Did you know that by self-funding your dental and vision benefits, you could reduce the cost of plan administration by 10 to 15 percent?
- When a district self-funds, it is responsible for paying only claim costs, not premium.
- Self-funding is relatively low risk because school districts can control their exposure through plan design.
- School districts pay a per-person, per-month fee for a Third-Party Administrator (TPA) and a network access fee if adding a network to the plan. In most cases, these costs, combined with claim costs, are lower than premium expenses for an insured program.
- SET Employee Benefits is a TPA for self-insured plans. Educational organizations receive discounts when both dental and vision plans are self-funded with SET Employee Benefits as the TPA.
Dental and vision networks
Adding a vision or dental network to a self-insured plan offers savings of 20 to 30 percent because participating dentists and eye doctors accept lower fees for service.
- SET Employee Benefits participates with DenteMax and ADN dental networks.
- Vision networks include United Health Care Vision, NVA and Vision Service Plan.*
*Available for select VSP employee groups
Is self-funding right for you?
The best way to determine if self-funding is a viable option is to review your three-year history from your current vision and dental carriers. Comparing the cost of claims to premiums paid can help you determine whether self-funding could potentially yield savings.
Learn more
For more information on self-funding, click here to watch a short video. Or visit www.setseg.org. Select “Podcasts and Videos,” followed by the link for “Let Dental Take a Smaller Bite of Your Budget Pie.”
Contact your SET SEG Account Executive!
1-800-292-5421