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Company Gains a Competitive Advantage Through Partially Self-funded Insurance
The Challenge
The Challenge
Break down health insurance barriers

A New York-based financial services firm that employs some of the world’s brightest young minds from the worlds of mathematics, computer science, statistics, physics, and more was looking to enhance employee productivity through better healthcare. The company competes with major corporations to recruit employees from some of the country’s top schools and has built an exemplary corporate culture onsite restaurants, gyms, and other amenities) that encourages productivity.

The firm found that traditional fully funded healthcare plans didn’t fit with this culture. It needed solutions that were flexible, easy to use, and didn’t get in the way of employee productivity. Company management wanted their employees to focus on work, not overcoming the barriers (dealing with hard to work with carriers, navigating complicated networks and coverage plans, and more) typically associated with health insurance.

The firm looked at partially self-funded insurance alternatives to help them:

  • Attract top-tier talent through health insurance benefits
  • Eliminate the number of hours employees waste talking to insurance carriers so they could focus on their jobs
  • Provide employees with great coverage options
The Solution
The Solution
EVHC’s flexible partially self-funded plans

The firm turned to EVHC, which offers highly customized and flexible partially self-funded insurance plans that allow employees to enjoy unparalleled coverage while providing companies with exceptional insurance benefits. EVHC provided the organization with:

  • A customizable plan that allows employees to use both in-network and out-of-network providers at little cost
  • Access to three of the nation’s four largest provider networks
  • 24/7 concierge-level customer service, including member education programs
  • Low individual deductibles
  • Greater price transparency
  • An easy-to-use HRIS platform for fast access to health insurance information, improving productivity and time savings
  • Insights into employee wellness across four categories (colorectal cancer screening, cervical cancer screening, flu vaccination, and breast cancer screening)
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The Results
Happier employees—and a competitive advantage

The firm is now able to offer new and current employees with no hassle health insurance coverage that fits their culture and employees’ lifestyles. Many of the company’s employees are young, fresh out of college, and working hard at jobs they love. They don’t have time to worry about the hoops a fully funded provider will put them through. Now, they don’t have to. They can focus on being productive, driving business for the company, staying healthy, and enjoying the complimentary video games (and the firm’s many other great perks).

Recent Case Studies

EVHC Helps Company Save More Than $500,000
EVHC Helps Company Save More Than $500,000

Partially self-funded insurance reduces costs by 28% with no coverage loss Save without Sacrifice Each year, health insurance premiums go up, forcing employers to shop around and, usually, ending up right back at square one. Whatever they do, companies end up paying more than they should because the alternative—reducing benefits or limiting network access—is simply not an option. Tired of the costs and headaches associated with fully insured options, one company began to explore the benefits of partially self-funded insurance and how it could help them: -Keep their margins (the difference between claims liability and actuarially expected claims) -Cut pharmacy spending -Retain access to the nation’s largest provider networks “We needed a solution that allowed us to save money while still providing our employees with access to the best provider networks. We weren’t getting that through traditional fully-funded insurance.” EVHC’s Partially Self-funded Insurance The company turned to EVHC, which offers custom plan designs that help companies save money without losing coverage. Through EVHC, the company had: -Access to three of the nation’s four largest provider networks -24/7 concierge-level customer service, including member education programs -Flexible plan designs -Greater price transparency “EVHC was easy to work with and a true partner. They were there every step of the way, from implementation to enrollment and beyond.” Thousands Saved, No Coverage Lost In just one year, the company experienced:

EVHC Offers 24/7 Support
EVHC Offers 24/7 Support

Healthcare shouldn’t mean jumping through hoops, waiting on hold Waiting on Hold Instead of Getting Care An investment research company based in New York, needed an insurance company that would work with them—not against them. More specifically, the owner’s wife found herself constantly dealing with the burden of multiple phone transfers, being put on hold, and fighting to fill prescriptions and gather essentials for their diabetic son. With over 200 employees, it became clear that if the owners were seeing this amount of hassle just to maintain their basic healthcare needs, then their employees must be struggling as well. They needed a healthcare provider that would: - Eliminate the need for constant calls and follow-ups, freeing up personal time - Make employees feel heard, appreciated and respected - Maximize the cost-to-coverage balance, without dramatically upping prices - Find lasting solutions with flexible options “I can’t be the only one who is filled with dread when I hear hold music! Watching family members deal with health issues is stressful enough without having to jump through hoops to merely fill a prescription. It felt like my wife was constantly fighting with our insurance company, instead of them being on our team.” Partially Self-Funded Insurance, With a Personal Touch This financial investment company found their home with EVHC and our customized partially self-funded insurance plans. A key aspect of that customization is the fact that EVHC provides a one-on- one personal concierge-level service meant to make employees feel supported. EVHC provided: -24/7 concierge-level customer service, including member education programs -A personal EVHC account manager, who works tirelessly to ensure every item that employees, their families, and kids need is covered -Direct member engagement, where people’s needs and concerns are not just heard, but addressed -The ability to consolidate basic services into a mail order prescription offering, so essential supplies are received on a quarterly basis -Flexible plan designs, including home healthcare and diabetes treatment options “The whole point of health insurance is to make employees feel protected and supported. Insurance shouldn’t feel transactional or complicated. For the first time, our employees and families are getting the support they need—around the clock—instead of having to fight for it.” Peace of Mind and Saved Time In just the first year, this company experienced: -All their healthcare needs and services fulfilled without having to continuously call or wait on hold to ensure basic needs were met -Fewer headaches dealing with health insurance, more time to devote to the business -The peace of mind that comes with personalized service and support Partially self-funded insurance is already a paradigm shift, but EVHC is taking it to the next level by offering personalized coverage and support. For far too many, dealing with insurance providers has required speaking to a computer, constantly being put on hold, and having to jump through hoops for the most basic of care. Time that should be spent with loved ones and furthering business needs is instead spent stuck in frustrating customer service cycles.




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