Group Health Insurance Options for Mid-Market Employers
Our core competencies
Fully Insured Health Plans
Fully insured health plans provide a predictable cost structure for mid-market employers who prefer a hands-off approach to group health insurance. Under this model, employers pay a fixed premium to the insurance carrier, transferring the risk of employee healthcare costs. This option ensures compliance with ACA requirements while providing a comprehensive set of benefits that keep employees healthy and satisfied. CFHIC helps navigate the complexities of selecting the right fully insured health plan that matches your workforce needs.
Learn More →
Level-Funded Health Plans
Level-funded health plans are an innovative alternative that combines the benefits of fully insured models with aspects of self-funding, designed for mid-market organizations seeking cost control. These plans allow organizations to pay a set monthly fee, which covers anticipated claims, administrative costs, and the stop-loss insurance that protects against unpredictable healthcare spending. With CFHIC's expertise in structuring these plans, clients can enjoy financial predictability and tailor their employee benefits accordingly, maximizing satisfaction and retention.
Learn More →
Self-Funded Health Plans
Self-funded health plans offer employers the autonomy and flexibility to manage their healthcare expenses directly. This option is particularly beneficial for mid-market companies with stable employee populations, allowing them to retain the funds that would otherwise go to insurance premiums. CFHIC facilitates the implementation of self-funded plans, ensuring compliance with ACA regulations while providing the ability to customize benefits packages that meet the specific needs of employees. This model not only enhances cost control but also promotes greater involvement in health management strategies.
Learn More →Common Questions
Group health insurance provides coverage for a group of individuals, typically employees of a company, under a single policy. It often includes comprehensive healthcare benefits.
The main types of group health insurance plans include fully insured, level-funded, and self-funded plans. Each offers different advantages depending on the employer’s needs.
The Affordable Care Act (ACA) imposes specific requirements on group health insurance, ensuring that plans provide essential health benefits and protect against high out-of-pocket costs.
Fully insured plans transfer the risk of healthcare costs to the insurer with fixed premiums, while self-funded plans allow employers to manage claims directly, taking on financial risk.
CFHIC offers multi-line coverage options including medical, dental, vision, life, and disability insurance to support comprehensive employee health and well-being.