Employer groups with employee size 2+ are eligible to participate in the plans. Current employees, spouses, and dependents are also eligible to participate in the plans. Newly hired employees are eligible to enroll 30 – 60 days after Hire Date.

• Minimum participation is 2 person
• 2-5 person group will need 100% participation.
• 5 person group and above need 50% participation.

If any employees are covered under the spouse that does not count as a qualifying waiver. Having a Tricare is the only qualifying waiver to meet the requirement.

Must have active MSNVA membership or be an affiliate member of an approved organization  to be eligible for the UHC Level Funded Health Plans.

To enroll your group for coverage, you must first request a non binding quote by providing a completed employee census and your current renewal package and benefits summary

The employee Census report includes a list of eligible employees with associated individual data; date of birth, date of hire, gender, employee status (PT or FT), home zip code.

Level funding offers employers a practical alternative to traditional insurance, where the employer can choose from a variety of plan designs and customized benefits to fit the needs of their employees. In a typical self-funded health plan, the employer accepts full responsibility for the risk of health care for their employees. However, Level Funded plans are fully funded and reinsured, competitively priced, and conservatively managed in order to provide the best plan available. Level funding health plans work similarly to fully insured plans with a major difference; the employer owns the claims reserves instead of the insurance carrier and may receive claims money back.

Level Funded medical insurance programs are medically underwritten and require each employee to complete an Individual Medical Questionnaire (IMQ) prior to obtaining a Final Quote. 

Level funding offers several key advantages over traditional health insurance, including:
– Lower Fixed Costs: Most businesses realize immediate monthly saving
– Lower Claims Costs: If claims are lower than expected, you would enjoy even greater savings.
– Limited Risk: Stop-loss insurance protects you against an individual or total claims exceeding your annual budget.

• Minimum participation is 2 person
• 2-5 person group will need 100% participation.
• 5 person group and above need 50% participation.

If any employees are covered under the spouse that does not count as a qualifying waiver. Having a Tricare is the only qualifying waiver to meet the requirement.

Level-funded medical programs are medically underwritten and require all eligible employees of a company to complete a short risk questionnaire.

The risk questionnaire consists of questions pertaining to the individual’s health. All risk questionnaires must be completed before a final medical quote can be obtained. Preliminary quotes can be obtained without them.

To get a preliminary quote (not binding and no obligation to request one) the employer needs to complete and provide an employee Census report that includes a list of eligible employees with associated information (date of hire, date of birth, etc.)

Provide the following information to receive a quote and determine enrollment:

1. Your lates renewal and benefits summary from your current carrier
2. Provide a complete employee Census report that includes a list of eligible employees with associated information (date of hire, date of birth, etc.)
3. Submit these documents to the Executive Director at ctellez@msnva.org

Your information will be kept confidential and private and will only be shared with the brokers issuing the quotes.

Each employer group will receive a bill for all employees enrolled in the level-funded medical plan and are responsible for payment. The employer is responsible for payment as billed and is subject to coverage termination if not paid within 30 days of invoice. The employer is responsible for any employee contributions and payroll deductions. All adjustments will appear on next month invoice.

The employer can contact the brokers at Northwestern Mutual to notify them of any employee terminations.

The employer can simply notify the Northwestern Mutual brokers and they will manage onboarding of new employees.

Employers will receive a monthly invoice around the 10th of each month that must be paid in full by the end of the month.