Finally, an employee health plan that's built just for California businesses
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
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
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™ gives employees 24/7 mobile access to doctors who can diagnose and prescribe with no consult fees.
With UnitedHealthcare Motion®, participants complete certain daily fitness goals and may earn financial rewards of up to $1,095 per year.
Available with copay-based plan designs, $0 copays for kids’ primary care physician visits may help lower families’ out-of-pocket costs.2
Find out why Level Funded plans are growing in popularity, plus advantages these plans offer you and your plan participants.
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:
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.