Group Heath Insurance

Compare your current health plan to our very competitive level-funded plans.

Insurance companies are competing for your business.

With more and more insurance companies joining the level-funded market, group health insurance rates are becoming increasingly more competitive. Although not all groups qualify, some insurance companies have relaxed their underwriting guidelines allowing more employer to qualify. 

When it comes to group health insurance, employers have two basic choices, fully-insured or self-funded (level-funded).

Fully insured health plans

Fully insured health plans are subject to the Affordable Care Act (ACA) and are guarantee issue. These plans do not ask medical questions of the employees and there is no pre-existing conditions clause. It is for these reasons rates and out-of-pocket expenses are high, and networks have become more limited. 

Advantages of level-funded plans:

  • Lower rates

  • Return of unused aggregate claims dollars

  • Lower out-of-pocket cost

  • Larger network choices or no network with referenced base pricing health plans

Disadvantages of level-funded plans:

  • More involved enrollment

  • 12-month commitment on the employers' behalf

  • Quoted rates can increase based on existing medical conditions

  • Employers must have a good understanding of how the plan operates

Recent examples of employers considering a level-funded plan

Dropdown arrows.png

Case study 1 (May 2019)

Industry type: Home Health Care

Number of Employees: 7

Location: Dallas area

Demographics: Male 14.2% - Female 85.8

Fully Insured

Plan Type: PPO

Employee Deductible: $3000

Employee out-of-pocket: $7350

Employee Rate: $587.85

Check Mark.png
Check Mark.png
Check Mark.png

Level-funded
 

Plan Type: PPO

Employee Deductible: $2500

Employee out-of-pocket: $5500

Employee Rate: $387.61

Premium Saving: 51.67%

Level funded health plans

Level funded health plans are considered self-funded plans. For the most part, self-funded health plans are not subject to many of the Affordable Care Act mandates. Level funded plans are subject to medical underwriting and medical questions are of the employees. Employers with relatively healthy employees can benefit from these plans. For employers who qualify, level-funded plans can save both the employer and their employees' money. Here are some of the advantages and disadvantages of level-funded plans:

Dropdown arrows.png

Case study 2 (May 2019)

Industry type: Medical

Number of Employees: 25

Location: Dallas area

Demographics: Male 68% - Female 32%

Fully Insured

Plan Type: PPO

Employee Deductible: $3000

Employee out-of-pocket: $7350

Employee Rate: $567.69

Check Mark.png
Check Mark.png

Level-funded
 

Plan Type: PPO

Employee Deductible: $3500

Employee out-of-pocket: $7000

Employee Rate: $351.10

Check Mark.png

Premium Saving: 61.68%

Dropdown arrows.png

Case study 3 (May 2019)

Industry type: Manufacturing

Number of Employees: 11

Location: Dallas area east

Demographics: Male 72.73% - Female 27.27%

Fully Insured

Plan Type: PPO

Employee Deductible: $3000

Employee out-of-pocket: $7350

Employee Rate: $620.20

Check Mark.png

Level-funded
 

Plan Type: PPO

Employee Deductible: $3000

Employee out-of-pocket: $6000

Employee Rate: $431.00

Check Mark.png

Premium Saving: 43.89%

Quote request

Contact Information

Company Information

arrow&v

To quote a level-funded plan you will need a census. If you have a current census you can attach it here.

Upload Census

Current Plan Information (if any)

Effective Date:

arrow&v
arrow&v

Plan Type:

arrow&v

Deductible:

Co-insurance:

Out-Of_Pocket Maximum:

Doctor Office Co-Payment:

Rx Co-Payment:

Thanks for submitting!