OhioHealthy Level-Funded

The Power of Predictability

Level-Funded plans from OhioHealthy offer greater savings potential over fully-insured coverage while maintaining consistent and predictable cost. Our plans come with a fixed monthly payment, maximum liability limits on claims, and potential for an annual refund.

Worry-Free Coverage

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OhioHealthy Level-Funded Health Plans
• One fixed monthly cost               
• Maximum cost limit for claims    
• Potential for a refund                   

Advantages of OhioHealthy Level-Funded Plans

Consistent and Predictable Cost

Fixed monthly payments are based on the annual projected claims.

Claims Liability Limits

If your claims are higher than expected, your organization is protected by stop-loss insurance included in your fixed monthly cost.

Refund Potential

When claims are lower than expected, OhioHealthy returns 100% of the difference regardless if you renew with us.

OhioHealthy Wellness

OhioHealthy level-funded health plans include comprehensive wellness programming, such as biometric screenings with flu vaccines, to keep your employees healthy.

Freedom of Choice

Ability to choose up to three plans at no additional cost.

To learn more, contact an OhioHealthy benefits expert.

Our low pressure benefits experts will help guide you to the right plan for your business.

How OhioHealthy Level-Funded Health Plans Work

Level-Funded Health Plans combine three elements to drive savings, predictability and security.

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Medical Plan
  • Self-funded medical plan administered by OhioHealthy, including claims processing, billing, customer service and other administrative services. Available to Ohio employers with 5 or more employees.
Stop-Loss Coverage
  • Stop-loss coverage, paired with your health plan, protects your organization from large claims by a covered individual and aggregate claims over a certain amount for the entire group. If claims are higher than estimated, stop-loss insurance provides reimbursement when covered by your plan — protecting your organization from the unexpected.
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Refund
  • Your monthly fixed costs, less the stop loss premium, is secured in an account to cover eligible claims. At year end, 100% of any funds remaining in the account are refunded to your organization.

Understand Your Potential Refund

Level-Funded Chart

To learn more, contact an OhioHealthy benefits expert.

Our low pressure benefits experts will help guide you to the right plan for your business.