Frequently Asked Questions

What is partially self-funded insurance?

With a partially self-funded insurance plan, employers pay for all employees’ eligible healthcare claims–but only those claims. That’s different from fully funded insurance plans, which typically charge a 25% margin that companies have to pay above the actual claims incurred. And unlike self-funded plans, partially self-funded plans use a reinsurance carrier, which helps limit risk and stop loss. With a partially self-funded plan, a company will never overpay for insurance ever again.

Learn more about partially self-funded insurance plans.

Does partially self-funded insurance make sense for my company?

Partially self-funded insurance plans are perfect for smaller companies with 100 to 500 employees or organizations paying more than $750,000 annually for health insurance. That’s because partially self-funded plans are simple to run and manage and give companies greater control over their costs, plan options, and more–all while providing access to an extensive physician network and great pharmaceutical benefits.

Learn more about the benefits of self-funded insurance.

What locations do you serve?

EVHC’s services are available throughout the United States.

What’s the difference between partially self-funded and fully funded?

When most people think of health insurance, they think of fully funded insurance–the kind offered by Blue Cross Blue Shield, Aetna, and other big-name carriers. But the plans offered by these companies are a) hard to understand; b) expensive; and c) almost always include a 25% markup that the customer doesn’t know about.

Partially self-funded plans offer all the benefits of fully funded plans without the opacity, excess costs, and headaches. With a partially self-funded plan, companies only pay for the eligible claims their employees submit, resulting in less money being spent on insurance. Unlike fully funded plans, partially self-funded plans are transparent and simple to understand and manage. In addition to offering the same benefits as fully funded plans, such as extensive physician networks and stop-loss reinsurance to mitigate risk, partially self-funded plans from EVHC provide access to home health services, virtual health options, and more.

Learn more about the differences between partially self-funded and fully funded plans.

How does EVHC create custom plans for clients?

Whether you’re a broker or an employer, when you work with EVHC you work with a true partner dedicated to creating a plan specific to your needs.

We begin by having an initial consultation, where we learn about your business needs and goals, answer your questions, and assess your current health insurance programs. From there, we build a customized plan tailored to your objectives and show you exactly what’s included and how much it will cost. Because we are all about transparency.

Learn more about what makes EVHC’s plans unique.

What happens after the plan is created?

First, we’ll get you set up on any other additional tools you may need. These include solutions to help HR teams manage employee plans, access to the MYEVHC portal, and more.

But that’s only the beginning. We take a 3-year, methodical and strategic approach to ensure your new partially self-funded plan is working for you:

Year 1– Transition: We help you through the transition phase from your old plan to your new one. We’ll ensure you’re set up and that things go smoothly. We’ll also be collecting data that will help inform how to make adjustments (if necessary) moving forward.

Year 2 – Tally: We take all the data from year 1, analyze it, and optimize your plan to help you minimize risk and achieve maximum cost savings.

Year 3 – Transform: By year 3, your plan will be humming along nicely. But, we’ll continue to analyze data and make adjustments to ensure that you’re always getting the most benefits from your plan.

Of course, our 24/7 customer support team will be ready to help you whenever you need assistance.