Allied National Small Group Level Funded Health Plans
Allied National is an administrative organization that works with major national insurance companies providing quality benefit plans for employers and individuals since 1970.
Allied Level Funded, self-funded health plans provide the ultimate in flexibility allowing anyone to customize a benefit plan to fit their cost and benefit needs.
Allied National Small Group Level Funded Plans
Allied National’s level-funded plans called–Funding Advantage– arefor employerswith two or more employees with good healthexperience who feel they are paying too muchpremium for too little in benefits.
Availability of each plan varies by state. To see if Allied National Funding Advantage plans are available in your state, you can go to ourUS Health Planspage and click on the link for your state. An easier way is to go to the Allied National Product Availabilitymap. Hover over your state to see if Funding Advantage plans are available.
Allied National offers two primary Funding Advantage plan options:
PPO Plans – Allied’spreferred provider organization PPOPlans offerultimate flexibility with a wide variety of benefit options,allowing you to custom build a plan to fit the needs of your group.Employers can even design multiple benefit plans and allow employees to select the one they prefer. See below for more information on the PPO networks Allied works with nationwide.
Freedom Plans – Allied offers twoplan options – Freedom Traditional and Freedom Essentials. Both options provide traditional major medical coverage. Members are free to go to any provider for services because there is no network. Freedom Plans use Reference Based Pricing (RBP) to reimburseproviders based on a multiple of Medicare reimbursem*nt levels andmembers are protected from balance billing (see below). See below for more information on Allied and Reference Based Pricing.
For more information on Allied National and their Funding Advantage plans, download theirFunding Advantage Brochure. You can also watch this shortAllied National Funding Advantage video.
About Level Funded Health Plans
As noted on our NAHPAlternative Health Plan Solutionspage, Level Funded plan premiums are typically (at least)15-20%lessthan the same plan design on an ACA/Obamacare, fully insured group plan. Plus, in most years with average to below average usage of the plan, there is an opportunity to receive anadditional refundat the end of each plan year.
In addition to typically starting with lower monthly premiums, a Level Funded health plan cansave employers more moneyby paying the claims of their employees with their own money instead of insurance premiums.
With a Level Funded group health plan:
- You payone, level (fixed) monthly premium(Just like with a fully insured ACA/Obamacare plan).Youneverhave to pay more than this fixed amount each month.
- Your monthly payment is split into three “buckets” to cover:
- Administrative costs of your plan
- Stop-loss insurance and
- Funding your Claims Account to pay for your employee’s claims that arebelowthe limits of yourStop-loss insurance
In most cases there are two separateStop-loss insurancepolicies built in to your Level Funded plan. They protect you:
- Ifany one individual plan member haslarge claimsduring the year and
- If the overall group claims exceed the total of your Claims Account for the year.
After all claims have been paid for the plan year (after a run-out period of a set number of months), you are eligible to get back some or all of the remaining dollars in your Claims Account. When you start your plan, you choose how much you want to get back from the unused funds in your Claims Account. You can choose to get a refund check or use the money to lower your costs for the next year.
Allied National Freedom Plans and Reference Based Pricing Information
Reference Based Pricing (RBP) is a uniquestrategy that has beenleveraged by large employers, to determine reimbursem*nt rates to providers based on a multiple of Medicare.
Advantages of reference-based pricing are many and include:
- Maximum cost-savings– Reference-based pricing uses fixedpricing across providers for healthcare services based on amultiple of Medicare, preventing provider pricing variancesfor the same servicesthat can be as much as 500%, withno difference in quality.
- True Provider Choice– Plan participants are eligible toreceive care from any provider within the United States.There are no network restrictions.
- Claim Advocacy– Allied provides negotiation services with providers on claim amountsabove the reasonable fee (known as “balance billing“), striving to retain savings onbehalf of the plan.Allied provides a Legal Support service for members who have been balance billed and are being pressured for payment.The only out-of-pocket expenses members pay are normal deductibles and coinsurance!
- Unique Approach for Small to Mid-Size Groups–Featuring all of the advantages of self-funded health plandesigns, reference-based pricing also mitigates cost andencourages consumer knowledge of and participation inhealthcare choices.
Allied National Provider (PPO) Network Availability
Allied National works with multiple local and national Preferred Provider (PPO) networks to pair with theirFunding Advantageplans.To see the available networks in your state, download theirPPO Network Availabilitydocument.
Allied National Small Group Level Funded Plan Quotes
If you would like to get a group health insurance quote for your business,the first step is to download and complete our group census formhere:
US Insurance Solutions Group Census form.xls
Please email the completed form to:robtavis@ushealthinsurancesolutions.com
Schedule a Call With Me:
Once you have completed and emailed the completed census form, please go to the link above that saysCALL MEto schedule a consultation on my online calendar to discuss your situation and needs so that we can come up with the BEST health plan for your company.
