Fully Insured Plans

Fully insured health plans are the traditional insurance model in which employers pay a fixed monthly premium to an insurance carrier. The carrier assumes full responsibility for employee claims.

 

How It Works
  • ✓ Employer pays a fixed premium.
  • ✓ Insurance carrier manages all claims and risk.
  • ✓ Limited access to detailed claims data.
  • ✓ Renewal rates determined annually by the carrier.
Advantages
  • ✔ Simplicity
  • ✔ Predictable expenses
  • ✔ Minimal administrative responsibility
  • ✔ Suitable for smaller employers

When Fully Insured Makes Sense

Fully insured plans are generally ideal for small organizations that prefer minimal administrative involvement and predictable budgeting.

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