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  HMA Directs' Flagship Employee Benefits Program: Doctors Choice Health Plan

The Doctors Choice Health Plan is a partially self funded plan that incorporates stop-loss insurance to protect each company from excess claims by placing a ceiling on financial risk.  The HMA Doctors Choice Health Plans are governed by Federal Guidelines which are governed by the Employee Retirement Income Security Act (ERISA).  State insurance departments dictate specific guidelines for the Stop Loss insurance that accompany these plans.  HMA Direct is currently administering self funded health plans in conjunction with stop loss insurance that complies with individual state department of Insurance mandates. While HMA Direct is not an insurance company; as a Managing General Underwriter (MGU) and a Benefits Consulting Firm we represent only A- Excellent or better rated insurance companies to provide our clients' stop loss insurance coverage.

The Doctors Choice Health Plan provides the benefit of passing on the savings realized when claim costs are low on to each company through reduced costs.  In contrast, under a fully insured plan, the company pays fixed monthly premiums to an insurance carrier, and the carrier assumes responsibility for paying claims and the related financial risk, and retains any savings when claim costs are lower.  A fully insured plan is funded monthly with a fixed amount which is one twelfth of the annual premium.  Alternatively, the HMA Doctors Choice Health Plan funds claims as they are incurred (or employers fund set monthly amounts), which allows the company, not the insurer, to receive a return on unused, over-budgeted claims funds.  At the end of a plan year in which claims have been lower than anticipated, a traditional fully insured plan keeps the premiums and treats the savings as profit for the insurance company.
 
With the HMA Doctors Choice Health Plan, the unused claims funds remaining at the end of the period covered by the plan and the applicable run-out period, are passed on to the company as savings in the form of a credit against the next year's obligations on renewal of the plan.  In addition, the Doctors Choice Health Plan, being a partially self-funded plan is not liable for state health insurance premium taxes on the employers claims fund dollars.  This tax savings can amount to 2 to 3 percent of a premium's dollar value. This is a direct, automatic savings to a company with an HMA Doctors Choice Health Plan.

In recent years, flexible-funded health plans have grown in popularity for companies of all sizes and types.  This is due in part to significantly rising healthcare costs, which has caused sponsoring employers to become more involved in understanding the details of their health benefit offerings.  As more employers understand the dynamics of fully insured plans versus flexible-funded health plans, the popularity of flexible-funded plans grow.  Furthermore; improved technology in automated claim processing and analysis has also inspired wider utilization of flexible-funded plans.  Complex claim and benefit plan analysis capabilities previously reserved only for the largest insurance companies are readily available to Third Party Administrators (TPA’s). Third Party Administrators manage health benefit plans just like traditional insurance companies, with few other distinctions.
 
 A TPA represents the interests of their client by actively collaborating in the effort of keeping health expenditures under control. HMA Administrators facilitates many of the newest state of the art cost control technologies available in the industry today in an effort to enhance the best possible experience and maximize savings.  In addition, the plans being offered include individual medical questionnaires to be completed by all enrolling employees.  This information, not usually available to underwriters of most health plans, enables the HMA Direct Underwriting and Actuarial Department to more accurately predict the expected claims costs to be incurred during the plan year.  This avoids overcharging for claims funds and stop loss premiums due to inaccurate assessments of claims costs.

HMA Direct is dedicated to representing and administering flexible-funded health plans for its clients.  Our commitment is demonstrated by investing in staff education, cutting edge technological advantages, and wellness programs, etc. which in return pay dividends to our Doctors Choice Health Plan customers.  Our programs are designed to keep pace with all of the latest trends in the healthcare industry today.  HMA Direct is an industry leader that has demonstrated the expertise necessary to effectively introduce new health products such as; Health Savings Accounts (HSA’s), Health Reimbursement Accounts (HRA’s), Flexible Spending Accounts (FSA’s), and Voluntary Benefits, etc. for our clients.   


When it comes to the effort involved in changing health plans, HMA Direct is enthusiastic about assisting each employee with all of the details associated with selecting the best coverage for their needs.  From the client's point-of-view, the change will be no more burdensome that an annual renewal.  All forms that are to be completed are available on the internet for on-line editing and electronic signature (where permitted), or available to be printed, hand written, signed and mailed/faxed.  The value of changing health plans is shared by each employee as well as the company.  The intention and result of the HMA Doctors Choice Health Plan is to offer more control and flexibility for the member, and to deliver significant cost savings.