Since both self-funded plans and AHPs avoid the modified adjusted community rating rules, and because self-funded plans have the extra…
Author Eric Johnson
This, too, will vary by carriers. Answer for UHC: For chamber AHPs, yes, the broker must join the association. This…
Yes, brokers are paid a commission, though this will vary by carrier. It is not addressed in the new regulations.…
The rating rules for an AHP are based on the total number of members in the association. Most will have…
For instance, the employer might like the chance for a return of premium, benefit flexibility, etc. The group may want…
Neither really. Most carriers pay PEPM and allow the broker to choose the PEPM amount. Answer from Mark Bellman (specific…
Answer from Mark Bellman (specific to UHC): Maybe a third, but don’t measure the success of level-funding based on getting…
If you have transitional relief, you can’t change, so four years into it you haven’t made a benefit change. You…
Looking at the concentric circle of all businesses under 50, about 25-33% are good for self-funding. One in four of…
No, self-funded plans do not have to offer coverage to spouses or to children. That is an employer decision (though…