Health benefit programs designed for small to medium sized business.

A realistic approach to employee health benefits:

Now, you can help business owners gain control of their health care expenses while providing quality benefits to their employees. By combining the cost savings of self-funding with the stability of more traditional plans, the National General Self-Funded Program gives them the simplicity and cost savings that they are looking for without the hassle of administering the program themselves.

A national leader in the self-funded space, National General is able to provide business owners with:

• Group market expertise
• Immediate access to support
• Quick resolution of issues
• Hands-on help at time of reissue

Self funding used to be a concept only available to large employers. Not anymore.

Business owners enjoy the advantages of self funding without taking on added risk. It’s an easy way for your clients to lower their costs while providing quality health care benefits to their employees.

Key Advantages of Self-Funded Programs:

  • One predictable monthly payment– determined upfront and guaranteed not to increase for a full year as long as there are no changes to a group’s benefits or enrollment
  • Plan administration and account management– Payments of claims, customer service and reporting is all done by National General
  • Quality Benefits– All employer-established benefit plans are minimum essential coverage, so employees will not be subject to the individual tax penalty, Preventive services are paid at 100% when received from in-network providers, as recommended by the Affordable Care Act

For Sales Tips and Additional Info, Check out our blog from June 
Here

How does it work? Three components to a self-funded plan:

Plan Administration– A third-party administrator handles the day-to-day functions of the program

Stop-loss Insurance– When a group has higher-than-expected claims, stop-loss insurance kicks in to protect their finances. Includes a terminal liability rider, which protects for 12-18 months after the run-out period.

Claims Account– Money used to pay claims incurred during the coverage period. It is protected by stop-loss insurance when larger than expected claims come along. Depending on the plan selection, if claims are less than anticipated, National General will either refund a portion of the difference between the balance of the claims account and the actual claims, or that amount may be refunded in full.

A plan for groups with features they will actually use.

National General provides flexible options to help your clients select the plan designs that will benefit your client’s group the most.

  • Deductible options range from $500 to $7,150
  • Coinsurance options: 100%, 90%, 80%, 70% and 50%
  • Multiple office-visit copay options
  • Prescription copay options available
  • Preventive care coverage aligns with Affordable Care Act requirements
  • COBRA administration
  • Urgent-care and emergency-room copay options
  • Access to large, national networks, with discounts for using in-network doctors and hospitals
  • Health Savings account (HSA) and Health Reimbursement Arrangement (HRA) options available

Please contact your assigned customer service representative if you have any questions.