A PEO'S
BEST ALTERNATIVE TO A MASTER HEALTH PLAN
Whether you are a PEO with a Master Health Plan or not, you want Premier Health as your Alternative Health Solutions Partner. We are not competing with anything you are doing today...we simply are the unique arrow in your quiver when your Master or other open market carrier options are not the right answer. PEO Premier Health gives you:
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Your own rate tiers just like a Master.
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Your own single anniversary for all clients just like a Master.
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Standardized plan designs just like a Master.
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But unlike a Master, your PEO Premier Health level-funded plans can be sold to non-PEO clients such as ASO, WCO, EOR, HRO.
FACT
THERE ARE OVER 500 PEOs IN THE COUNTRY…A SURPRISINGLY FEW ACTUALLY HAVE A NATIONAL MASTER HEALTH PLAN.
FACT
PEOs WITH THEIR OWN MASTER HEALTH PLAN OFTEN ACHIEVE LESS THAN DESIRABLE ENROLLMENT IN THEIR HEALTH BENEFIT PLAN.
FACT
THE FEW REMAINING “BIG HEALTH CARRIERS” ARE VERY CONSERVATIVE AWARDING NEW MASTER HEALTH PLANS.
MYTH
EVERY PEO WOULD BE BETTER OFF WITH THEIR OWN MASTER HEALTH PLAN.
FACT
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PEO PREMIER HEALTH IS THE ANSWER!
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PRIVATE-LABEL BRANDED TO YOUR PEO NAME AND COLORS.
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PEO-SPECIFIC TIERED RATES.
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PEO-SPECIFIC ANNUAL PROGRAM ANNIVERSARY.
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TEN (10) MAJOR MEDICAL PLAN DESIGNS.
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DOWN TO TEN (10) EMPLOYEES.
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MULTIPLE PPO NETWORKS AVAILABLE.
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CENSUS QUOTING.
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QUICK TURNAROUND.
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COMPETE WITH THE “BUCAs” WITH CLIENT-OWNED LEVEL-FUNDED PLANS WITH 100% RETURN OF EXCESS CLAIM DOLLARS TO YOUR CLIENT-THE PLAN SPONSOR.
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MEC AND ICHRA ALSO AVAILABLE.
YOUR SIMPLE PATH
TO SMARTER
HEALTH BENEFITS
We establish a marketing and administrative agreement for your PEO and your benefits broker to be able to introduce the PEO Premier Health plan designs to your employer-clients.
We Do An Agreement
So simple!
We provide you with a full menu of plan designs including MVP Bronze, MVP Silver, MVP Gold, MVP Platinum and HDHP plans, as well as MEC and ICHRA if desired.
You will be blown away by our plan designs and physician network options...imagine being able to give employers and employees and their families access to healthcare at no cost...now you can!
We Put In the Plan Design Menu
Very Cool Plan Designs!
This is simple! Same as you would quoting your Master or open market, you or your benefits broker provide us the census and other info on a specific employer to be quoted. We have it evaluated by our A rated domestic reinsurance underwriter, and if approved tell you the rate tier they fall into. Boom!
We Start Quoting New Business Together
Quick and Efficient!
We take this very seriously. We know health benefits are an important part of a company's strategy to attract and retain employees and we want every eligible employee to truly understand their plan options and feel confident in making the right choice. If this is not important to you then we are not for you!
We can provide you and your benefits broker with enrollment technology, benefit counselors via telephone, virtual private appointments to help employees enroll, group meetings, and whatever else a group feels will make for a great
employee experience.
We Enroll Employees- Educate and Explain
Make it Understandable!
We will establish set rate tiers specific to the characteristics of the types of clients you typically have at your PEO.... a.k.a. "Shelf Rates" specific to your employer-client base!
How do we do this?
You provide us with census info on a sample cross-section of your current PEO clients, even if they do not access health insurance through you today, and our A rated domestic reinsurance partner creates the rate tiers specifically for your PEO.
Done!
We Establish Pricing
Set Rate Tiers!
While these are still employer-owned plans (each employer is their own plan sponsor), we can market these under your PEO brand, colors, logo, etc. If you prefer not to private label, that is fine too!
We Create Private Label Branding
Love your Colors and Logo!
Simple paperwork and efficient workflow. Our service team will work with your benefits broker and your team to get every group set up with the right amount of lead time to do a great Open Enrollment.
We Implement New Groups
Also So Simple!
Health benefits can be confusing and frustrating at times (no seriously they can be!). Our service team is available to you, your benefits broker, the employer, and their employees to work through any questions or service needs that come up throughout the year.
We Provide Ongoing Service
Compassionate Support!
HEALTH PLANS THAT
STAND OUT
Employer-Owned Plans Make Sense Sometimes
If you have a Master Health Plan we know you must always look to use that first. We have no argument with that. We are not looking to replace it. But not every group will be a fit for your Master...or maybe the group wants a level-funded plan and instead of competing against them you now can offer them one! Don't miss out on offering "a PEO's best alternative to a Master Health Plan!"
Are you a PEO without a Master and just using local small group open market quotes? Keep doing that for the groups that should remain in the fully insured small group community-rated market. But also have in your arsenal a level-funded health plan that is private labeled to you. You too don't want miss out on offering "a PEO's best alternative to a Master Health Plan!"
Level Funding Makes Sense Sometimes
There is a reason level-funded plans are the fastest growing type of health plan in the small group market over the last five years...and why every major carrier now offers them...in some markets it is the only type of plan they offer!
What is that reason?
Employers want them!
Are they for everyone? No!
But for those employer-clients of your PEO who want more than the "same old same old" from you every year you should have PEO Premier Health in your quiver. Think about being the PEO competing for new business (or working to retain a current client) that brings this to the table...even if they do not choose this but you still win the business with another health plan option you provided...now you are truly standing apart from your competition by showing them all of
their options!
100% Return of Unused Claim Dollars
That's right! If the group has a good claims year, they will have 100% of the unused claim dollars returned to them at year end...either as a direct return of the money or as an offset to the upcoming year's admin costs, depending on the size of the group. Either way, the group gets their money back!
Three-Tier Plan Designs
Three Tier Plan Designs provide the best experience for members!
Tier I Direct Contract Providers: Rewards members with NO OUT-OF-POCKET EXPENSE when engaging with our Care Navigators and when possible, using "Tier I Providers" where we have Preferred direct contracts-even more cost-effective for both the plan sponsor and member than traditional PPO In-network Providers!
Tier II PPO Network Providers: Members pay copays when using PPO network providers.
Tier III Non-Network Providers: Members will have a deductible & coinsurance when using non-network providers.
More than Telehealth
One good thing (ok the only good thing) coming out of the Covid pandemic has been the comfort with which people now use telehealth.
We bring it to the next level.
Yes, we have "traditional" zero copay/no cost telehealth 24/7/365.
Cooler than that (you're right, that is no longer considered cool) is the Virtual Complete Care our virtual care partner provides. Members get to use the same primary care physician!
This is so cool you want to talk to us even if just to learn what the future of healthcare looks like...but is here now!
Compassionate Care Guidance
The healthcare system can be intimidating and confusing...even for those of us in the benefits business. That is why our truly compassionate and kind Care Guides engage with every member when they are trying to "figure this all out."
Our Care Guides also interact with the healthcare provider so they know how to maximize the benefits available for their patient.
Comprehensive Coverage
Many "alternative health plans" are designed to "satisfy the ACA penalties" and are purposefully very limited in scope of coverage to hit the lowest price point. Those plans serve the purpose intended for employers just looking for a minimal compliance play. They actually work to dissuade employee enrollment! Ugh!
That is not us. Our plan designs will be competitively priced, but not "bargain basement." We have designed and market plans that are intended to help employers attract and retain the best employees, so they have a successful company!
