Specializing in Health, dental, vision, life, disability insurance for small/large group and individuals. EMPLOYEE BENEFITS
Partially Self-Funded
We have years of experience in self-funded and partially self funded health insurance. If you feel your health insurance premiums are higher than your claims, a partially self-funded plan may lower your premiums, provide refunds if claims are lower than
expected, while ensuring that any unexpected large claims are paid by the insurance carrier. We will analyze the expected claims for your group and provide the lowest cost options, whether partially self-insured or fully insured, or individual coverage health reimbursement arrangement programs. We currently work with the following carriers:
CareFirst
United Healthcare
Aetna
Assurant
Integra
Highmark BCBS
Guardian
Cigna
Coresource
Fully Insured
Fully insured plans provide predictable premiums for the contract year. For groups of 1-50 employees we represent all carriers licensed to sell in Maryland and Delaware. For groups with 51+ our carriers represented include: Carefirst BCBS, United Healthcare, Optimum Choice, Aetna, Cigna and, Highmark BCBS in Maryland and Delaware. Our third party administrators include Meritain, Integra, Coresource, UMR (a United Healthcare Company) and Carefirst Administrators to name a few. INDIVIDUAL COVERAGE HEALTH INSURANCE
As participants on the Maryland Health Benefit Exchange Advisory Committee, we are extraordinarily familiar with their process and procedures enabling a seamless enrollment experience and exceptional customer service. Our 26-year relationship with Highmark Blue Cross Blue Shield/ Highmark BCBS of DE., permits us the opportunity to give input into plan designs available to individuals in Delaware, and their unique process to enroll subsidy-eligible individuals. Individual Health Reimbursement Arrangements (ICHRA’s) Solutions
Our experience in offering both group health insurance and individual products does not change the decision-making process.
1. Compare your current group health plan to plans available in the individual market. Note covered essential health benefits in the individual market are the same as the group market for employers with 1-50 employees as mandated by the patient protection and Affordable Care Act. Typical savings are 10-40% for comparable plans.
2. Determine your employer’s contribution for the new plans offered.
3. Give your employees information regarding the new plans available to them, allowing them the choice of bronze, silver, gold, or even platinum plans.
4. Give the employees the tools to determine the best plan for their specific needs to facilitate plan selection.
5. To maintain the tax advantages of group plans of 100% deductibility of premiums for employers, which are tax-free to employees, and allow 100% deductibility of employee contributions via payroll deduction.
6. Receive a bill for the first month’s premiums based on employee’s plan selection and enrollment of dependents.
7. Upon payment of the first month’s premium, employees can access virtual ID cards from the carrier website and actual ID cards are mailed to employees.
8. Receive a monthly bill for ongoing premium payments, adjusted for new hires and terminated employees.
***The new regulations, if implemented correctly, can result in a seamless experience for employers and employees and significantly lower premiums.***
