pays, annual limits, eligibility and provider networks.
Employer-sponsored insurance that pays a portion of the costs associated with dental care, such as preventative cleanings, orthodontia and restorative services. Insurance carriers offer plans with varying options for deductibles co-pays, annual limits and provider networks.
It’s our “unbundled approach” to self-funding that allows us to maneuver in this complex, but oftentimes very advantageous, marketplace. By unbundling all of the services generally associated with these plans, you get the best of the best in each of the four main areas of plan management: excess loss insurance, claims administration, managed care and prescription drug card services. Once we develop the most comprehensive, cost-effective components under each area, we then re-bundle all the services and deliver the plan to your employees as seamlessly as any other benefits program.
Conventional fully insured
These “traditional” insurance programs allow employers to shift all claims risk to an insurance carrier. These programs allow for budgeting certainty. The employer can pick from several pre-designed plans to meet the coverage needs but they have a limited ability to be customized. There is limited cost control ability in these plans. The carrier controls rates and does not share loss information with the group. These plans are very simple to administer.