Finally, an employee health plan that's built just for California businesses
Choose UnitedHealthcare Level Funded for your business
A Level Funded health plan is built to
give your business the advantages that big corporations get with a
self-funded health plan — like exemption from many state premium taxes
and health care reform regulations. And because your rates are based
on your plan participants, your health plan may get a surplus refund
if their medical and pharmacy claims are lower than expected. In fact
67% of Level Funded plan sponsors in the west region states received a
refund for their health plan in 2021, the average of which was $13,390.1
Designed for savings, flexibility and stability
One of the nation's leading providers of
level funded health plans since 2013, UnitedHealthcare is ready to
bring years of industry experience and dedication to your business in
a Level Funded plan built just for you.
Exemption from many state premium taxes and Affordable Care Act
regulations (groups 2–100 not subject to adjusted community
rating)
Choice of a variety of provider networks and plan designs to help fit
your needs and budget
Protection from unexpected high medical claims costs with stop loss
insurance
Eligibility for a surplus refund for your health plan at the end of
the year if medical and pharmacy claims are lower than expected1
Programs and services included at no additional cost
These programs and services are designed
to help plan participants access care and get and stay healthier,
which may help lower medical claims costs.
HealthiestYou
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.2
Let's talk Level Funded
Find out why Level Funded plans are
growing in popularity, plus advantages these plans offer you and your
plan participants.
Frequently asked questions
They're similar, 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. Similar to a traditional
(fully insured) health plan, 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:
- Your health plan that pays plan participants’ covered medical
and pharmacy expenses. Every month, when you send in your regular
payment, part of it is set aside to pay for your plan participants’
covered medical and pharmacy bills. In other words, when your plan
participants go to the doctor, their eligible medical and pharmacy
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, your
health plan may get a surplus refund1 after you renew
your plan. If your plan participants have low medical and pharmacy
claims, that refund could be substantial.
- Administrative services for your plan, including plan
participant onboarding, customer service, billing and medical claims
processing, all done for you.
- 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 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 may be based on a wider pool, including businesses that may have higher overall medical and pharmacy claims. A Level Funded plan is based only on your plan participants’ medical and pharmacy claims (groups 2–50 aren't subject to adjusted community rating). So when their medical and pharmacy claims are lower than expected, your health plan may get a surplus refund at year-end.1
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 businesses.
With a variety of plan designs and provider networks available, a
Level Funded plan from UnitedHealthcare 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.