About Self-Funded Health Plans

Providing Flexibility, Savings, and More!

Self-funding gives an employer far greater control over the design and cost of their health care benefit plan. While the employer does assume some risk, we help secure Stop Loss or excess loss insurance to reimburse the plan for claims that exceed anticipated levels. When claim costs are below expected levels, the savings remain with the plan rather than an insurance carrier. Those savings can be applied to future plan years or wellness benefits for your employees.

• Greater Financial Control - As a full-service TPA, we provide self-funded clients with timely reports showing how every health plan dollar is spent.
• Lower Costs - By funding claims directly, self-funded plans avoid premium taxes, huge claims' reserves and other costs included in fully insured premiums.
• More Flexibility - Critical in this post-reform environment, self-funded plans can be designed to meet the needs of your company and your members.
• Cost Management - On-going analysis of expenses allows self-funded employers to make plan design changes needed to better manage costs.
• 24/7 Access to Information - Authorized individuals receive confidential reports and members have secure online access to the benefit information they need.

Is Self-Funding Right For Your Organization?

We can help determine whether self-funding is appropriate by reviewing a current employee census, premium rate history, and the costs and parameters of your current plan. Analyzing these items will help us evaluate other options and determine proper levels of coverage.

You Can Count on WorXsiteHR Administration Services for...

• Friendly, helpful customer service
• 24/7 access to Telemedicine & Physician service
• Experienced advocates to assist with complex matters
• Benefit explanations at your fingertips

We Specialize in Administering the Following Benefits on a Self-Funded Basis:

• Major Medical
• Minimum Essential Care (MEC)
• Dental
• Vision
• Hospital