Experience-rated pricing offers savings opportunities

Last July, school districts with 100 employees or more were impacted by changes in health insurance costs as a result of PA 106. This is due, in part, to a shift to experience-rated health care pricing: Rates are determined by employee benefit usage, or claims history.

Savings potential

Districts with healthy employees could see their cost of health care decrease with experience rating. As a result of experience rating, districts have a direct and strong financial interest in the wellness of their employees. SET SEG Employee Benefits recognizes Public Act 106 as a tremendous opportunity for schools to implement programs that will control health care expenditures and encourage employees to become active participants in the health care management process.

Available plans

SET SEG Employee Benefits works with Priority Health to offer programs that provide an innovative approach to health and wellness including:

• Preventative care to keep employees healthy;
• Condition management to control illness and cost;
• Wellness packages directly from Priority Health;
• Case management for complex cases; and
• HealthByChoice Rewards plan.

School districts with 100 to 200 employees have experienced annual savings of $200,000-$300,000 by switching to Priority Health.

SET SEG Employee Benefits also works with Blue Cross and Blue Shield of Michigan (BCBSM) to offer cost containment plans including:

• BlueHealthConnection wellness and care management solutions;
• Blue Care Network plans;
• Healthy Blue Living plans; and
• Disease Management;

BCBSM-based Wrap plans could also offer substantial savings to schools.

Contact SET SEG today!
1-800-292-5421