The Components Of All Health Plans
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The Components Of All Health Plans

Did you know, the components that make up health insurance plans are the same, whether fully insured or self-funded?

Those components include:

  1. Administration
  2. Network
  3. Pharmacy Benefit Manger (PBM)
  4. Stop Loss/Reinsurance
  5. Broker/Consultant Representation

A fully insured plan manages these components and retains all profits/unspent claims reserves. Whereas a self-funded plan (which can have these components “bundled” or “unbundled”)  allows for a level of control over the components including the ability to retain profits/unspent claims reserves.

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