Comprehensive, Cost Effective Healthcare Solutions Engineered for Small Business
Community Care Missouri (CCM) is a unique healthcare benefits program that is just as unique as your clients. Community Care Missouri (CCM) is a unique answer for the challenges that smaller employers face in providing healthcare benefits under healthcare reform.
CCM provides the advantages of a self-funded plan with the budget certainty advantages of being fully insured. CCM operates off a Level Funded chassis which is insured by A and A+ insurance companies. With CCM's Level Funding Plan and the smart use of Stop Loss Insurance, the employer pays a monthly cost that is the maximum cost. No matter how many claims in a month, the employer will never pay more than this monthly cost. After all claims are paid for the year, the unused money in the claim fund is returned to the employer, not 25%, 50% or 75% of the surplus - 100%!
Key features of the Community Care Missouri (CCM) Level Funding Plan:
- Defined and Contained Risk - The employer's maximum exposure and annual costs are determined up front through the purchase of Stop Loss Insurance. Standard provisions include coverage for claims paid after the end of the plan year.
- Stabilized Cash Flow - Maximum annual claim liability is equally spread over 12 months. If the employer's claim fund does not contain sufficient money to cover claims, the reinsurance coverage will advance the necessary funds. The employer will not be requested to provide additional funding in excess of the monthly billed administration fees, reinsurance premium and maximum claims liability.
- Claim Fund - After the claim run-out period remaining funds are released or rolled over to the next year as credit. This is the essence of alternative funding - money not spent on benefits remains with the employer's benefit plan, not the insurance company.
- Plan Flexibility - Freedom to design a healthcare plan that has the ability to incorporate true healthcare risk management programs.
- Plan Performance - Every employer will have the ability to have access to plan information that will allow them to better manage and make healthcare plan decisions on a proactive basis instead of reactive.
- ERISA Plan - Exempt from some of the Affordable Care Act (ACA) regulations particularly those parts that may cause fully insured premiums to climb substantially in 2015 and beyond.