Employer Self Funded Health Insurance | Self Funding Insurance
Rather than prefunding the cost of insurance every month, you fund a personalized maximum claim amount. When your claims are higher than this maximum amount … stop-loss insurance kicks in. And, when you renew your plan, 50% of any surplus at the end of the year is returned to you. There are also options to pay higher monthly amounts in return for getting back claim surpluses at termination.
With a Preferred Provider Organization, employees are allowed to self-refer to any provider in the network.
Point of Service is very similar to an HMO in-network plan. A “gatekeeper” referees cases to other in-network providers.
Health Maintenance Organization uses a primary care physician to direct all health care. HMO plans focus on wellness and preventive medicine.
Indemnity Traditional Coverage
The insured individual is free to use the doctor, clinic, or hospital of their choice.
Self Funding Insurance / Self Insured Funding Advantage FAQs
are a reasonable starting point, but not always thorough. If you’re concerned about a specific condition making the case a decline, talk to sales and we can help you work with our Underwriting Department to review a group for eligibility.