Medical Pools
Americans in Debt Due to Medical Bills*
4 in 10
Avg. Medical Plan Cost for Employer*
$16K per family
Premium Share change in 10 years*
+47%
Leverage Through Collaboration
What is a Medical Plan Cooperative (COOP)?
Join like minded public sector administrators across your state.
Cooperatives are an alliance of employers developing & maintaining health payment structures that offer health insurance at reduced costs. Pooling resources & plan strengths and risks give the opportunity to compete with the health insurance companies.
Advantages of our Medical Plan Cooperatives
- Membership scale creates Plan Cost Stability
- Multiple solutions for our customers
- Cost advantages through leverage
- Lower administrative costs
- Improved pharmacy contracts
- Stop Loss contract stability
Not a One Size Fits All Approach
Multiple Customer Options
Small to Midsize Public Sector Employers
Guaranteed Cost & Stability
Small to midsized public sector entities will have access to full services including:
-
- Maximum liability for Groups and Captive
- Administration and Network partner
- Predictable Costs
- Pharmacy Contract
- Stop Loss Contract – Improved pricing and contract terms
- The advantages of self-funding with the stability of a traditional funding model
- Independent captive management – checks and balances
- Transparency
- Individual Client distribution – 100% retention of surplus
- Captive residual – 100% of excess surplus distributed
Traditionally Structured Employers
Self-Funded Option
Self-funded public sector entities have access to the following services:
- Administration
- Pharmacy Benefit Management Contract
- Stop Loss Contract
- Multiple Pooling Levels
