I’ve been working with a prospect, 180 employees, currently level funded and looking to move to self funded, reference based pricing plan. The current agent didn’t release the full renewal to the group, with the APG and spec rates, we were able to get rates a bit lower, however, they are not ready to move to RBP, which is understandable. They are moving to a fully insured Blue Cross plan for this year. They received a favorable rate, Blue Cross buying business, we know they’ll get nailed next year. Blue Cross is notoriously bad at giving out claims information to groups, what can I tell them or let them know, in a nice way, that A. Their agent should be showing them the full renewal with the breakdown of costs and B. They’re going to have a harder time next year getting a stop loss quote when they want to return to a self funded plan. Any suggestions would be greatly appreciated!
Advice on level funded group going backwards to fully insured
- Thread starter JamesP
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