HEALTH PLAN FUNDING OPTIONS
We offer a variety of funding options to meet the diverse needs of companies we serve.
Fully-Insured and Level-Funded
- Traditional plans managed by insurance carriers.
- Insurance carriers charge a fixed monthly premium based on estimated claims and administrative costs.
- The monthly premium changes once per year, at renewal, with the only variation during the year driven by changes in enrollment.
- Plan designs, pricing, and claims administration are controlled by the insurance carrier.
- Suitable for small to mid-sized employers with limited cash flow and lower risk tolerance.
Preferred Risk Pools – Consortia and Captives
- Small to mid-size employers band together to use their collective size to buy health benefits mimicking the predictability and bulk buying power of larger companies.
- Stop loss insurance protects employers from high claims and caps monthly cash flow.
- Plan designs can be customized.
- Depending on the arrangement, there may be flexibility to select specialized vendors such as disease management concierges, enhance primary care, and transparent Pharmacy Benefit Managers (PBMs).

Health Plan Funding Comparison
FULLY INSURED | LEVEL FUNDED | CONSORTIUM | CAPTIVE | |
---|---|---|---|---|
Suitability – Best for Companies with | 2-50 Employees | 10-50 Employees | 20 or More Employees | 50 or More Employees |
Cash Flow Stability | Fixed Monthly | Fixed Monthly | Capped Monthly | Capped Monthly |
High Claim Financial Protections | Yes | Yes | Yes | Yes |
Control | Carrier | Carrier | Employer | Employer |
Claim Fund Surplus Disposition | To Carrier | Shared between Carrier and Employer * | To Employer | To Employer |
Ability to Customize Health Plan | No | No | Yes | Yes |
Access to Actionable Claims Data | No | Limited | Yes | Yes |
Cost Management Carveouts and Overlays Permitted | No | No | Yes ** | Yes |
* Claim Fund Surplus only shared with employer if they renew with the carrier.
** Depends on TPA, Vendors, and Group Size
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