Download Level-Funded Solutions for Small Groups

Mayo Clinic Health Solutions
Level-Funded Solutions for Small Groups
Your employees are your greatest asset and investment.
However, with health insurance costs rising for small
businesses, your health care plan needs to do double duty—
saving you money while maintaining your employees’ health
and job satisfaction.
Mayo Clinic Health Solutions is pleased to introduce a new
cost-saving, level-funded solution for small groups. Level
funding offers the financial predictability of a fully-insured plan
combined with the cost-savings opportunities and control of a
self-insured plan.
Cost-saving health plans with predictable
monthly payments
With level funding, we offer small groups:
Fully-Insured
• Surplus funds at the end of the year are yours to keep,
if you’ve paid more than you spent.
• Lower costs compared to fully-insured plans* by
eliminating risk charges and profit margins, in addition to
lower premium taxes.
• Exemptions from key Affordable Care Act (ACA)
provisions, including the ACA Health Insurance Tax and
some state-mandated benefits.
Fixed Premium
• Fully-integrated stop-loss insurance to protect you if
claims exceed a certain dollar threshold.
Claims
Administrative
Self-Insured
Variable
• Rates based on your organization’s employee risk pool
alone, not a broad community risk pool.
The difference between fully-insured and
self-insured plans
Claims
Stop-loss
Insurance
Fixed
• Predictable, steady costs each month.
Administrative
• Flexibility, with your choice from a broad menu of plan
design options.
• Robust reporting, provided monthly, quarterly, and
annually, showing how your claims dollars are spent and
identifying opportunities to further reduce costs.
Call today for more information.
• Smooth transition from your current plan.
GBS.MayoClinic.org
1.888.823.2633
*Actual rates depend upon your group’s claims experience.
Mayo Clinic
Health Solutions
Claims processed
in 2015
Inbound calls
in 2015
First Call
Resolution in 2015
3.4 million
413,057
91%
Affordable access to major provider networks, including Mayo Clinic
You want to offer your employees access to the very best health care available at a cost you can afford. Through our
proprietary networks, we offer access to Mayo Clinic and Mayo Clinic Health System with market-leading pricing. In addition,
we offer access to your choice of a range of regional and national networks to suit your needs and budget.
How does level funding work for you?
$
$
A set monthly payment
is divided three ways:
Administrative
expenses
Stop loss
premium
Claims account
(pre-funded)
Covered Employee Claims
are paid to health care providers out of
the claims account.
If claims are less
If claims are more
than you funded for the year,
you retain the surplus at the end
of the year.
than you funded for the year, stop-loss
insurance pays the balance so you don’t
have to. This means you’re protected
against unexpected expenses.
Actual
Budgeted
Claims
Actual
Surplus
Budgeted
Claims Overrun
Claims
Claims
Fixed Costs
Fixed Costs
Claims
Fixed Costs
Fixed Costs
221-MMS405 (0516)