UHC Level Funded Pricing Enhancements

8/30/2024
California

UnitedHealthcare is committed to evolving their level funded product by listening to valuable feedback and incorporating it into their offerings. Recent plan enhancements aim to better serve you and your clients. 

Enhanced Surplus Share flexibility in Key Account segments 
UnitedHealthcare recognizes that different employer groups have unique needs and preferences when it comes to surplus sharing. To accommodate this, they are introducing the surplus flexibility currently available within their Key Account 100+ segment to the 51–99 segment. These groups can now choose the surplus share option1 that best suits their financial strategies with the choice of 50%, 67% or 100%. This empowers employers to have more control over their funds and benefits structure, ensuring a more tailored approach to their health care plans. 

Strategic pricing strategy for 51–99 and Key Account 100+ segments 
UHC’s Level Funded is introducing a new strategic pricing strategy designed to align their overall product strategy and enhance their competitiveness in the market. This new approach includes several key components: 

  1. Implementation Credit and Guaranteed Administrative Credit: Implementation Credit is available in all segment sizes and Guaranteed Administrative Credit is available for 51+ groups. Implementation Credit can be combined with Guaranteed Administrative Credit. 

  2. Plan flexibility and modification for Key Account clients: 100+ Key Account clients can select specific deductible limits, out-of-pocket limits, benefit cost-share values (copayments,2 coinsurance2 and per occurrence deductible/copay). 

  3. Surplus Share flexibility: Groups in the 51–99 and 100+ KA segments can choose their surplus share by selecting between 50%, 67% and 100%. 

The continuous evolution and commitment to innovation ensures that they provide the tools and options needed to offer the best possible health plans. 
 

Source: UnitedHealthcare