What is Level Funded Advantage?

Level Funded Advantage is a level-funded plan for employers who are trying to save money on the cost of group health insurance. A level-funded plan allows you to save money by paying for the cost of small claims with employer money, while providing you the opportunity for a refund for healthy plan years.

Who is the Plan for?

Level Funded Advantage is for employers with good health experience who feel they are paying too much premium for too little in benefits. Do you receive money back from your insurer for being healthy? If the answer is NO, then Level Funded Advantage could be the right alternative for you.

How Does the Plan Work?

Level Funded Advantage saves you money by paying the claims of your employees with your own money instead of insurance premiums. Money left in your account is your savings and not insurance company profits. You’re protected with stop-loss insurance that manages¹ the risk for large claims above your monthly cost.

• Stop-loss insurance:
  Protects you from serious or numerous claims.
• Monthly payment:
  Covers your monthly fixed costs including stop-loss insurance and the administrative and sales fees, PLUS 1/12 of your maximum annual claims fund cost. You’re never subject to a cash call if claims go past your maximum contribution.
• After the nine-month run-out period:
  Any unused dollars in your claim fund are refunded to you

How is this Plan Different?

Level funding allows you to keep the savings when your group is healthy while stop-loss insurance caps your exposure. Level funding takes the guessing out of monthly costs. You pay one set monthly fee. After all of your claims are paid for the year, the unused money in your claim fund is returned to you.

#1 “Large claim risk managed by stop-loss insurance with run-out coverage, subject to policy exclusions, solvency of insurance carrier, policy effective dates, mid-year plan termination, and other policy terms and conditions.”