Health Insurance

concepts and solutions for

Considerations

Growth expectations
Prioritize cost, quality, satisfaction and recruiting
Implement strategies that will support growth and goals
Consider suitability of self-funding for current or future strategy
Help employees and candidates recognize value of benefits

Goals

Provide health insurance at no cost to employees for premiums or medical services
Control costs of providing medical insurance

Medical Plan Design

Carrier pays

MarketDial
Funding

Shared payment

Employee pays 

Traditional Plan

MarketDial Plan

Discussion Items

Insurance obscures cost of health care to consumer
HSA plans designed to expose cost and promote consumerism
Fully funding employee portion reduces incentive to be good consumer
Fully funding employee portion creates high satisfaction and retention
Only a small portion of HSA funds are used for medical expenses each year

Funding Options

HSA (health savings account)

HRA (health reimbursement arrangement)

Employee owned account
Annual contribution limit
Must be paired with an HSA qualified health plan
Employer contributions are immediately vested
If fully funded annually, most won't be used for medical and will increase employee account balance
Over funding may not be recognized as benefit
Provides some motivation for consumerism



Employer owned account
No contribution limit
No health plan design limitations
Employer can offer to pay for all employee expenses, but only funds actual claims
If it fully funds expenses there is very little motivation for consumerism

Regence $4,000 hsa plan - par network

Monthly Premium

Monthly Premium

HSA Funding

HRA Funding*

Monthly Total

Monthly Total

Annual Total

Annual Total

January 2019 rates - current plan design and enrollment

$15,932

$13,447

$29,379

$352,548

$3,250

$15,932

$19,182

$230,184

Annual Savings

$122,365
  (34.7%)

*Assumes 25% of potential funding is used

Plan with HSA

Plan with HRA

Network Options

We can do a network survey to determine your employee's preferred providers and impact of network change

Regence $4,000 hsa plan

Monthly Premium

Monthly Premium

HSA Funding

HRA Funding*

Monthly Total

Monthly Total

Annual Total

Annual Total

January 2019 rates - current plan design and enrollment

$15,932

$13,447

$29,379

$352,548

$3,250

$13,790

$17,040

$204.480

Annual Savings

$148,068
  (42%)

*Assumes 25% of potential funding is used

Plan with HSA / PAR Network

Plan with HRA / FP Network

Other carriers
Underwriting forms
Self-funding
PEOs

Payroll / HR Systems
Enrollment
Clarity service - employer and employees
Employee communication
MarketDial needs, questions, concerns

discussion items

Employee Benefit Summary

Mobile App

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