It’s possible with a level funded health plan from UnitedHealthcare. That’s because level funded plans are based on your actual plan participants’ medical claims — so if they’re lower than expected, your health plan may get a surplus refund at year-end.* In fact, 36% of UnitedHealthcare’s level funded business customers received a refund,* the average of which was
With a level funded health plan, your business:
With online coaching, a Success Kit and more, this program is designed to help participants lose weight and keep it off.
Plan participants can connect with a doctor — anytime, anywhere — for nonemergency care right from their computer or mobile device.**
Available with copay-based plan designs, $0 copays for kids’ primary care physician visits may help lower families’ out-of-pocket costs.1
Yes, but they differ from a purely self-funded arrangement in important ways. Level funded 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. Level funded plans lock in a fixed monthly payment for the plan year, regardless of your actual plan participant medical claims.
Your fixed monthly payment goes toward 3 things:
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 plan participants. Because they’re designed to help your plan participants 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. A level funded plan is based only on your plan participants’ medical claims. So when their medical claims are lower than expected, your health plan may get a surplus refund at year-end.*
And because a level funded plan is a type of self-funding, your business may be exempt from many Affordable Care Act regulations and state premium taxes that can be costly for some small businesses.
With a variety of plan designs and provider networks available, a level funded plan 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.