Partially Self-Funded

Used by over 50% of companies in the US that have over 25 employees, a Partially Self-Funded plan can be traditional, PPO, POS, or HMO. These plans are extremely popular amongst larger businesses as they allow employers to design the benefits and to receive management and cost information on a regular basis.

The employer sets an individual deductible
The employer then purchases a "Specific Stop Loss" policy that covers each employee for claims over the deductible
The employer then purchases a second policy, called "Aggregate Stop Loss" that limits the company's exposure to multiple sub-deductible claims
The administration of these plans is handled by a Third Party Administrator and not by the Employer directly

Why Ernst, Hienz & Macaluso L.L.C.

We work with a preferred agency that specializes in the design, installation, and administration of employee benefit plans. With clientele that range from sole proprietors to large corporations and municipalities, it is their goal to provide exceptional service and a variety of plans designed to fit your needs. They represent only "A+" rated insurance carriers, managed care companies, and third party administrators.