Group Health Insurance

In a PPO Plan, you pay the lower, discounted rate if you use providers (doctors, hospitals, and other health care providers) that are in the plan's network . You pay more if you use providers outside of the network. 

Health Maintenance Organization (HMO)  limits coverage to care from providers who are contracted with the HMO. You will have to choose a Primary Care Physician (PCP) and only see that doctor, or a referral from that doctor, in order to have coverage except for emergencies.

Health Reimbursement Accounts (HRAs) are employer-funded group health plans from which employees are reimbursed tax-free for qualified medical expenses by the employer.   

The “level” of level funding refers to the fact that you self-insure the health insurance coverage, but pay a level or steady fee each month as determined by your TPA. Level-funded plans also come fully integrated with individual and aggregate stop-loss insurance.  If claims are lower than expected you can received a refund.

Self-funded health care, also known as Administrative Services Only (ASO), is a self insurance arrangement whereby an employer provides health benefits to employees using the company's own funds, but protect themselves with Stop Loss Insurance. 

 A Health Savings Account (HSA) is a tax-advantaged account created for individuals who are covered under High Deductible Health Plans  (HDHPs).  Contributions are made into the account by the individual or the employer. The contributions can be used to pay for qualified medical expenses, which include most medical care such as dental, vision and some over-the-counter drugs.