Limited-Day Health Plans for Employers
WHAT IS LEVEL FUNDING?
Level funding allows small employers to manage¹ the risk for large claims, while enjoying the cost savings and refund² potential of self-funding a health plan.
Twelve level monthly payments each year covers¹ the costs for your plan, with the potential for earning a refund² at the end of the year.
¹Large claim risk managed by stop-loss insurance with run-out coverage, subject to policy exclusions, solvency of insurance carrier, policy effective dates, mid-year Plan termination, and other policy terms and conditions.
²Refund subject to claims experience, run-out claims, mid-year Plan termination, and the terms and conditions of the administrative agreement.
THE AFFORDABILITY CRISIS
Millions of employees can’t afford the employee contribution on their employer-sponsored medical plan.
Many employees who can, realize that they could never come up with the $2,000 to $6,000 necessary to meet their deductible.
Our expense-incurred plans make it easier for employees to budget for their healthcare expenses. Since there is no deductible, they simply pay a copay for covered services. Our plans take care of the rest. For employers, the built-in level-funding also means predictable costs. As a result, these plans are unlike any other health plans in the market today.
LEVEL-FUNDED LIMITED-DAY PLANS INCLUDE:
Inpatient Hospitalization (3 Days)
EXPENSES COVERED AT 100% AFTER COPAY
The Fundamental Care Limited-Day Plans are ideal for small groups who can’t afford major medical coverage for employees or even large, national organizations that need a carve-out solution for hourly workers.
These plans include more comprehensive benefits than indemnity-based limited-benefit plans. As a result, employers that can’t offer Minimum Value Plans (MVPs) to their entire employee population will still have a valuable tool to recruit and retain high-quality employees.
WHAT ARE THESE PLANS DESIGNED TO ACCOMPLISH?
Give large employers a carve-out solution for key employee classes within their part-time and hourly workforce.
Meet the needs of smaller employers as a core plan when they cannot afford to offer their employees an ACA-compliant MVP.
Give employees the freedom to choose the types of benefits that meet their needs and budget.
Provide an affordable, group health insurance solution that is ideal for industries like restaurants, retailers, staffing firms, construction companies, and security guard firms.