Large Group News
Published September 9, 2019
For businesses with 51+ enrolled employees
OptiFlex funding from Premera Blue Cross offers your clients the protection and flexibility of self-funding their health plan.
OptiFlex funding offers three main benefits for your large group clients:
- Affordable pricing that’s about the same as a fully insured rate and surplus sharing during low claim years
- Online access to detailed claims data so your clients can understand health plan utilization
- Included benefits and services that support workforce health
New stop-loss deductibles
If you’ve been selling OptiFlex funding to your clients, please note that the stop-loss deductibles are changing for new and renewing groups for the 2020 plan year.
Current deductibles available for quoting through December 31, 2019 with a start date prior to January 1, 2020 are as follows:
- 51-99 subscribers - $55,000
- 100-199 subscribers - $80,000
- 200+ subscribers - $105,000
Deductibles for new or renewing groups with a start date of January 1, 2020 or later as follows:
- Less than 100 subscribers - $60,000
- 100-199 subscribers - $$85,000
- 200+ subscribers - $110,000
Updated resource to share with your clients
We want to make it easy for you to explain OptiFlex to your clients. Use this tool for your next client conversation.
OptiFlex FAQ for Employers: This resource includes information about billing, account set-up, claims surplus and claims deficit scenarios, and more.