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Premier Advantage

A self-funded program for Small Employer Groups

Premier Advantage by Rocky Mountain Health Plans offers small employers the opportunity to take advantage of the benefits of self-funding their employer-sponsored medical coverage. Premier Advantage is a new self-funded program, developed exclusively for small businesses.

With Premier Advantage, employers with 5-50 employees can enjoy the benefits of self-funding without the financial risk and administrative complexities.

How it Works

 

  • Employers choose from a variety of plan designs with deductible, coinsurance, and prescription options.
     
  • Insurance protection is provided to plan sponsor through Specific and Aggregate Stop Loss coverage 
     
    • Specific Stop Loss coverage limits an employer's self-funded liability to a fixed amount if an individual in the group experiences large claims.
       
    • Aggregate Stop Loss coverage protects an employer from high claim costs if claims exceed 120 percent of the expected claim level.
       
    • In both scenarios, Rocky Mountain Health Plans assumes the risk.
       
  • The employer group receives a single monthly bill which includes Maximum Claim Liability funding, Stop Loss premium, and administrative expenses - allowing for one predictable monthly payment.
     
  • At the end of the year, if actual claims are less than the amount that has been funded for claims liability, Rocky Mountain Health Plans will refund the difference.
     

Premier Advantage brochure and enrollment information:

Premier Advantage brochure

Premier Advantage Employer Group Enrollment Guidelines

Quote Request Form

Employer Application

Employee Application and Health Questionnaire

 

Plan Benefit Summaries:

SG SF 1000_70 Plan Benefit Summary

SG SF 1000_80 Plan Benefit Summary

SG SF 1500_70 Plan Benefit Summary

SG SF 1500_80 Plan Benefit Summary

SG SF 2000_70 20_35 Plan Benefit Summary

SG SF HSA 2650 Plan Benefit Summary

SG SF HSA 3250 Plan Benefit Summary

 


 
 
Rocky Mountain Health Plans