Sterling Level Funding

Sterling Level Funding is designed specifically for employer groups of 25 - 250 employees (may vary by state). It combines financial predictability and actionable data with the opportunity to benefit from a positive claims year.

Three key benefits set Sterling Level Funding apart:

• No claims experience required for groups under 100
• No individual health statements required for groups over 50
• All excess claims funds are returned to the client, even if they terminate at the end of the plan year

A big concern for employers considering self-insurance is managing the unexpected. Large, unpredictable claims can be devastating, especially to small companies. Sterling Level Funding protects employers with an aggregate only stop-loss product that simplifies the self-insuring process by covering all eligible medical claims under a single aggregate attachment point. There is no need for separate specific stop-loss coverage.

How Sterling Level Funding works:

• Employers can custom build their benefits plan or choose from our plan designs that include CDHP, PPO, EPO, HRA and HSA plans (groups of 25 - 50 must choose from the Sterling plan designs).
• Groups fully fund their claims accounts each month based on an aggregate attachment point that is lower than conventional self-insuring. The monthly aggregate accommodation stabilizes cash flow and protects the plan from claims volatility. Other features, such as available unlimited annual maximums and built-in terminal liability, further insulate the self-insured plan.
• Best of all, the employer, not the insurance company, retains funds remaining in the claims account at the end of the policy year.
• At least 75% of total eligible employees must be enrolled in the self-insurance plan. Other underwriting guidelines apply based on group size and demographics. A Sterling sales representative can provide details.
• Medical, dental and vision claims management is provided through Capitol Administrators, discounted pharmacy benefit management through Ventegra® and the Sterling Health Choices wellness program through Viridian Health Management.
• Competitive GWH-CIGNA network discounts apply.
• Pharmacy rebates are passed to employers and employees, depending upon the deductible phase, a benefit unique to Sterling.
• A proprietary Sterling HealthAssets™ account is provided for employees to hold pharmacy rebates and financial rewards for wellness programs like weight loss and smoking cessation. Sterling is so committed to the belief that employee engagement is critical to the long-term goal of lowering healthcare costs that we contribute annually to the Sterling HealthAssets™ account based on employee achievement of a wellness goal.