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Self-Funded
Insurance
R.E.
Puckett & Associates, Inc.
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Self-funded
benefit plans allow employers to actively participate in their company's
employee's health care coverage, gaining greater control over both
the design and financing of the plan. While the employer assumes the
risk of expected claims, our third party administrators ( TPAs ),
procures reinsurance to protect the plan against unpredictable losses.
Our TPA's staff assists with plan design and implementation, including
preparation of a custom-tailored Plan Document and Summary Plan Description.
Claims adjudication, which is the most visible aspect
of the benefit plan for individual participants, is handled through
state-of-the-art systems that assure rapid and accurate processing.
Meaningful data for plan analysis is provided through a full menu
of management reports.
With stop-loss insurance, the employer's costs are
capped at a certain level. No matter how large the claim grows, the
company will be responsible only for a specific amount.
Is stop-loss, self-funding, right for my company?
Any time you're considering a change in you health policy we can perform
a risk analysis to determine the coverage that's most appropriate
and most cost effective for your company.
You need to have enough employees to have a decent
spread of risk. We recommend a minimum of 100 employees. And, cash
reserves need to be adequate to meet the up front stop-loss deductible.
Smaller companies typically are wiser to go with a traditional, fully
insured group plan.
Our associates are ready to assist.
With Kindest Regards,
Bob Puckett |
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