UnitedHealthcare

A different kind of health plan that may deliver a surplus refund

Money back is possible with UnitedHealthcare Level Funded — now available in California for businesses with 10–300 plan participants. Level Funded is based on your actual plan participant medical claims, so if they're lower than expected, your health plan may get a surplus refund at year-end. In fact, 67% of our business customers in Califorinia received a refund in 2021,* the average of which was:

7,834

Designed to help you get back to business faster

Level Funded health plans are now available as part of our commitment to health care for your life right here in California. With Level Funded, your business:

May be exempt from most Affordable Care Act regulations and state premium taxes

Has access to up-to-date reporting on your group's claims costs, network utilization and more

Is free to choose from a variety of plan designs and provider networks

Is protected from unexpected high medical claims with stop loss insurance

May be eligible for a surplus refund at the end of the year if medical claims are lower than expected2

Can offer wellness programs and services designed to help employees get healthier at no additional cost

Programs and services built to help employees get healthier

HealthiestYou Virtual Care

HealthiestYou™ gives employees 24/7 mobile access to doctors who can diagnose and prescribe with no consult fees.

UnitedHealthcare Motion

With UnitedHealthcare Motion®, participants complete certain daily fitness goals and may earn financial rewards of up to $1,095 per year.

$0 Kids Copays

Available with copay-based plan designs, $0 copays for kids’ primary care physician visits may help lower families’ out-of-pocket costs.1

Frequently asked questions

Yes, but they differ from a purely self-funded arrangement in important ways. All Savers plans provide additional protection from large catastrophic medical claims with a stop loss insurance policy. So you won’t have to pay more for medical claims throughout the year or at the end of your plan year, even if you have high medical claims costs. 

Your costs don't change month to month. All Savers locks in a level-funded monthly payment for the plan year, regardless of your actual employee medical claims.

Your fixed monthly payment goes toward 3 things:

  1. Your health plan that pays employees’ covered medical expenses. Every month, when you send in your regular payment, part of it is set aside to pay for your employees’ covered medical bills. In other words, when your employees go to the doctor, their eligible medical claims are paid straight from the money that was set aside. If the money that goes in during the year is more than what comes out, you may get money back after you renew your plan. If your employees have low medical claims, that potential surplus refund could be substantial. 
  2. Administrative services for your plan, including employee onboarding, customer service, billing and medical claims processing, all done for you.
  3. A stop-loss insurance policy that protects your business if medical claims are higher than expected.

Every month when you make your payment, part of it goes toward stop loss insurance. This provides coverage for unexpected high medical claims.

Yes. And they’re included in your plan at no additional cost to you or your employees. Because they’re designed to help your employees get healthier, they may help lower medical claims and provide more savings for everyone.

The 2 biggest reasons: more potential savings and more control. With a fully insured plan, your health care costs are based on a wider pool, including businesses that may have higher overall medical claims. All Savers is based only on your employees’ medical claims. So when their medical claims are lower than expected, you may get a potential surplus refund at year-end.

And when you have a self-funded plan like All Savers, your business may be exempt from many Affordable Care Act regulations and state insurance mandates that can be costly for some small businesses. You may also pay lower premium taxes.

With a variety of plan designs and provider networks available, All Savers can be truly customized to fit your business. It’s worth your time to compare these health plans with your traditional (fully insured) plan to see which may be the better fit.

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