Partial self-funding allows the employer to exercise significant discretion over the benefit design, provider network, and pricing of the benefit plan. This discretion helps to develop a plan that is highly tailored to the needs of the employer/employees. The employer participates in the risk (to an agreed-upon maximum) of the plan, which often results in a significant savings to the employer. Employer information and control over service, design, claims costs, pricing, and access are much greater than with other plans.

Answers to Frequently Asked Questions

Q. How do I learn more about partial self-funding?

A. RT Health & Life will provide the necessary training for agents to understand how partial self-funding works.

Q. What industries are preferred and non-preferred?

A. RT Health & Life is able to provide agents with information on what industries are considered preferred and those that are not eligible for partial self-funding. Typically, preferred industries are groups in the private sector with emphasis on service occupations.

Q. How long does it take to receive a partially self-funded quote?

A. Depending upon the size and benefit design requested, the quote process can take as little as 24 hours or as long as 7 days.

Q. Who processes claims and takes care of administration of the plan?

A. Typically, a third-party administrator provides service to the broker, the employer, and its employees.

Q. Who prepares the quote presentation?

A. RT Health & Life will provide a proposal to the agent. We will also thoroughly prepare the agent for the presentation to the group, as well as accompany any and all agents to meetings. RT Health & Life will help complete all necessarry paperwork if a case is sold.