|Group Health Insurance|
Fully Insured - The most popular group health plan for most Colorado employers, where premiums are paid in exchange for health care coverage. HMO, PPO, POS, HSA, Consumer Directed Plans, and combinations of each are the most popular.
Partially Self-Funded - A "hybrid" of fully insured and self funded where the employer pays a fixed cost and actual claims each month, all not to exceed a maximum amount. Ideal for groups 50 employees or more.
Self-Funded - The most popular plan for large employers (more than 300 employees) where the employer takes on the role as insurer. A carrier or TPA (third party administrator) is used to process all claims for a fee and the employer pays all claims. Additional "stop-loss" insurance is purchased to cover very large claims and plan design and the employer and broker decide network structure.
Stop Loss - Additional insurance that is purchased to cover claims over and above a certain level, either on an individual or entire group.