PROVIDER® Benefit Plans
Comprehensive Medical Plan Design

The PROVIDER® Medical Plans deliver comprehensive, viable self-funded medical plan designs encompassing the needs of employers and their employees. With the advent of "healthcare reform" and other initiatives the landscape of employee benefits and their design has changed dramatically in the past five years.

Through our unique relationship with key insurance providers we are able to offer comprehensive solutions for employers with either small, medium or large employee groups. Our experience in designing benefits is to establish a plan with a sound fiscal basis responsive to the employer, participants and the benefit providers.

Our expertise allows employers to offer a benefit design appropriate to their employee group that is on the cutting edge of alternatives to traditional, fully-insured and self-funded medical plans. Why live in the past?

What Is The PROVIDER® Concept? The conceptual basis is the belief that health plans are to be designed to benefit the employer and the participants - not the bottom line of an insurance company. All plans are partially self-funded medical plans as defined by ERISA.

Is The PROVIDER® Concept Appropriate For My Company? Through innovative design features we are able to offer the advantages of partial self-funding to many smaller groups which have in the past felt excluded. Plan designs are tailored to each group to accurately reflect the needs and capability of the employer.

Are Plan Designs Limited? No. We offer basic plan designs proven to maintain cost management and are compatible to most employee groups. Unlike the atmosphere create by big insurance companies our clients are always free to design their own plan; we will make recommendations and lend our expertise in these situations.

Experience The PROVIDER® Concept:
  • Ability To Design Plan: Have you ever successfully asked a big insurance company to customize a plan to your group strictly following your wishes? With our plans you make the design changes and choose to limit or enhance certain benefits. Plans are designed to provide each employer the security of paying only for the experience of their employee group.
  • Managing Your Health Care Costs: As the Plan Sponsor you have a proactive role in managing your benefit plan. You, not an insurance company, retain control over plan reserves enabling maximization of interest income. Instead of feeding the profit margin of a behemoth insurance company you retain unspent claims dollars.
  • ERISA Guidelines: All plans are based on the provisions of ERISA allowing individual employers to benefit from a federally qualified health plan.
  • No State Restrictions: Employers with multi-state locations may offer the same benefit plan to all of their employees. State and Local mandates no longer dictate benefit designs and eligibility. Additionally, the employer no longer must pay state premium taxes, amounting to as much as 3% of the total premium, resulting in immediate savings often figured in terms of thousands of dollars.
  • Predictability: Employers and participants suffer from the fluctuation of costs in providing basic benefits. With traditional fully insured plans you are often unable to obtain claims information resulting in the inability to properly budget for rate increases or trends. Every aspect of these plans is designed to lower the occurrence of large claims through effective design and management. The end result is the stabilization of cost in providing benefits.




P.O. Box 346
Simpsonville, KY
40067-0346
Phone: (800) 777-1596
(502) 722-9746
Fax: (502) 722-9741