Preferred United Plans® “Alternative Funding” is a self-funded aggregate stop-loss program designed by SecureOne, it’s actuaries and with Companion Life Insurance Company, an AM Best A+ (Superior) Carrier.
BENEFITS
Medical, Prescription Drug and Life.
BENEFITS
Medical, Prescription Drug and Life.
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PPO PLATFORM
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PLAN DESIGNS
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CAPITATED FUNDING
Preferred United Plans® “Alternative Funding” is broken down as one would see under fully insured; EE, ES, EC & Family. To determine this, there are three pricing components (1). Administration Fees (2).Funding Aggregate Premium Fees and (3).Funding Claims Factor Fees
Preferred United Plans® “Alternative Funding” is broken down as one would see under fully insured; EE, ES, EC & Family. To determine this, there are three pricing components (1). Administration Fees (2).Funding Aggregate Premium Fees and (3).Funding Claims Factor Fees
PREFERRED UNITED PLANS® “ALTERNATIVE FUNDING” FEE COVERS
Implementation, Plan Documents/SPDs, SBCs, Networks, Banking Reconciliation, COBRA, Michigan 0.75% Claims Tax, run-out claims, administration, case management, precertification, PBM administration, Rx claims, medical claims, on-line enrollment are all included in the pricing of Preferred United Plans® “Alternative Funding”.
The Employer (Plan Sponsor) is only responsible for funding what is electronically billed by the 15th of each month, by SecureOne. Should, at any time, claims processed during a month exceed what is in the employers claims funding account, they owe nothing more. Companion Life funds the difference. We do not wait for next month’s billing request to fund the shortfall.
Implementation, Plan Documents/SPDs, SBCs, Networks, Banking Reconciliation, COBRA, Michigan 0.75% Claims Tax, run-out claims, administration, case management, precertification, PBM administration, Rx claims, medical claims, on-line enrollment are all included in the pricing of Preferred United Plans® “Alternative Funding”.
The Employer (Plan Sponsor) is only responsible for funding what is electronically billed by the 15th of each month, by SecureOne. Should, at any time, claims processed during a month exceed what is in the employers claims funding account, they owe nothing more. Companion Life funds the difference. We do not wait for next month’s billing request to fund the shortfall.
MONEY BACK
The Aggregate Stop-Loss is a 12/18 contract and each year starts a new contract period. Upon the completion of a contract period, should claims paid by Preferred United Plans® “Alternative Funding” fall short of what was billed under the Claims Funding Factors, during the contract period, the employer (Plan Sponsor) is entitled to 100% of the difference. YES, A REFUND!
Should claims exceed the Claims Funding Factor during the contract period, the Employer owes nothing!
Proposal Request Form
The Aggregate Stop-Loss is a 12/18 contract and each year starts a new contract period. Upon the completion of a contract period, should claims paid by Preferred United Plans® “Alternative Funding” fall short of what was billed under the Claims Funding Factors, during the contract period, the employer (Plan Sponsor) is entitled to 100% of the difference. YES, A REFUND!
Should claims exceed the Claims Funding Factor during the contract period, the Employer owes nothing!
Proposal Request Form
