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Partially self-funded insurance reduces costs by 28% with no coverage loss
The Challenge
The Challenge
Save without Sacrifice

Each year, health insurance premiums go up, forcing employers to shop around and, usually, ending up right back at square one. Whatever they do, companies end up paying more than they should because the alternative—reducing benefits or limiting network access—is simply not an option.

Tired of the costs and headaches associated with fully insured options, one company began to explore the benefits of partially self-funded insurance and how it could help them:

  • Keep their margins (the difference between claims liability and actuarially expected claims)
  • Cut pharmacy spending
  • Retain access to the nation’s largest provider networks

“We needed a solution that allowed us to save money while still providing our employees with access to the best provider networks. We weren’t getting that through traditional fully-funded insurance.”

- Customer

The Solution
The Solution
EVHC’s Partially Self-funded Insurance

The company turned to EVHC, which offers custom plan designs that help companies save money without losing coverage. Through EVHC, the company had:

  • Access to three of the nation’s four largest provider networks
  • 24/7 concierge-level customer service, including member education programs
  • Flexible plan designs
  • Greater price transparency

“EVHC was easy to work with and a true partner. They were there every step of the way, from implementation to enrollment and beyond.”

- Customer

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The Results
Thousands Saved, No Coverage Lost

In just one year, the company experienced:

Recent Case Studies

EVHC Steers Automotive Company to $1.4 Million in Savings
EVHC Steers Automotive Company to $1.4 Million in Savings

0 rate increases, great coverage, and millions of dollars saved result in a win for car dealership and its employees Drive Costs Down, Maintain Great Coverage Tired of the skyrocketing costs and headaches associated with their fully insured carrier, one of the Southeast’s largest car dealerships began to explore the benefits of partially self-funded insurance. This Georgia-based automotive company has 28 dealerships and more than 700 employees. They were paying a fully insured carrier millions of dollars per year—and the carrier planned to increase those annual costs by 38%. They were also struggling to manage plans across dealerships, all of which had their own unique coverage. This automotive company looked at partially self-funded insurance alternatives to help them: - Keep their margins (the difference between claims liability and actuarially expected claims), resulting in millions in savings - Consolidate insurance coverage across all dealerships - Retain access to the nation’s largest provider networks - Provide employees with even better coverage options “When the carrier told us about their proposed rate increase, I was shocked. How were we supposed to be able to pay those margins? We desperately needed an alternative that would provide our employees with great care without breaking the bank.” EVHC’s Partially Self-funded Insurance This automotive company turned to EVHC, which offers customized partially self-funded insurance plans that help companies save money without losing coverage. EVHC provided them with: -The ability to only pay for the actual cost of employees’ claims -Low individual deductibles -Access to three of the nation’s four largest provider networks -24/7 concierge-level customer service, including member education programs -Flexible plan designs, including home healthcare and diabetes treatment options -Greater price transparency For the first time ever our premiums remained flat year-over-year. That, combined with millions in overall savings, great customer care, and even better benefits for our employees, has made our relationship with EVHC a winner. Millions in Savings, Better Coverage In just the first year, this automotive company experienced: - A consolidated insurance plan covering 700+ employees across 28 dealerships for easier administration and better continuity - $1.4 Million in Savings - 100% of employees covered at no risk to the company EVHC is also creating a customized diabetes management program with partner Livongo that will allow diabetic employees to enjoy cost savings, direct delivery of supplies, and more, and helping this automotive company save money on internationally-sourced prescription drugs.

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EVHC Offers 24/7 Support
EVHC Offers 24/7 Support

Healthcare shouldn’t mean jumping through hoops, waiting on hold Waiting on Hold Instead of Getting Care An investment research company based in New York, needed an insurance company that would work with them—not against them. More specifically, the owner’s wife found herself constantly dealing with the burden of multiple phone transfers, being put on hold, and fighting to fill prescriptions and gather essentials for their diabetic son. With over 200 employees, it became clear that if the owners were seeing this amount of hassle just to maintain their basic healthcare needs, then their employees must be struggling as well. They needed a healthcare provider that would: - Eliminate the need for constant calls and follow-ups, freeing up personal time - Make employees feel heard, appreciated and respected - Maximize the cost-to-coverage balance, without dramatically upping prices - Find lasting solutions with flexible options “I can’t be the only one who is filled with dread when I hear hold music! Watching family members deal with health issues is stressful enough without having to jump through hoops to merely fill a prescription. It felt like my wife was constantly fighting with our insurance company, instead of them being on our team.” Partially Self-Funded Insurance, With a Personal Touch This financial investment company found their home with EVHC and our customized partially self-funded insurance plans. A key aspect of that customization is the fact that EVHC provides a one-on- one personal concierge-level service meant to make employees feel supported. EVHC provided: -24/7 concierge-level customer service, including member education programs -A personal EVHC account manager, who works tirelessly to ensure every item that employees, their families, and kids need is covered -Direct member engagement, where people’s needs and concerns are not just heard, but addressed -The ability to consolidate basic services into a mail order prescription offering, so essential supplies are received on a quarterly basis -Flexible plan designs, including home healthcare and diabetes treatment options “The whole point of health insurance is to make employees feel protected and supported. Insurance shouldn’t feel transactional or complicated. For the first time, our employees and families are getting the support they need—around the clock—instead of having to fight for it.” Peace of Mind and Saved Time In just the first year, this company experienced: -All their healthcare needs and services fulfilled without having to continuously call or wait on hold to ensure basic needs were met -Fewer headaches dealing with health insurance, more time to devote to the business -The peace of mind that comes with personalized service and support Partially self-funded insurance is already a paradigm shift, but EVHC is taking it to the next level by offering personalized coverage and support. For far too many, dealing with insurance providers has required speaking to a computer, constantly being put on hold, and having to jump through hoops for the most basic of care. Time that should be spent with loved ones and furthering business needs is instead spent stuck in frustrating customer service cycles.

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