Funding Solutions for Health Plans
Designed to meet your needs and provide opportunities for cost savings.
Health Insurance Funding Options for Employers
Funding is how employers pay for employee’s benefits. We offer a full suite of funding solutions that help meet your budgeting and affordability needs and:
- Help manage risk and cash flow to fit your budget.
- Offer payment options to help achieve immediate and sustainable cost savings.
- Drive additional savings when health and wellness programs are successful.
- Drive informed plan design choices to improve affordability.
- Help maximize savings when paired with integrated products.
Types of Funding Solutions
There are two primary types of funding: Insured and Self-Funding. Please check with your broker or Cigna HealthcareSM* representative for availability based on employer size and state
Insured Funding Solutions
In insured solutions, employers can purchase insurance that covers claims and other expenses. Cigna Healthcare offers multiple insured funding solutions based on an insurance policy.
Self-Funding Solutions
In self-funded solutions, employers pay an administrator to manage the plan while the employer funds claim expenses from their own bank accounts. Cigna Healthcare offers three self-funded solutions based on an Administrative Service Agreement.
Funding Solutions from Cigna Healthcare
Insured | Self-Funded | ||||
|---|---|---|---|---|---|
Fully Insured | Fully Insured Plus | Cigna Level Funding® | Cigna Healthcare ASO Plus | Administrative Services Only (ASO) | |
| % share of claims surplus | 0% | 50% with renewal | 50% and 67% with renewal | 100%; Real time | 100%; Real time |
| Required eligible employees1 | 51+ | 51+ | 25-999 | 25-999 | 200+ |
| Level of protection | Full insurance protection | Full insurance protection | Integrated stop loss | Integrated stop loss | Optional stop loss protection |
| Fixed monthly payment | Premium | Premium | Admin fees, stop loss premium and claim funding | Admin fees and stop loss premium | Admin fees and stop loss premium |
| Variable monthly payment | N/A | N/A | N/A | Claims up to stop loss levels | Claims2 |
1 In most states, Cigna Healthcare offers group insurance coverage to employers with more than 50 full-time employees, as well as administrative services for self-funded plans with as few as 25 full-time employees. Product availability may vary by plan type, group size and location, and is subject to change.
2 Employer funds all claims and is reimbursed by Cigna Healthcare for claims above maximum liability.
*Offered by Cigna Health and Life Insurance Company or its affiliates
View Cigna Healthcare Company Names
Product availability may vary by location, group size and plan type and is subject to change. All group health insurance policies, stop-loss insurance policies and health benefit plans contain exclusions and limitations. For costs and details of coverage, contact a Cigna Healthcare representative.