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2016/2017 Level Funding ASO Options

Blue KC Level Funding ASO Options provide another alternative to traditional, fully insured small group health plans. The plans have been designed to be fully funded. Blue KC will help you evaluate your maximum claims risk and then blend specific and aggregate stop-loss insurance to create level funding you can budget for each month.

The monthly level funded money remitted to Blue KC will include:

  • Administrative costs and stop-loss insurance
  • Claims funding

Your maximum annual claims, including claims run-out liability, are predetermined to create level funding that is easy to administer.

Your level funding has been carefully designed to ensure you neither over or under fund your plan. However, in the event your claims experience is lower than expected, you will receive back two-thirds of your unused claims dollars. Blue KC will retain one-third as a deferred administrative fee.

Advantages of Blue KC's Level Funding ASO Options:

  • Affordable—Self-funded medical plans may be less costly than similar fully insured coverage options subject to modified community rating guidelines and may be exempted from some taxes and fees.
  • Comprehensive coverage—Plans include comprehensive medical and pharmacy benefits along with Blue KC’s award winning customer service, comprehensive disease management programs, and innovative health advocacy support.

If you need more information or have questions, contact your broker.

Networks

Preferred-Care Blue

Preferred-Care Blue® offers Blue KC members the largest selection of providers within our 32-county service area.

BlueSelect

BlueSelect offers affordability by using a smaller hospital and provider network than Preferred-Care Blue. BlueSelect is best for employees who reside in the 5-county Kansas City metropolitan area, which includes Clay, Jackson and Platte counties in Missouri, and Johnson and Wyandotte counties in Kansas. Those outside the metropolitan Kansas City area are eligible to enroll, but must visit a BlueSelect hospital or provider for benefits to be paid at the in-network level. Outside the 32-county Blue KC service area, BlueSelect members are covered under BlueCard PPO coverage.