What are my options if my group encounters serious health problems?
A. Accidents and other unexpected health problems will be covered as long as you remain with the plan for the entire plan year. And self funding will remain a beneficial choice for you if members’ injuries and conditions don’t require long-term, high-cost treatment in subsequent years. However, if long-term, high-cost treatment is expected to continue into subsequent years, self funding during those years may become less beneficial for some employers. Those employers may gain better future results by obtaining fully insured coverage. In Colorado, when an employer leaves a self-funded plan to purchase a fully insured plan, some carriers may charge an additional premium in the first year of up to 35%, based on health conditions.
