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Level Funded Plans

Blue Balance Funded℠ for Groups with 10-150 employees.

Our administrative and stop loss coverage suite of services includes consistent monthly payments and comprehensive reporting.

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Blue Balanced Funded Plans

Plan benefit design options are similar to those offered under a traditional, fully insured policy and are designed to be a solution for employers who require financial predictability and protection against high-cost claims.

Predictable Payments1

A monthly invoice includes the employer cost for claims funding, administrative fees and stop loss premiums. Employers manage all three with an online billing system.

Stop Loss Coverage

Stop loss insurance provides protection for covered claims costs resulting from individual and aggregate claims exceeding the predetermined stop loss levels. 

Analysis and Reporting

Your clients have access to an online analysis and reporting system. Employers can identify claims costs and utilization trends, providing them with opportunities to manage their benefits.

Possible Credit

After the yearly settlement, if the actual claims cost is less than the claims funding, your employer clients may be eligible for a credit toward future monthly payments.

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Deductible Credits

Deductible credit is allowed when a new group account moves from another carrier to BCBSNM.

Deductible credit and out-of-pocket expenses may be allowed when an existing BCBSNM group moves from Fully Funded to Blue Balance Funded.

Negotiable Commissions

Producers may request a commission rate different from our standard rate. Once we confirm the commission rate, we provide you with an updated quote for your approval.

 

1  The amount of the monthly payment may fluctuate depending on the number of enrolled employees. It is recalculated each year and is subject to change. Employers are solely responsible for taxes, fees, and obtaining and paying for their own accounting and legal services.

2  We reserve the right to revise or withdraw the proposal if any of the requirements are not satisfied.