The Example Member Company is located in the Dallas/Fort Worth area of Texas. Their current plan, written through a very well-known, fully-insured carrier licensed in Texas, is a PPO-based plan with a $1,000 deductible, 90% In-Network/70% Out-of-Network, Doctor Office Visit and Prescription Drug Co-payments. The group has 43 employees enrolled as:

Employee Only = 33 enrolled

Employee & Spouse = 2 enrolled

Employee & Child(ren) = 6 enrolled

Employee & Family = 2 enrolled

Actual plan specifications will be provided in a comparison cost analysis. An attempt has been made to match the benefits as closely as possible. All examples assume a 10% increase in rates each year for the current plan of benefits. All insurance products are rated no less than A- by the AM Best Company and are licensed in Texas.

Example 1: This is a solution of a self-funded plan that CAPS and reduces the maximum total cost in the first year! Again, cost increases are assumed to be 10% per year thereafter. This solution results in a worst case of $31,316 in savings over the next three years. With good claims history, there is an opportunity for additional savings

Example 2: This presents a solution of a self-funded plan that CAPS the fixed costs incurred by the employer during the next two plan years. Actual costs incurred by the employer may vary. In the third year, there is a cost increase for medical inflation. This solution results in a potential savings of $41,454 over the next three years. Those dollars would go straight to the employer's bottom line. AND, there is more good news: If claims are less than the total costs, additional savings could result!

Example 3: Proposes a solution of a self-funded plan that CAPS the maximum cost for the employer combined with a Guaranteed Issue medical plan whereby we reduce the benefits in a couple of coverage tiers and buy that coverage back with another company. Both plans work together seamlessly for the employee. This solution results in a worst case of $146,476 in savings over the next three years. Again with good claims history, there is still an opportunity for additional savings.

These are just several examples of the benefit solutions process. There are numerous ways to create an effective and affordable health benefit plan using these unique products that deliver dollars to your bottom line along with multi-year cost guarantees. To see what we can do for you, CLICK on the ENROLL NOW BUTTON.

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