Flexible options are provided to help you select the plan designs that will benefit your group the most.
- Deductible options range from $500 to $6,600
- Coinsurance options: 100%, 90%, 80%, 70%, and 50%
- Multiple office-visit copay options
- Health Savings Account (HSA) and Health Reimbursement Arrangement (HRA) options available
- Access to large, national networks, with discounts for using in-network doctors and hospitals
- Prescription copay options available
- Preventive care coverage aligns with Affordable Care Act requirements
- COBRA administration for all groups with more than 20 members at no additional charge
- Urgent-care and emergency-room copay options available
- First-dollar diagnostic x-ray and lab options
Our National General Benefits Solution Self-Funded Program: A realistic approach to employee health benefits
Now, you can gain control of your health care expenses while providing qualify benefits to your employees. By combining the cost savings of self-funding with the stability of more traditional plans, this Self-Funded Program gives you the simplicity and cost savings you're looking for without the hassle of administrating the program yourself.
National General Benefits Solutions is a national leader in the self-funded space. Experienced professionals are ready to provide you with:
National General Benefits Solutions is a national leader in the self-funded space. Experienced professionals are ready to provide you with:
- Group market expertise
- Immediate access to support
- Quick resolution of issues
- Hands-on help at time of reissue
Simple. Safe. Savings.
Self-funding used to be a concept only available to large employers. Not any more.
Business owners like you enjoy the advantages of self funding. And now, with our Self-Funded Program, you get to experience those advantages without taking on added risk. It's an easy way for you to lower your costs while providing quality health care benefits to your employees.
Business owners like you enjoy the advantages of self funding. And now, with our Self-Funded Program, you get to experience those advantages without taking on added risk. It's an easy way for you to lower your costs while providing quality health care benefits to your employees.
Self-Funded Program Key Advantages:
One predictable monthly payment
Your monthly payment is determined upfront and guaranteed not to increase for a full year as long as there are no changes to your group's benefit or enrollment.
Plan administration and account management
Payments of claims, customer service, and reporting is all done for you, leaving you to focus on your business.
Quality benefits
All employer-established benefit plans are minimum essential coverage, so employees will not be subject to the individual tax penalty. Preventive services are paid at 100% when received from in-network providers, as recommended by the Affordable Care Act.
Your monthly payment is determined upfront and guaranteed not to increase for a full year as long as there are no changes to your group's benefit or enrollment.
Plan administration and account management
Payments of claims, customer service, and reporting is all done for you, leaving you to focus on your business.
Quality benefits
All employer-established benefit plans are minimum essential coverage, so employees will not be subject to the individual tax penalty. Preventive services are paid at 100% when received from in-network providers, as recommended by the Affordable Care Act.
Are you currently overpaying for group health care benefits?
Where do your premium dollars really go?
With fully insured health plans, all of your premium is paid to the insurance company. You don't have any control over how that money is spent. You won't see any of those premium dollars again, even in years when your group's claims are less than expected.
National General's Self-Funded Program is different. Some of your monthly payment is used to run the daily administration of your plan, but portions of it are also used to pay your stop-loss insurance premium and to build your claims account. In years when claims are lower than expected, a portion of the difference between your group's anticipated and claims is credited back to you -- and that adds up to significant savings.
With fully insured health plans, all of your premium is paid to the insurance company. You don't have any control over how that money is spent. You won't see any of those premium dollars again, even in years when your group's claims are less than expected.
National General's Self-Funded Program is different. Some of your monthly payment is used to run the daily administration of your plan, but portions of it are also used to pay your stop-loss insurance premium and to build your claims account. In years when claims are lower than expected, a portion of the difference between your group's anticipated and claims is credited back to you -- and that adds up to significant savings.
How does it work?
We make it easy for you to put a self-funded health benefit plan to work for your business.
For your everyday convenience, this plan behaves just like a more-traditional, fully insured health benefit plan. You provide your level, monthly payment, and we handle the details.
The difference lies in where your premium dollars go. We manage your program to make sure you get the savings and simplicity you need by splitting your premium among the program's three components.
For your everyday convenience, this plan behaves just like a more-traditional, fully insured health benefit plan. You provide your level, monthly payment, and we handle the details.
The difference lies in where your premium dollars go. We manage your program to make sure you get the savings and simplicity you need by splitting your premium among the program's three components.
The Self-Funded Program's Three Components
Plan Administration -- A third-party administration handles the day-to-day functions of the program. Third party administrators will:
- Manage claims payments
- Provide reporting to help manage costs
- Handle your group members' customer service needs
Stop-loss Insurance -- When your group has higher-than-expected claims, stop-loss insurance kicks in to protect your finances. Stop-loss insurance:
- Protects your finances from higher-than-expected claims
- Helps you limit your business's financial exposure
- Includes a terminal liability rider, which protects for 12-18 months after the run-out period
Claims Account -- Money used to pay claims incurred during the coverage period. Your claims account:
- Holds the funds needed to pay employees' claims
- Is protected from larger-than-expected claims with stop-loss insurance
- If your group's claims are less than expected, we refund a portion of the difference between the balance of your claims account and your group's actual claims
Call us at David Ross & Associates to complete a census of your employees. We'll get back with you within 48 hours with a quote for your group. Call 678-654-9500.