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Is Level Funding Right For You?

If you desire the freedom of a self-funded insurance plan but need a little more certainty for your budgeting concerns, level funding might be an option for you.  

 

What is level funding? 

Level funding is an option that can accompany a self-funded plan, aiding employers in their health coverage budgeting efforts. With level funding, employers pay a set amount each month to a carrier.   This amount typically includes the cost of administrative and other fees and the maximum amount of expected claims based on underwriting projections, as well as embedded stop-loss insurance. 


Pros:

  • No commuinity premiums: You only pay the claims, stop-loss insurance and admin costs you incur. Stop-loss insurance can protect against large claims.

  • No lost money: You'll get any leftover money back if low claims lead to a fund surplus.

  • Better utilization reporting: You can better pinpoint potential areas where employees could use more education to make wiser health care decisions


Cons:

  • Potential for higher administration fees: You pay more than just the cost of claims.

  • Out-of-pocket claims costs: Consider the worst-case scenario of a high volume of claims.

  • Contractual impact: You'll need an experienced expert to guide you through this plan type, as different businesses have different needs.


Want to learn more?

We’re here to help you make the best decision for your company and its strategic goals. Contact De La Torre & Associates Insurance Services, Inc. for more information about coverage options.

This infographic is intended for informational purposes only and should not be construed

as legal advice. State and federal laws apply. Consult a legal professional for more information. © 2018 Zywave, Inc. All rights reserved.




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