Three choices for funding health plans

Priority Health works to keep your groups' health care costs low by offering three different funding options for our health plans:

Fully funded

• Traditional health plan funding
• Priority Health pays all claims and handles plan administration
• Group pays premiums and assumes no risk
• Available to small and large groups

Find out about group rating.

Shared funding

• Blends traditional features of fully funded plan with rewards of a self-funded arrangement
• Group pays a monthly premium to cover all claims (annual amount determined by the group's claims history) and administrative costs
• Priority Health provides administrative services
• Group shares the risk with Priority Health:
  
  • If the group's claims are lower than their paid premiums, we'll refund them the difference.
  • If their claims are higher, they'll owe us the difference but only up to a ceiling amount we agree upon at the beginning of the plan year
• Service and network guarantees ensure low costs for the group
• Available for groups with 100 or more members

Contact the agent services representative for your area for more information on how to quote this option.

Self-funded

• Group pays all claims and associated costs
• Priority Health provides administrative services
• Group assumes all of the risk for the plan
• Available to large groups

Find out about group rating.


Learn more about and compare all three options. (This link will take you to information for employer groups.)