LEVEL-FUNDED PLANS:

Invest in your employees and your business.

Texicare level-funded plans are a type of self-funded plan designed to meet the needs of a small business. Monthly payments are predictable and include stop loss insurance from Texicare Health Insurance Company to protect against large or catastrophic medical claims.

LEVEL-FUNDED PLANS:

Invest in your employees and your business.

Texicare level-funded plans are a type of self-funded plan designed to meet the needs of a small business. Monthly payments are predictable and include stop loss insurance from Texicare Health Insurance Company to protect against large or catastrophic medical claims.

No surprises.

Level-funded payments are set at a fixed rate, based on the number of employees covered. What goes in the budget stays on budget. The payment covers:
  • Administrative costs and fees
  • Expected claims based on your group’s status
  • A premium for stop-loss insurance from Texicare Health Insurance Company to cover unexpected overages

Savings on top of savings.

Risk-rated costs

Rates are based on the group’s overall health status. When your employees are healthy, your rate is lower.

Potential Surplus Reimbursement

File fewer claims than expected and a portion of the unused funds come back to you, to invest any way you wish.

Tailored Plan Options

Choose the coverage employees want and need. ThriveCare, EssentialCare and SavingsCare offer three unique value propositions to fit the needs of your group.

Flexibility

Level-funded plans are exempt from numerous ACA and state requirements. That means you only have to pay for the coverage your group needs.

We’ll work directly with your agent to create a quote for you.
If you don’t already have an agent, we’re happy to connect you with someone local.

Level-funded plans are not traditional fully insured plans. They are a type of self-funded plan that gives you more control over your coverage. Your agent can help you understand what is the
best fit for you and your employees.

In ACA small business fully insured plans, healthcare costs are based on community ratings that include businesses that may have higher overall medical claims. Level-funded plans are based only on your plan members’ medical claims and thus coverage may be more affordable for you.

Our level-funded plans include administrative services provided by TXM Holdings LLC dba Texicare and its partners. Stop loss insurance is underwritten by Texicare Health Insurance Company, licensed in Texas.

Provider Interest Form

Thank you for your interest in joining the Texicare network. Please complete this form and we will review your request and respond within 30 days.

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