Group Medical Insurance

Group Medical Insurance


Group medical insurance is a traditional form of coverage in which an employer contracts with an insurance company to provide health benefits to employees. These plans are regulated at the state level and must comply with specific requirements under the Affordable Care Act (ACA), such as providing essential health benefits and limiting out-of-pocket costs.

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Fully-Insured Medical Plans

Fully-insured group medical plans are a traditional form of group benefits coverage, including HMO, HDHP, and PPO plans.

Level-Funded Medical Plans

Level-funded group medical plans are hybrid plans (fully-insured and self-funded) that give employers more control and the potential for additional cost-savings.

Self-Funded Medical Plans

Self-funded, or self-insured, group medical plans are an alternative to fully-insured plans that offer employers more flexibility in plan creation and benefits coverage.

What are the 3 main types of Group Medical Plans?