Caps Risk • Consistent Plan Costs • Handles Benefits Administration for You
The Grocer’s Level-Funded Program combines the best features of traditional group health insurance and self-funded plans.
Employer’s Claim Fund
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You set aside cash for projected healthcare costs in your Employer’s Claim Fund
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When employees have covered medical claims, they are paid out of your employer’s claim fund
Excess Stop-Loss Coverage
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You will never be obligated to pay more than the monthly pre-determined set amount of your employer’s claim fund
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If your claims exceed the amount in your employer’s claim fund, your “excess stop-loss” policy will cover any additional eligible claims. At the end of the policy year, we’ll review your claims vs the employer’s claim fund. One of two things will happen:
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If your claims are less than what you set aside, you keep the remaining funds
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Your excess stop-loss coverage kicks in if your claims exceed what you set aside
Monthly Plan
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You pay consistent monthly plan costs
Benefits Administration
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We’ll handle the administration such as paying claims through a TPA