Glossary · Benefits
Level-Funded Health Plan
A self-funded plan structured with predictable monthly payments that cover expected claims, administration, and stop-loss premium.
All terms
Entravia Editorial
Level-funded plans give employers self-funded economics with fully-insured-style budgeting predictability. The carrier reconciles actual claims at year-end; surpluses may be partially refunded to the employer.
Level-funded structures are common in small-group and PEO master plans because they unlock self-funded flexibility for groups that would not normally qualify for traditional self-insurance.
Related terms
- Self-Insured (Self-Funded) Health PlanA health plan in which the employer assumes the financial risk of providing benefits, typically with stop-loss insurance to cap exposure.
- Fully Insured Health PlanA health plan in which the employer pays a fixed premium and the insurance carrier assumes all claim-cost risk.
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