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Be Your Clients' Hero

Every small business needs great Advisors

As an independent consultant, trying to filter through the “noise” of products in order to provide your clients with the best plan options can be exhausting. As a national third-party administrator, let us take the complexity out of your search.

the Offering Spectrum​

Where does Detego Health fit?

Detego Health is offering a level-funded plan. And just like a fully insured plan, level-funded plans mean your clients won’t ever have to pay more than their monthly contribution and those costs specific to their plan design.

The competitive landscape is made up of 3 types of products:

Self-Funded Plans

Detego Health
Level-Funded Plans

Fully-Insured Plans

But what's the difference, really?

Traditionally, when people talked about insurance, it was “Fully Insured”. The employer or its employee pays a premium to the insurance company in return for paying future “covered” medical claims that are beyond the “out of pocket” maximum (the amount that employees and their families will pay for that service). The totality of risk for the medical claims is borne by the insurance company. As insurance is a for-profit industry, the insurance company must cover its risk and make money. As the cost of medical care increases, so too do the premiums. In fact, according to the latest Kaiser Family Foundation Report, average annual employee contributions to premiums and total premiums for single coverage have risen nearly 22% over the past 5 years.

On the other end of the offering spectrum from traditional insurance are self-insured plans.  These health benefits plans are created by and for the employers that fund them.  In most instances, an employer will then hire professional actuaries, a plan administrator (a third party administrator) to manage the plan and contract with a reinsurance (or Stop-Loss) carrier to cover claims above a certain cost.  This Stop-Loss insurance comes at a premium for the employer.  In almost all instances, small businesses (those with less than 499 employees) find it difficult to predict with any accuracy.

Over the past 15 years,  a middle ground between “self-funded” plans and “traditional” insurance has emerged.  These “level-funded” plans are a fairly simple type of self-funding that are designed for small businesses.  Plan providers (such as Detego Health) establish a Third Party Administrator and get approved by a  stop-loss carrier who agrees to cover claims above a certain amount.  As these plans don’t need to be rated at a community level (as is the case with traditional insurance), level-funded plans generally cost less and minimize the risk to employers, but only if the TPA knows how to balance cost-control with excellent healthcare and customer service.

Level-Funded Plans are where we shine!

Why spend more money on a traditional healthcare insurance plan to only lose your top talent to a competitor with better benefits?  Detego Health provides a higher quality plan at lower price. Detego Health is a health care platform that empowers small business owners to control and predict costs, save money and attract and retain the top talent. Let us give you the edge you need to win the talent arms race.

Your New Partner

Why sell Detego Health?

health-benefits-small-business-team-meeting

Detego Health is a national third-party administrator with a modern platform that makes it easy to onboard new groups. We provide a full suite of education tools that lower the broker’s annual time investment. Detego Health’s product pricing allows brokers to earn more revenue per group.  Additionally, talk with live, qualified customer service reps focused on getting providers what they need.

Interested in seeing what Detego Health can do for your clients?

Upload a census that includes the following for all eligible employees and active dependents:
  • Name
  • Date of Birth
  • Home Zipcode
  • Gender
Download a census template.

Also include the renewal, current plans/pricing, claims reports, and SBCs.

Frequently Asked Questions

Detego Health is a third-party administrator that currently provides health benefits to employers with a business address in Texas and Kansas. A business address does not have to be a company HQ and employees in all 50 states can benefit from coverage.

We are pretty darn good at turning around initial quotes in 24-48 hours. If it’s gonna run longer for some reason, we’ll let you know.

We are one of the few companies that can write down to 2 employees!

Yes, Detego Health meet the Affordable Care Act (ACA) requirements for employers offering health benefits.

Detego Health is offering a level-funded plan. And just like a fully-insured plan, you won’t ever have to pay more than your monthly contribution and those costs specific to your plan design. We even provide stop-loss insurance as a part of the benefit plan to cover the most expensive claims.

Our plans are designed and priced to allow our brokers to set competitive commissions.

Our Plans

Our core plans are specifically designed for the unique needs of small businesses. We offer the following level-funded plan types.

Plan Comparison

DEDUCTIBLES
Single
Family
OUT OF POCKET MAX
Single
Family
COINSURANCE
100% OF ALLOWABLE
Annual Adult Physical
Adult Immunizations
Mammogram
Gynecological Services
Routine Colonoscopy
Well Child/Newborn Care

Deductible 3000

Business Growth Plan
$3,000
$6,000
$4,500
$9,000
80%

Deductible 5000

Business Growth Plan
$5,000
$10,000
$6,500
$12,000
80%

HSA 3000

HSA Compatible Plan
$3,000
$6,000
$6,000
$12,000
80%

HSA 5000

HSA Compatible Plan
$5,000
$10,000
$7,900
$15,800
80%

Deductible 3000

Business Growth Plan
DEDUCTIBLES
Single: $3,000
Family: $6,000
OUT OF POCKET MAX
Single: $4,500
Family: $9,000
COINSURANCE: 80%
100% OF ALLOWABLE
Annual Adult Physical
Adult Immunizations
Mammogram
Gynecological Services
Routine Colonoscopy
Well Child/Newborn Care

Deductible 5000

Business Growth Plan
DEDUCTIBLES
Single: $5,000
Family: $10,000
OUT OF POCKET MAX
Single: $6,500
Family: $12,000
COINSURANCE: 80%
100% OF ALLOWABLE
Annual Adult Physical
Adult Immunizations
Mammogram
Gynecological Services
Routine Colonoscopy
Well Child/Newborn Care

HSA 3000

HSA Compatible Plans
DEDUCTIBLES
Single: $3,000
Family: $6,000
OUT OF POCKET MAX
Single: $6,000
Family: $12,000
COINSURANCE: 80%
100% OF ALLOWABLE
Annual Adult Physical
Adult Immunizations
Mammogram
Gynecological Services
Routine Colonoscopy
Well Child/Newborn Care

HSA 5000

HSA Compatible Plans
DEDUCTIBLES
Single: $5,000
Family: $10,000
OUT OF POCKET MAX
Single: $7,900
Family: $15,800
COINSURANCE: 80%
100% OF ALLOWABLE
Annual Adult Physical
Adult Immunizations
Mammogram
Gynecological Services
Routine Colonoscopy
Well Child/Newborn Care

Don’t see what you like?

Let us design a plan just for you, quickly and efficiently.
Custom Plans