What is Self-Funded vs Fully-Insured Health Plans? | WPS Explains

WPS Health Insurance
WPS Health Insurance
3 هزار بار بازدید - 2 سال پیش - Possible cons of fully insured
Possible cons of fully insured plans include potential rate hikes and having to negotiate with the insurance carrier. If the employees are healthy and don't use much health care, then the employer does run the risk of paying for more coverage than they needed.

WPS Health Insurance and WPS Health Plan offer fully insured health plans for Wisconsin and Illinois businesses.  Under a self-funded health plan,  employers have more flexibility but take on more responsibility. Self-funded plans are often more flexible because they are subject to fewer state regulations or requirements. Self-funded puts employers in the driver's seat. They fund the health plan and make the benefits decisions. As the driver, they take on more responsibility, but they also have more opportunities. With self-funded plans, the healthier the employees are, the less the employer will spend on health care costs. The other side of that coin means that with high-cost claims, the employer could then be responsible for some of those additional costs. WPS offers flexible stop-loss insurance options to help protect organizations from unexpected claims. WPS Administrative Services Only (ASO) health plans are self-funded plans for Wisconsin businesses.

Weighing self-funded versus fully insured depends on the needs and expectations of the individual business. There is no one-size-fits-all health plan perfect for everyone. WPS is here to help. Contact our knowledgeable Sales Team today to learn more.  At WPS, we strive to make getting health care easier for the people we serve,  so they can focus on what's really important...living their best life.

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2 سال پیش در تاریخ 1401/09/24 منتشر شده است.
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