What is a Level Funded Health Plan ?

Self Funded Aggregate Only, or LEVEL FUNDING has been developed for employers with 25 to 150 employees and closely resembles a traditional fully insured plan yet provides the potential for a refund of surplus dollars at the end of the plan year. Level funding is a packaged plan that includes stop-loss insurance, administrative services with a guaranteed monthly maximum liability.
• All the benefits of traditional self-funding with the ease, look and feel of a fully-insured group health plan, a True ERISA plan
• Complete flexibility with benefit plan design
• Maximum plan costs are lower than traditional self funding
• More competitive against fully-insured quotes
• Employer writes just one check each month (based on plan enrollment)
• Monthly payment for LEVEL FUNDING includes premium, funding, stop-loss insurance, administrative services and guaranteed maximum liability.
• LEVEL FUNDING is spread over 12 monthly payments that do not fluctuate with claim activity; only with plan enrollment
• LEVEL FUNDING accumulates monthly – claims are based on the accumulated attachment point
• No SPECIFIC retention to satisfy
• LEVEL FUNDING could be satisfied by just one catastrophic claim, Carrier pays the balance
• Employer retains all unused LEVEL FUNDING monies at year after any run out.
• Multiple contract options and Terminal Liability available.
• Standard disclosure statement required within 60 days of the effective date
o Plan Participant Disclosure Statement on all individuals
• Monthly Reporting