How it works

If insurance didn’t exist, how much would you save?  

There’s a reason self-funding is smarter.
WHAT WE DO

Turn your unused health benefits into business growth

Traditional health insurance is designed to make a hefty profit for the insurance companies. Employers and employees pay monthly premiums, while the insurers keep any unspent dollars as profit.

Self-funding lets employers pay employee health claims directly to health providers. Now, instead of paying the taxes, cost of coverage, and profit for the health insurance company —all rolled into one hefty, non-refundable premium— you only pay for what your employees actually use.

A
B
Self-Funded
Potential
Savings

Reduced taxes, unused benefits and more

Actual
Claims

Payouts for employee healthcare

Stop Loss
Premiums

Your insurance to limit coverage costs

Administrative
Expenses

Managing employee benefits, auditing for errors & fraud and more

Fully Insured
100%
‍Non-Refundable
Premium
A
Unused claim funds are reatained by the employer
Our promise to you (and us)
Transparency
Clear before you ask. When you know, you’re at the helm
No red tape that obfuscates. No costs hiding between the lines. Nothing you don’t know about in your account. We make every decision like it’s our money and our health on the line. It is.
Flexibility
Doing the impossible. If it matters to you, it’s doable. Always.
Yes, even when regular health insurance won’t cover it. We’ll break barriers, customize relentlessly and find a way to make it part of your program.
Relationship
Better than family. Not an open door policy, a no door policy
We’re always a phone call away. Quick to come through in a pinch, ready to pitch in and help – we never leave you hanging. Without you, there would be no us, and we never ever forget it.
WHAT YOU GET

Unlimited benefit flexibility & control over costs

Substantial
healthcare savings
Reduce costs with pay-by-claim plans that charge only for what employees actually use
Improved cash flow
Retain access to bigger cash reserves, with claims paid only once your employees get their care
Total policy design
flexibility
Build a policy from the ground up. So you can offer quality policies that attract top talent, while eliminating costly, under-appreciated extras.
Significant tax
reductions
Keep most of the funds that would have gone elsewhere, as self-funded plans are exempt from taxes on claims (claim costs add up to roughly 70-85% of your total plan costs).
Lower overall
claims
Get meticulous fraud, waste, abuse, and errors auditing that reduce over-claim and plan charges.
Transparent claims
history
Enjoy thorough analysis tools that break down your claims history, so you can uncover and assess further potential savings.
Eliminate mandatory benefits
Gain the freedom to tailor benefits to what’s needed, not what’s mandated — since self-funded plans are exempt from many state benefits laws.

1

Coverage cost analysis
With frequent data scrutiny and robust analytics, we constantly review and fine-tune coverage to present more benefit & savings opportunities. Reports in your inbox and a private business portal keeps you in the know, so all data insights are instantly accessible and easy to implement.

2

COBRA compliance & administration
Every aspect of your COBRA program is executed smoothly — including reports, notifications, and meticulous record-keeping. 

3

Wage Parity administration
We interpret grid benefits, track banked hours and administer a complete benefits package — including FSA/HRA administration and self-insured medical, dental & vision benefits — to all Home Care employees and administrators. 
How it works
Quality healthcare in three simple steps

1

Get your custom benefit program
We’ll work with you to create a compelling, cost-saving benefits package built for your business.

2

Leave the management to us
We’ll guide your people through their new plan, service their needs, process their claims, and pay their providers.

3

Enjoy more health for less
Saving potential is unlimited. We consistently conduct meticulous audits and data analysis to uncover more saving opportunities.
HOW IT WORKS

Quality healthcare in three simple steps

1

Get your custom benefit program
We’ll work with you to create a compelling, cost-saving benefits package built for your business.

2

Leave the management to us
We’ll guide your people through their new plan, service their needs, process their claims, and pay their providers.

3

Enjoy more health for less
Saving potential is unlimited. We consistently conduct meticulous audits and data analysis to uncover more saving opportunities.

Common Questions

How does self-insurance save an employer money?
Traditional healthcare insurance charges premiums to cover what happens, and what might happen. Self-insurance systems like ours eliminate the wasted cost by allowing the business to pay only for actual healthcare costs (not insurance) and substantially reducing many of the taxes and mandated benefits that standard health insurances are legally required to cover.

It typically saves employers 30% - 40% on healthcare costs, while delivering benefits that employees actually care about.
How do we set healthcare provider prices and reimbursements?
Through reference-based pricing, which is one of the ways we save on costs. It’s a data driven methodology that uses actual cost data and Medicare rates from Centers for Medicare & Medicaid Services to determine a fair and reasonable care payment. 

Instead of discounting arbitrary, inflated charges, it offers a fair and transparent method of paying either a percentage above actual costs or a percent above Medicare — whichever is higher. Our goal is to strike the right balance between the actual provider costs and a fair margin above that cost to facilitate a sustainable relationship with providers. This method has shown significant claim savings and an acceptance rate of 98% by medical providers.

This allows us to provide your employees with excellent in-network and out-of-network care, and substantial savings.
Is self-insurance the ideal choice for every employer?
No, we only recommend it for businesses with 200+ employees. Since the company would be required to pay the health care claim costs of its employees, it must have sufficient cash flow to meet those obligations. Small employers or ones that do not have the necessary financial reserves may find self-insurance to be a disadvantageous option. 
What if an unpredicted or catastrophic claim occurs? Can a self-insured employer stay protected?
Yes. Most self-insured employers buy stop-loss insurance to get reimbursed for claims above a specified dollar level, thereby hedging against risk.
What is NOT included in the health benefit plans offered by UHP?
UHP plans are customized for each business, so what’s included or excluded is almost entirely up to your discretion.
CONTACT US
Funds in your pocket and coverage for your people

See how UHP can help you build a more cost-effective, transparent and quality plan for your employees

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888-596-4325info@uhpadministrators.com
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