Choosing the Right Elements

There are risks that employers do not wish to assume due to high and unpredictable costs - death and dismemberment claims, disability and travel health claims. These benefits are best provided through an insured program with one of the many insurers in the marketplace, providing employers and employees convenience and peace of mind.

Claims that occur most frequently in a benefit program are for medical and dental costs. Being more predictable, it can be argued that for health, dental, and even short term disability benefits, the “insurance” component is very small – one is only paying a fee to an insurance company to administer, adjudicate and pay the claims. Using a self-funded model for these claims, employers can save on the expense costs payable under an insured program and control the funding of these claims.

Though the majority of health claims are routine, individuals can develop severe medical conditions and become high claimers. Balancing risk and cost, employers can protect themselves from high health care costs by purchasing Stop Loss coverage.

Maximum Benefit programs give you access to all these elements and combines them into one plan – where you are in control.