Designed to meet your needs and provide opportunities for cost savings

Funding is the method in which an employer pays for employee benefits. Employers can purchase insurance that covers claims and other expenses, known as fully insured funding, or they can self-fund their benefit plan, which means the employer pays an administrator to administer the plan, but the employer funds the claims expenses from their own bank account.

Think about the fully insured and self-funded concepts in the construct of bills that most consumers pay.

Fully Insuredis like your cable bill no matter how many times you turn it on, or how many hours you watch, you pay the same amount each month and you know what you owe. Its predictable and easy to budget.

Self-Fundingis more like your electric bill you pay as you go, or pay for what you use. You can use more efficient bulbs, turn off unnecessary lighting and take other measures that keep the money in your account.

Cigna recognizes that different employers have different needs. We offer a market-differentiating suite of funding solutions designed to meet these unique needs and offer advantages, such as:

Cigna offers four insured funding solutions based on an insurance policy. Please check with your broker or Cigna representative for availability based on employer size and state.

Fully Insured (also called Guaranteed Cost or GC)

The employer pays a fixed monthly premium which includes all plan costs (administration, claims, and taxes/fees, etc.)

The employer pays a fixed monthly premium which includes all plan costs (administration, claims, and taxes/fees, etc.)

Renewing employers share in 50% of savings if claims are lower than expected; Cigna covers the excess claims if they are higher than expected

The employer pays a fixed monthly premium which includes all plan costs (administration, claims, and taxes/fees, etc.)

The employer shares in up to 100% of savings when claims are lower than expected. Cigna covers excess claims if they are higher than expected (losses carry-forward and may reduce savings opportunity in future years).

Reduced monthly premium includes administration, cost of insurance coverage and taxes/fees

If claims are less than estimated, the employer saves money in real time. If claims are higher than estimated, Cigna reimburses the excess claim cost (losses carry-forward and may reduce savings opportunity in future years).

Cigna offers three funding solutions based on self-funded (ASO) agreements. Please check with your broker or Cigna representative for availability based on employer size and state.

The employer pays a pre-set monthly payment, which includes administration, stop loss insurance premium and claims funding

Upon renewal, the employer has the opportunity receive a surplus credit at the end of the plan year if claims are lower than expected

The employer owes nothing more if claims are higher than expected, or if they decide to terminate the plan

Cigna processes claims and secures discounted services from contracted health care providers

Pay as you go the employer pays for actual claims each month and keeps any savings.

Lower payments in the first two months, and insight into terminal costs at time of sale.

Individual Stop Loss and Aggregate Stop Loss are included to help protect the employer from unexpected claim costs.

Detailed, paid claim reporting helps employers make informed health and wellness decisions.

Cigna processes claims and secures discounted services from contracted health care providers.

The employer pays an administrative fee for Cigna to administer the plan.

The employer funds claims as they occur, keeping any unspent money or paying more than expected as claims fluctuate.

Individual and Aggregate Stop Loss is available to help protect the employer from unexpected costs.

Cigna processes claims and secures discounted services from contracted health care providers.

Get long-term cost savings with the right mix of solutions for your business.

Contact your broker or connect with a Cigna representative to discuss your organizations unique needs.

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Product availability may vary by location, group size and plan type and is subject to change. All group health insurance policies, stop-loss insurance policies and health benefit plans contain exclusions and limitations. For costs and details of coverage, contact a Cigna representative. Group health plans and stop loss insurance policies are insured or administered by Cigna Health and Life Insurance Company or its affiliates. Medical Policy forms: OK – HP-APP-1 et al; OR – HP-POL38 02-13, TN – HP-POL43/HC-CER1V1 et al.

Individual and family medical and dental insurance plans are insured by Cigna Health and Life Insurance Company (CHLIC), Cigna HealthCare of Arizona, Inc., Cigna HealthCare of Illinois, Inc., and Cigna HealthCare of North Carolina, Inc. Group health insurance and health benefit plans are insured or administered by CHLIC, Connecticut General Life Insurance Company (CGLIC), or their affiliates (seea listing of the legal entitiesthat insure or administer group HMO, dental HMO, and other products or services in your state). Group Universal Life (GUL) insurance plans are insured by CGLIC. Life (other than GUL), accident, critical illness, hospital indemnity, and disability plans are insured or administered by Life Insurance Company of North America, except in NY, where insured plans are offered by Cigna Life Insurance Company of New York (New York, NY). All insurance policies and group benefit plans contain exclusions and limitations. For availability, costs and complete details of coverage, contact a licensed agent or Cigna sales representative. This website is not intended for residents of New Mexico.

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