Group Medical Plans

HUB International specializes in a wide variety of group medical plans. We pride ourselves on offering the resources of a global brokerage, delivered with a local touch. Because we serve both large and middle market companies, we can offer a range of solutions that are properly scaled to meet the needs of your business.

Contact a HUB Health Benefits Consultant today to learn more > 

Fully-Insured Health Plans

  • Preferred Provider Option (PPO) Plans - Encourages participants to use in-network providers by offering them a higher level of benefits.
  • Point of Service (POS) Plans - Requires participants to select an in-network personal care physician. Like PPOs, in-network care is covered at higher benefit levels than out-of-network care.
  • Exclusive Provider Options (EPO) Plans - Similar to POS plans, EPOs offer lower out-of-network benefits.
  • Health Maintenance Organizations (HMOs) - Emphasizes preventive care and require participants to select a primary care physician from the list provided by the HMO. That physician coordinates all of the member's medical care and refers them to specialists, when needed. Members who go outside the HMO plan for medical care (without prior approval) will pay all or most of the cost of that care from their own pocket.

Self-Funded Plans

Self-funded health plans enable you to tailor your benefits program to meet employee needs and your company's objectives.

  • Self-funding isn't only for large employers. HUB will analyze your existing plan design and claims experience to help you determine if your organization can benefit from self-funding. 
  • We work with you to determine the amount of risk that is appropriate for your company. We help you design the plan and secure the appropriate level of stop-loss insurance to protect your company from large catastrophic claims.
  • Self-funded plans are governed by ERISA instead of state insurance law. Risk charges, insurance company reserves, and most premium taxes are avoided.

Read articles on Health Care Reform and Employee Benefits by Joe Torella, President, Employee Benefits Division, HUB International Northeast.

Consumer-Driven Plans

Consumer Driven Health Plans (CDHPs) are designed to engage employees to better understand and manage their own health expenses while working to improve their health status.

  • CDHPs involve a high-deductible health plan and a tax-exempt health account, usually a Health Savings Account (HSA), Health Reimbursement Account (HRA), and/or a Health Flexible Spending Account (FSA).
  • Employees use the account to help cover deductibles, coinsurance, and qualified health care expenses, as well as save for future health care expenses. HUB makes it easy for you to design a consumer-driven approach that will enable you to meet your financial objectives while providing the support your employees need to understand their options, track their expenses and improve their health.

Cafeteria Plans

Many employers offer a Section 125 or Cafeteria Plan to their employees. Under Section 125 of IRS code, a Cafeteria Plan offers employees the option of using pre-tax payroll dollars to pay premiums for traditional and voluntary benefits. 

 

Contact a HUB Health Benefits Consultant today to learn more >