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Self-Funded Plans
Self-Funded Insurance Plans are ones in which the employer assumes some or all of the risk associated with their employee's claims against the plan. The theory, which usually holds true, is that their pool of employees will prove to have on average the same or fewer number of claims as the population at-large. This, in turn, should lead to a lower cost of coverage.
We have experience working with numerous insurance carriers and Third Party Administrators (TPAs) that help employers with the administration and stop-loss coverage associated with these type of plans.
Although Self-Funding is not for everyone, many large employers use these types of plans to help control the rising cost of healthcare.
In addition, we provide our clients with tools to assist them with the management and research associated with their Self-Funded Plan(s), including:
- Disease Management & Health Coaching
- Plan Audit Services
- Price Modelling
- Predictive Claims Analysis
- Custom Reporting Tools
- Stop-Loss Coverage
- TPA Negotiation Assistance
- Form 5500 Preparation
Our consultants can help you analyze whether a Self-Funded Insurance Plan is right for your company.
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