Funding Options

We offer employers a number of ways to fund their health benefits, allowing them to choose the financial solution that best meets their cash flow and risk needs.

Funding OptionBenefitsRisk Level
Fully Insured
  • Complete protection from high claims
  • predictable expenses that are easy to budget
Less Risk
Balanced Fund
  • predictable expenses that are easy to budget
  • low claims can yield year-end cash back
  • losses and gains limited to a specific percentage
 
Refund Eligible
  • predictable expenses that are easy to budget
  • limited losses
  • gains not capped to a specific percentage
  • receive refund as cash or as a credit against future premiums
 
Blue Edge / Level-Funding
  • predictable monthly rates
  • flexibility to pass on certain costly state mandates
  • year-end accounting
 
Cost Plus
  • retain more control of your health plan benefits spending
  • receive immediate benefit of a favorable claim experience
  • receive cash back for any claims paid over the aggregate limit
 
Administrative Services Only (ASO)
  • fund claims only as they occur
  • flexibility to pass on certain costly state mandates
  • immediate realization of favorable claims experience
Higher Risk

Blue Edge

Combines the flexibility of self-funding with a predictable maximum cost with our medical plans to help lower health care costs and simplify the delivery of high-quality health benefits. 

Best suited for employers who:

  • Have between 25-250 enrolled employees
  • Are re-thinking traditional health insurance programs but still want predictable, monthly costs
  • Have or want to create a culture of health and wellness in the workplace – health and wellness participation is mandatory.
  • Are committed to a multi-year partnership to achieve longer term, health outcomes for their employees

Not sure what option is best for you?
We're here and happy to help! Contact us today.

Robert Stokes, Sales Executive
(802) 371-3701
stokesr@bcbsvt.com

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