Plans & Benefits - Funding Options
Find the right funding arrangements for your client.
We offer several funding options based on the client's group size and individual needs.
Community Rated
Community Rated - 100 and fewer eligible employees.
- Fully insured
- Rated are the same within the community pool of people.
Experience Rated
Experience Rated - 101+ eligible employees
Prospective
- Fully insured with claims pooling protection.
- Premiums based on the cost and use of plan benefits.
Minimum Premium
- Fully insured with claims pooling protection
- Clients reimburse us for paid medical expenses up to a set liability maximum.
Retrospective
- Fully insured
- Clients pay a fixed monthly premium and an annual credit or a deficit is applied at the end of the plan year.
Administrative Services Contract (ASC)
- Fully insured
- Clients pay claims expenses as they occur ("pay as you go") plus any applicable plan costs.
- Client can add stop-loss coverage
Self-Funded/Self-Insured
Self-funded/Self-insured - Groups with 250+ contracts
Administrative Services Only (ASO) Contract
- You self-insure the medical expense and pay to have us administer the plan
- You can add stop-loss coverage
Self-funded plans have the ability to design their own health plan benefits.