Group Health coverage from Allstate Benefits

Did you know that in 2020, 67% of U.S. workers were covered by a self-funded health plan?1

Health coverage for small businesses that protects employees and the bottom line

With a traditional, fully-insured, health plan you pay a fixed premium to the insurance carrier. The insurance carrier collects the premiums and pays the health care claims based on the coverage benefits outlined in the policy.

Our Self-Funded Program is specially designed to provide affordable health benefits for small- and mid-sized businesses. Compared to traditional fully-insured plans, you get more plan options, usually at a lower cost, without sacrificing quality health coverage for your employees.

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How it works

With the Allstate Benefits Self-Funded Program, you have one predictable monthly payment2 that is split three ways:

  1. Claims fund – Your contribution to the claims account is determined upfront and is guaranteed not to increase for a full year as long as there are no changes to your group’s benefits or enrolment.

  2. Stop-loss insurance – If your group’s claims are higher than expected, stop-loss insurance protects your business’s assets.

  3. Administration – All day-to-day administration of your self-funded plan – including claims processing and customer service – is taken care of for you, so you’re free to focus on your business.

You may even get a refund

If your group’s claims are lower than expected, you may get a refund of a portion of the difference at the end of the plan year.3 About 60% of our groups receive a refund.4

Pick your level of coverage

Our Self-Funded Program provides flexible health coverage and contract options for small- and mid-sized companies. We can find a plan that suits your needs, whether you need coverage for 2 or 500 employees.

Disclaimers and notes

  1. Source: https://www.statista.com/statistics/985324/self-funded-health-insurance-
covered-workers/
  2. Employers with 51 or more group members can choose to pay claims as they are incurred, instead of making payments into a claims account.
  3. Refund is subject to any applicable Terminal Liability Coverage fee. Refund offered with level-funded plans only.
  4. Based on the percentage of groups that received a refund for plan years 2017 through 2019.

Options at a glance

Core Value

A reference-based pricing plan with real savings.

Self-Funded Network-only

Coverage for in-network services only, resulting in savings.

Self-Funded PPO

Coverage for both in- and out-of-network services, but everyone saves with in-network care

Take the next step

This coverage is available through an employer benefits program.

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Group Health coverage from Allstate Benefits

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*Estimated costs referenced herein mean the premium equivalent/total monthly bill, or portion thereof, as the case may be. Premium equivalent/total monthly bill is comprised of stop-loss insurance premium, administrative expenses and the plan's claims account. The quote shown is based on one of the lowest cost product designs available in your market and is calculated using the following assumptions: 1.) all primary employees are male; 2.) the age of primary employees is 30; 3.) group size is 10; 4.) the plan design consists of a $5,000 individual deductible/80% coinsurance plan. The rates shown are an approximation; final rates will be updated and are subject to additional changes based on the final plan design, actual census, SIC code, and underwriting, and there is the possibility that your group will be declined.

The Self-Funded Program provides tools for employers owning small to mid sized businesses to establish a self-funded health benefit plan for their employees. The benefit plan is established by the employer and is not an insurance product. For employers in the Self-Funded Program, stop-loss insurance is underwritten by: Integon National Insurance Company in CT, NY and VT; Integon Indemnity Corporation in FL; and National Health Insurance Company in all other states where offered.