Funding that makes sense for you

Funding options are all about how much risk your organization wants to assume for health care costs. If you haven't considered all your options for health plan funding, you could be undercutting your bottom line. Here is a quick overview of the funding options we offer.

Predictable costs and less risk

For large groups with 50+ employees

You...

Pay a monthly premium
Have predictable expenses
Get robust reporting and consulting if you have 150+ employees

We...

Assume all of the financial risk
Pay your employees' claims
Are responsible for surpluses and deficits

Responsibility for costs and liability

For groups with 150+ enrolled employees

You...

Do not pay a monthly premium except for stop loss
Aren't subject to some taxes and state mandates
Retain savings from lower-than-expected claims

We...

Administer your program for a PMPM fee
Coordinate with stop loss carrier
Provide comprehensive reporting

Costs linked to actual expenses

For groups with 150+ enrolled employees

You...

Pay a monthly premium
Get a reserve account if actual expenses are less than projected
Pay a deficit if actual expenses are more than projected

We...

Assume nearly all of the financial risk
Pay your employees' claims
Hold and monitor your reserve account

Like RSR, with one key difference

For groups with 150+ enrolled employees

You...

Pay a monthly premium
Receive a refund if your actual expenses are less than expected
Pay the deficit if actual expenses are more than expected
Are responsible for reserve to cover deficits

We...

Share the financial risk with you
Pay your employees' claims
Provide comprehensive reporting

Self-funded core administrative services

See our range of consulting services