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Looking to provide health care coverage
designed for affordability?
There’s a solution available for small business owners in Florida
BY UNITED HEALTHCARE
With the current health care landscape bringing rising
administrative and premium costs, as well as increased
health care regulations, small business owners are
dealing with the financial challenges of offering adequate,
affordable coverage to their employees.
ALTERNATE FUNDING PLANS OFFER A WAY TO
CONTROL COSTS
Also called level-funded plans, alternate funding plans can help
small businesses reduce their overall health care costs and help
employees get more out of their benefits. These plans include
three components:
1. The employer’s self-funded medical plan. This pays medical
expenses for covered employees and their dependents.
2. A third-party claims administration agreement. The employer
enters into an agreement with the administrator, who provides
claims processing, billing, customer service and other services.
3. A stop-loss insurance policy. This provides coverage for large,
catastrophic claims by a single covered individual and provides
over-all coverage in the event all claims go beyond a certain
dollar limit.
ALTERNATE FUNDING PLANS VS. TRADITIONAL INSURANCE
Traditional:
With traditional
insurance plans, the
employer pays a
fixed premium to the
insurance company.
The insurance
company assumes all
of the risk, paying the
health care claims,
administrative costs,
sales commissions
and taxes.
At the end of the plan year, if the actual health care claims are
higher than expected, the insurance company covers them. But if
they’re lower, the insurance company keeps the difference.
Alternate funding plan:
With an alternate funding plan, such as All Savers® Alternate
Funding by United HealthCare Services, Inc., the employer sets up
a medical plan that pays for employees’ medical benefits directly.
Part of the risk is taken on by the medical plan, with the rest
covered by stop-loss insurance. The plan’s level-funding structure
means the administration fees, stop-loss premium and monthly
maximum claim liability are included in one monthly invoice
throughout the plan year.
At the end of the plan year, if the total health care claims are
lower than expected, the employer may receive money back
(where allowed by state law). And if they’re higher? The stop-loss
insurance policy covers them.
Traditional Alternate Funding
A great way to experience
financial flexibility
and freedom.
The All Savers Alternate Funding plan is
easy to understand and was specifically
designed for small businesses.
IT MAY HELP THE EMPLOYER:
• Pay lower premium taxes throughout the year. (Stop-loss
coverage is still subject to premium tax.)
• Be exempt from most health care reform regulations and
state insurance mandates.
• Get protection from unexpected high claims with stop-loss
insurance.
• Receive money back at the end of the plan year if claims are
lower than expected. (Where allowed by state law.)
MEET THE CHALLENGE OF RISING HEALTH CARE COSTS
HEAD-ON
Summary/CTA:
Consider an alternate funding plan such as All Savers from
United HealthCare Services, Inc. All Savers offers the choice of
a variety of plan designs, innovative wellness programs, robust
member tools and access to the vast UnitedHealthcare provider
and OptumRx® pharmacy networks. It’s a great way for small
businesses to provide coverage designed for affordability and
help their employees get the most out of their benefits.
For more information, contact your broker or visit uhc.com/AllSaversFL
Administrative services provided by United HealthCare Services, Inc. or their affiliates. Stop-loss insurance is underwritten by All Savers Insurance Company (except in MA, MN and NJ), UnitedHealthcare Insurance Company in MA and MN, and UnitedHealthcare Life Insurance in NJ. 3100 AMS
Blvd., Green Bay, WI 54313, 1-800-291-2634.
This product is not available in all states.
9644473 8/19 ©2019 United HealthCare Services, Inc. 19-13315
/AllSaversFL
/AllSaversFL
