Self-funded plans
Every vendor in your plan, managed.
You pay claims directly and contract with several vendors to run the plan. Snow shops, manages, and checks all of them.
How this plan works
Five vendors, one broker.
A self-funded plan usually involves stop-loss insurance, which caps your cost when claims get very large; a TPA (third-party administrator) that processes claims; a provider network; a PBM (pharmacy benefit manager) that runs prescription coverage; and ancillary coverage like dental and vision. Each is a separate contract, invoice, and renewal.
What Snow does
What we handle for you.
Every vendor shopped
Stop-loss, TPA, network, PBM, and ancillary coverage are all put to market at renewal, not just the stop-loss policy.
Invoices reconciled
Every vendor invoice is checked against enrollment and payroll every month.
Enrollment checked monthly
Payroll, your HR system, and every vendor's records are matched, so nobody is missing or billed after they leave.
Claims and pharmacy reviewed
We watch claims and pharmacy spend for trends, so renewal isn't a surprise.
Contracts read closely
We read vendor contracts for fees, guarantees, and terms that cost you money, and negotiate them at renewal.
A monthly summary
Spend, enrollment, and open issues across every vendor, written for HR and finance in plain language.
What you see
Every vendor, every month.
| Option | Annual premium | Change | Deductible |
|---|---|---|---|
| Current carrier renewal | $1,214,000 | +11.8% | $150K |
| Carrier B Recommended | $1,131,000 | +4.2% | $150K |
| Carrier C | $1,117,000 | +2.9% | $200K |
Questions
Self-funded questions.
However we're paid, by commission or by fee, you'll see the exact amount in writing.
Can you work with our current TPA and vendors?
Yes. Becoming your broker doesn't require changing any vendor. We'll tell you which ones are worth shopping.
We're thinking about self-funding. Can you help?
Yes. In the review, we'll compare self-funding with your current plan using your claims and census data.
How do you handle stop-loss renewal?
We start months early, share your claims data with multiple stop-loss carriers, and bring back options with the tradeoffs spelled out.
Renewing in the next 12 months?
Start with a pre-renewal review. You'll see where your plan dollars go, and where they shouldn't.