We know there are many questions surrounding level-funding so we have taken a moment to answering a few of the most common questions we get.  This information is also available in PDF form to download on the FAQ's tab.

Q:What does level-funded mean?

A: When a health plan is referred to as level-funded, it means it is a fixed-cost plan which removes most of the risk to the sponsoring employer beyond the 12months of premium paid. Your rates remain level, even in the event of a significant claim which exceeds your claims fund.

Q: Are we required to pay any shortfall at the end of the benefit year if our claims experience exceeds our Claims Fund?

A: The ease of a Carepath Benefits level-funded plan is, as long as your group enrollment stays consistent, your annual premium is designed to fulfill the obligation to the carrier, including runout claims in the event of plan termination at normal renewal date.

Q: What networks are available with this plan?

A: We work with multiple regional and national networks to provide the best access to services in any given area. We also work directly with your benefits representative to examine the networks available during the quoting process.

Q: What happens if our claims experience at the end of the plan is less than our claims fund?

A: Any remaining funds in the claims fund belong to the Plan Sponsor, as such they will be refunded to them.

Q: How do your benefits compare to my current plan?

A. We provide a variety of plan designs and deductible levels that your group may choose from as well as several standard value-added benefit programs (Telemedicine, Prescription Pathway Program, low PCP copays) to help control your healthcare dollars. You also have the option to add a deductible credit benefit to any of our plan designs.

If you have any questions, please don’t hesitate to contact us anytime at support@carepathbenefits.com or at 1-888-750-0953.