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.)
