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Understanding How Level-Funded Health Plans Work

WebLevel-funded health plans can provide employers with the stability and predictability of a fully-insured health plan while offering cost savings, plan design …

Actived: 8 days ago

URL: https://rmcgp.com/2023/10/11/understanding-how-level-funded-health-plans-work/

Why You Need to Provide a Mail-Order Prescription Program For …

WebA mail-order system is faster, more convenient, and more cost-effective. A more convenient system affects employees’ quality of life, producing happier and more …

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What is an Attachment Point

WebHowever, in the context of self-funded health plans, some states impose minimum attachment points. For more information on health insurance or to speak with …

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The IRS Announces Health Plan Limits for 2025

WebAnnual Health Plan Limits. For more information about HSAs or health insurance in general, contact RMC Group to speak with one of our Health Professionals …

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Self-Funded vs. Fully-Insured Health Plans

WebThe risk with any healthcare plan is that employees will become ill and require costly medical treatment. In a fully-insured plan, the insurance company bears the risk. In …

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Inflation and Coverage Shifts Could Impact 2024 Health Premiums

WebThe American Academy of Actuaries (the Academy) published a public policy issue brief outlining a convergence of multiple factors, including inflation and the …

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A better healthcare solution for your business

WebSave up to 30% on your healthcare premium Book a meeting today with our Health Insurance Professionals to see if your business qualifies Reduce your healthcare costs …

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Is a TPA an ERISA Fiduciary

WebThat was the question addressed by the United States Court of Appeals for the First Circuit in the case, Massachusetts Laborers’ Health and Welfare Fund, et al …

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Your New Insurance strategy Begins Here

WebAt RMC, we believe in a holistic approach to insurance. This means, we look at how your immediate needs today will impact the vision for where you want to go tomorrow. Then …

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Is Reference-Based Pricing Under Attack

WebMost commonly, the reference point is a percentage of the amount that Medicare would pay – for example, 150% of the Medicare rates. If an employer is …

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Medical Professional Liability and Captives

WebMedical professional liability insurance is essential for protecting the career and prosperity of health care providers. In the face of rising insurance premiums and …

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Case Study: Risk Segmentation

WebBy adopting a risk segmentation strategy, the Midwestern company was able to segment its Northeast office onto a fully-insured plan that covered the high-risk …

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Out-of-Pocket Maximum: How It Could Help You Save on

WebAn out-of-pocket maximum is the most that an employee can be required to pay for health care in a given year, not including monthly premiums. Without it, they …

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Traditional Plan vs. 412(e)(3) Plan

WebNow conversely, in the Traditional Plan – I said it cost $100,000 in a 412, in a Traditional if I have decent market performance, it might only cost me $70,000 a year. …

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What Does the CARES Act Say About “Balance Billing”

WebEverybody knows about “balance billing”, even if they have never heard the term. “Balance billing” refers to the bill that a patient gets from a medical provider for the …

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Employer Challenges with Medicare-Eligible Employees

WebNavigating the Road to a Healthy Retirement. Strategies for Managing Healthcare in Retirement Retirement planning is a crucial aspect of financial …

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Can an Insurance Company Require Arbitration

WebThe answer is that it depends upon the law of the state where the policy is delivered. Under normal circumstances – i.e., not involving an international treaty, if state …

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