Having trouble navigating the maze of self-funded insurance plans out there?

We’ll help you find your way . . .

SELF-FUNDED HEALTH PLAN SOLUTIONIdeal for small businesses with 25 to 199 employees

Group Plan Solutions - Level Funded Small Group Plan

Benefits that go Beyond the expected® for you and your employees.

An aggregate-only level-funded plan brings together

the advantages of self-funding, the limited liability of

fully insured plans, and the safety of fixed premiums

to create an alternative to fully insured plans that

is very attractive to both employers and health

plan sponsors. If your current plan is fully insured,

you would still only make one predictable monthly

deposit, which would cover your administrative costs,

stop loss premium, and claim fund. With the GPS

level-funded plan, you manage your costs, you own

your claim data, you control your plan, and you save

money.

GPS’s plan is an innovative approach to employee

benefits that provides employers of 25-199

employees with the benefits of self-funding without

the cash flow risk!

WHAT IS A LEVEL-FUNDED PLAN?

Are You Paying Too Much?Is your business paying too much for health insurance

even though you have average or better health

experience?

See how a level-funded plan from GPS can make a

difference for you:

• Experience the security of a fixed monthly payment.

• Make better health plan decisions with access to detailed claims information.

• Take advantage of a year-end surplus for businesses with good claims experience.

Eligibility is a breeze! As long as you have between

25-199 employees, your group has health claims

experience that’s average or better, and your current

health plan is fully insured, you qualify for GPS’s level-

funded plan.

HOW CAN A LEVEL-FUNDED PLAN HELP?

EXPLORE THE ADVANTAGES

Explore the advantages of a level-funded plan from GPS.

• Flexibility: GPS offers every employer great flexibility. If you like your current plan, GPS can help you keep as much of it as possible. And, your plan is immediately ACA-compliant.

• Control: Self-fund your benefits plan with the complete confidence and control you enjoyed under your fully insured plan.

• No Lasers: Unexpected laser liability is a thing of the past with GPS’s level-funded plan. Monthly and annual maximum limits ensure that you’ll never have to pay more than you expect for claims.

• Cost Savings: The profit margins that are usually included in fully insured premiums stay in your pocket.

• Fixed Monthly Premiums: GPS’s level-funded plan is an aggregate-only plan that caps the employer’s cash flow liability to a fixed, budgetable amount each month. This amount covers your claims reserve funding, stop loss premium, and administrative costs. If the benefits paid by the plan in a single month exceed the monthly maximum, the stop loss policy will take care of the overage.

STAY IN CONTROL OF YOUR HEALTH PLAN

• Possible Year-End Surplus: If actual annual claim payments are lower than the year-end aggregate deductible, the surplus funds remain in your account.

• Detailed Reporting: Monthly claim reports give employers the tools to see exactly how every dollar has been spent. GPS’s reporting features give you the data you need to make informed decisions about your plan well into the future.

• URAC-Accredited Medical Management: GPS’s partners are best in class. Our medical management through MCM is URAC-accredited. GPS also uses Centers of Excellence whenever applicable.

• No Surprises: Your cash flow liability is capped so cash flow will not be stressed. With a GPS level-funded plan that fits your business, you will be on your way to many years of successful plan management.

• Access to Quality Providers: Choose the providers that work for you from our broad network of quality health care professionals, hospitals, and facilities.

PLANS THAT GO BEYOND THE EXPECTED.®

Let us create a level-funded plan that goes Beyond the expected® for you and your employees.Getting a quote is easy. Just provide us with the following information:

• Group census information including date of birth, gender, coverage status, and zip code for each employee.

• Group demographics including company name, addresses of all locations, and industry or SIC code.

• A current schedule of benefits

• Current and renewal fully insured rates.

• Claims experience or completed health questionnaire.

GET A QUOTE

Are you ready to start planning?

Contact Terrie Strebing to get started with a

Level-Funded Small Group Plan from Group Plan

Solutions today.

Terrie StrebingTPA Administrator888-301-0747, Extension 2763tstrebing@groupplansolutions.com

Group Plan Solutions Benefit Administration,

a division of Pekin Life Insurance Company, is

a Third Party Administration service assisting

and guiding you through the maze of

employee benefit options in today’s health care

marketplace.

2505 Court Street • Pekin, Illinois 61558www.pekininsurance.com

TPA236 (Rev. 03-16)

OUR FOCUS

Group Plan Solutions Benefit Administration, a division of Pekin Life Insurance Company, is a Third Party Administration service assisting and guiding you through the maze of employee benefit options in today’s health care marketplace.

Our focus is to give you the personal attention you need with the following services:

Administrative Services• Health Benefit Administration• Dental Benefit Administration• Vision Benefit Administration• Flexible Spending• Health Reimbursement• COBRA• Employer Stop Loss• Prescription Benefit Management• PPO Selection Assistance

Medical Management• Utilization Review• Disease Management• Predictive Modeling

Reporting• Monthly, Quarterly, Semiannual, and Annual Reports• Customized Reporting Ability