What is the difference between an Administrative Services Only Program (ASO) also known as a self-funded program and a Standard Program?
Administrative Services Only (ASO) Administrative Services Only groups is a self funding mechanism through the NCACC Group Benefits Pool. Services are provided for group medical specific, aggregate, and administrative rates and dental administrative rates at a specified amount for a 12-month period. An Expected Claims rate (dollars incurred) is set from the claims experience the member has provided to the pool. In addition to the expected claims payments the member is responsible for Specific Stop Loss, Aggregate Stop Loss, Administrative Costs, and other costs if applicable. Available only to member groups, 200 lives or more, unless prior approval is given by the Pool. The Member is at full risk on the account. CIGNA and Caremark administers the paid claims for NCACC-GBP. The member group purchases specific and aggregate stop loss from NCACC-GBP. All claims paid in a given month are the responsibility of the member and their chosen specific stop loss is applied to each members cumulat
