MAJOR MEDICAL

Health coverage for small businesses that protect employees and the bottom line.

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.

How self-funding 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 enrollment.

  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.

Your refund potential

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

Features & Benefits

  • Flexible deductible options

  • Coinsurance from 50% to 100%

  • Dedicated account manager

  • First-dollar coverage for preventive care

  • Access to national PPO networks

  • Excellent member services

  • Prescription, urgent-care and emergency room copay options

  • Teladoc®: A valuable telehealth service that can save you money

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.

Now Available in Texas: Fully Insured Group Health

Secure Choice fully insured plans from Allstate Benefits are a great option for small businesses in Texas that are looking for a traditional major medical plan. Administrative services, such as claims processing and customer service, are taken care of, leaving employers free to focus on their business.

Learn more

Disclaimers and notes

  1. Source: https://www.statista.com/statistics/985324/self-funded-health-insurance-covered-worker 
  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.