We believe in better.
When it comes to healthcare plans, better options lead to better choices–and better choices lead to better outcomes. We help brokers and employers choose the plans that strengthen the wellbeing of the whole organization, making people and businesses happier and healthier. Learn more about our company.
What Makes Us Different
Self-Funding with ClaimChoice.
As the traditional, fully insured approach to healthcare coverage grows more expensive and restrictive, employers are unable to enjoy the wide range of benefits available for fear of heavy taxation. That’s why we help brokers and companies navigate the many options that come with self-funded insurance and choose the best combination of savings and benefits.
We craft custom plans for companies of every shape and size.
We’ve watched the industry change–we know better when we see it.
We don’t wait for better. We bring our clients the next best thing first.
The right choice only makes a difference with the right people behind it.
Self-funded insurance plans not only save money, but they offer customization and flexibility that traditional healthcare plans don’t. Our self-funded solutions are not regulated by plan design restrictions–we help employers enjoy more comprehensive and cost-effective solutions than ever before.
Fully Self-Funded Plans allow employers to create plans that meet the specific needs of their organization. It allows more control over healthcare spending and eliminates the need to pre-pay for coverage. It’s a great solution for larger companies.
Level Funded Plans
Also referred to as Partially Funded Plans, these solutions combine all the cost-saving and flexible benefits of Self-Funding, with added financial safety and predictability due to fixed administrative costs and stop loss deductibles. It’s an ideal solution for small businesses.
A Captive Solution Program is wholly owned and controlled by its insureds–it provides smaller employers with the advantages often given to larger employers. They reduce volatility while improving cost efficiency. It’s ideal for businesses that may have previously felt too small to self-fund.
Reference Based Pricing
Reference Based Pricing (RBP) is a cost-containment strategy with a fixed limit that reduces employer healthcare costs and out-of-pocket expenses for employees. The approach typically has no in- and out-of-network payments, making it ideal when members need more flexibility when it comes to care.
MEC & MVP Plans
Minimum Essential Coverage (MEC) Plans and Medical Value Plans (MVP) meet the coverage and individual responsibility requirement for employers under the Affordable Care Act. They cover preventative care and routine illness without a deductible and are a good fit for hourly employees.
Leave the details to us.
We believe that better coverage only makes a difference if it’s managed by the right team. We handle administration, reporting and claim management services to ensure coverage is running smoothly. We focus on the details, so employers can focus on their business.
- On-Demand Reporting
- Daily Claims Processing
- Medical Bill Review
- Weekly Claims Payment
- Eligibility Management
- Coordination of Benefits
- Flexible Spending Accounts
- Health Reimbursement Accounts
- PPO Connectivity
- Stop-Loss Tracking
- 24/7 Online Portal Access
- Dedicated Customer Service
Expand your network.
Being tied to a single network can be costly and limiting. We create plans that leverage multiple networks to best support employers. We offer an unmatched access to a variety of networks, from major national PPOs to industry-leading pharmacy benefit management partners, and we help employers identify the right providers based on their geographic and care needs.
Your time is valuable. Our online tools help you save more of it.
Healthcare information should be accessible anywhere, anytime. Our healthcare portals are designed with the needs of their specific audience in mind, so our clients and partners can find the information they’re looking for as quickly as possible.